Hypertensive haemorrhage can be due to either isolated systolic hypertension or isolated diastolic hypertension or both. Hypertensive hemorrhage can occur in any human body viscera / cavity. At first, hypertension will affect vascular system & will present as discomfort, heaviness, pain and later loss of function of the affected organ ( Brain /cranium, Heart / Cardia ) due ischemia and hemorrhage, can be reversible or irreversible (disability/Death).
Pain should not be killed with NSAIDS without monitoring the blood pressure & first antihypertensive medicines should be given/started to control the blood pressure as in routine & in the emergency also & can limit emergency morbidity & mortality. Are we giving preference to monitor blood pressure and antihypertensive medicine therapy even in hypertensive instead of giving pain killers ( NSAIDS )?