Dr. Hanif warmly welcomes you with thanks for a consult! I have carefully worked through your case, and can well realize your health worries. Being your physician, I want to assure, I will take care all of your medical concerns according to the latest medical guidelines. Sometimes the individual checking the blood pressure gets the different reading. Everybody is trained differently and so gets different reading that can also be a mistake. Machines also give different reading. Even same machine may give a little fluctuation. Stress, and emotional lability, white coat fear, environment of the hospital and some loved one in pain/disease are the other factors contributing to varied readings and usually cause a higher than usual reading. We have to keep in view the complete scenario to see if there is a genuine cause of rise of BP or it is just a fluctuation that can be referred to as the fluke reading or just an artifact. Your physician may help you better by taking serial blood pressure readings by himself on successive visits. Hope I answered all of your questions. Please click on I Find This Answer Helpful and don t forget to add your precious positive feedback to help me able to assist you better in future too. For any disease you have, a timely follow-up regarding the treatment efficacy and to see if there is any need to change the treatment options is very necessary. So keep a follow up to see how you doing. Remember to write down my name in the start of your question next time, & I will be with you right away. I am available 24/7 for providing you expert medical opinion on any health issue. Have a blessed time ahead. Regards! DR. MUHAMMAD HANIF USA FOR DIRECT QUESTIONS: http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70199