 [ Symptoms ] bp is 199119 but still no meds prescribed i have been suffering high blood pressure for three years   since college i wore a monitor for 24 hours at the start of this year and have been deemed hypertensive i feel unwell and have recently had crippling chest pain my gp says these are not a cause for concern my bp is 140110 usually but is now 199119 all readings have been in gp office do i need meds should i seek a second opinon  thank you for your time [ Disease ] yes and yes based on the information you shared you most definitely need blood pressure treatment and this usually includes medication with the high readings you are having as well as a complete hypertension work up i have no explanation as to why your doctor is not concerned so you do need to see someone else line a specialist in internal medicine