My Blood Pressure Usually The Rage Of 130's/ And The

My blood pressure usually the rage of 130's/ and the low 90's a couple of days my neck on the right side has been in pain for a couple of days. I have a shunt went to the minute clinic bp was 138/110. She recommended me to go to er. I just don't know what to do at this point. I haven't had a good night sleep in a couple a days due to pain.