What you describe is labile hypertension. That can be indicative of some serious conditions, such as pheochromocytoma or renal stenosis. There are some other possibilities, such as pseudopheochromocytoma, which can be emotionally driven.

I have had worse episodes than you describe and they became more debilitating despite a lot of medication. Fortunately, I have found the right med which has eliminated the serious spiking. Like you, I had various symptoms during the attacks, including flushing blotchiness on my forehead, cold fingers, severe headache, neck ache, and stomach churning.

With numbers like 190/90 or higher, you run a real risk of organ damage, like a stroke or heart damage. My eyes and ears would ache the day after an attack, and those organs are also at risk.

I recommend you see your doctor and get some blood/urine samples for pheo, and that he consider some short-acting med to counteract the attacks or at least bring down the numbers.