Hello, my blood pressure has been high for the last 3 months. 186/133, 153/96, 148/91, 145/102. I recently started having hot flashes daily every 30 minutes or so, sweating with pressure in my neck, mostly my right side. I thought the hot flashes were symptoms of menopause. I am 49 years old. I m having mild headaches as well. I can feel a pulsating in my neck. When I bend over I feel like my head is going to explode. Should I consider going to the ER? I m concerned that this is something more serious.