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Severe or persistent headaches – Some people with very high blood pressure may experience headaches, although high blood pressure often has no symptoms.
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Dizziness – Feeling dizzy or lightheaded can occur, particularly when blood pressure is very high or fluctuating.
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Blurred vision – Very high blood pressure can affect the blood vessels supplying the eyes and may cause vision changes.
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Shortness of breath – Difficulty breathing can occur when high blood pressure contributes to heart or blood-vessel problems.
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Chest pain – Chest pain can be a sign of a serious cardiovascular problem and should not be ignored.
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Nosebleeds – Severe hypertension can sometimes be associated with nosebleeds, although nosebleeds are usually caused by other factors.
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Unusual tiredness – Persistent fatigue can accompany conditions related to high blood pressure, though it has many other possible causes.
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Confusion or difficulty concentrating – Extremely high blood pressure can affect the brain and requires urgent medical attention.
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Pounding or irregular heartbeat – Some people may notice palpitations or an unusual heartbeat when cardiovascular problems are present.
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Often, no symptoms at all – This is the most important point. High blood pressure frequently causes no noticeable symptoms, which is why checking your blood pressure regularly is so important.
Important: If blood pressure is extremely high, especially around 180/120 mmHg or higher, and you have symptoms such as chest pain, severe headache, difficulty breathing, weakness, confusion, or vision problems, seek emergency medical care immediately.

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