Hello Thanks for posting here. I have gone through your complaints. Your BP recordings are definitely on the high side. High BP can lead to generalised discomfort, anxiety, headache and blurring of vision. Your left arm pain and headache is related to your blood pressure. Also since you say you woke up with the left arm pain, it may be due to incorrect posture while sleeping. In view of the above, we need to establish whether you really suffer from high BP. So we need three recordings one week apart (one recording every week for three weeks). If all the readings are persistently high then you must be started on treatment for high blood pressure. Also a lot depends on your age. If you are young then your arteries are still elastic and hence you can try diet modifications and exercise initially to treat your high blood pressure. Otherwise you should be started on medications. Wishing you good health Regards Dr Shankar