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Sleepiness during daytime, lightheadedness, blood test show gilbert syndrome. Cure? - Online Doctor Chats

Date : 26-Mar-2013
User rating for this question
Very Good Posted in: Sleep Disorders
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User:Hi for the past 12 months I have been experiencing sleepiness during the daytime
User:I am 21 yr old male dont smoke or drink 140lbs
User:sleep 8hrs plus uninterrupted
User:also been feeling very lightheaded but think that may be due to anxiety
Doctor:What do you do? you area student or are you working?
User:blood tests are all ok except for gilberts syndrome
User:i work full time
User:no stress but do worry a lot about my health
Doctor:What other symptoms do you have apart fro sleepiness during the day time and lightheadedness?
User:also have periods once a day or so of extreme light headedness and a faint feeling, im not sure whether this is a panic attack because i dont get shaking, short of breath etc
User:but i do panic
Doctor:have you got your blood pressure checked recently?
User:i monitor it at home, systolic seems to be low
User:normally 30-60 sitting down
User:systolic usually 130-140
User:sorry diastolic
Doctor:lightheadedness could be explained by the lower systolic blood pressures
User:it onlu happens when i walk
User:and i cant stand up for long
User:its 133/59 right now is that normal?
Doctor:all these can be explained by your lower systolic blood pressures
Doctor:Your systolic is infact not low
Doctor:only your diastolic blood pressures seem to be on the lower side
User:sorry got them confused
Doctor:and yes even the lower diastolic blood pressures can cause lightheadedness
User:is it low enough to be concerned? The doctor checked my bp last week and i think it was ok
Doctor:It is not low enough to be concerned
User:how can i raise it naturally so that i dont feel like im going to faint
Doctor:You can raise it by contracting the muscles in the lower legs
Doctor:and by sitting down for a few seconds
User:what about diet ?
User:and what could be causing the tiredness
Doctor:tiredness could be due to your pre-existing condition(Gilbert's syndrome)
Doctor:You need to discuss with your treating doctor again regarding the diet and how to go about the tiredness and day time sleepiness
User:i have had blood tests and a sleep study and they were normal so i guess i just have to "cope with it"
Doctor:you just need to cope with it
Doctor:and try and avoid exerting yourself extremely.
User:is there anything i can eat to raise my blood pressure
User:and is it unusual to have high systolic and low diastolic?
Doctor:You can eat a little extra salt, but that will increase the systolic too
Doctor:You might have to discuss with an endocrinologist about your diastolic blood pressures
User:is the above unusual?
Doctor:yes it is unusual to have such great differance
User:am i at any immediate risk
Doctor:it causes wide pulse pressure leading to decreased tissue perfusion
Doctor:no you are not in any immediate risk
User:can this be caused by anxiety
Doctor:Could be, but anxiety will cause an increase in both diastolic as well as systolic prssures
User:ok thanks for your help
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