I think you've been suffering from kidney disease for a long time because of high blood pressure. To confirm this, I would like to recommend various medical tests. These tests include blood tests (blood tests), Cbc (cbc), glucose levels (leucose levels), electrolyte panels, electrocardiograms, and hemoglobin A1c measurements (a1c).
Doctor, I've been so tired and having trouble breathing lately, and my blood pressure has been going up for a while.