HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Suggest Treatment For Postural Hypotension

default
Posted on Fri, 5 May 2017
Question: Hi, My 84 year old father has Parkinson's disease. Takes Fludrocortisone daily in the morning. Takes Midodrine daily in am and pm. Recently following breakfast his blood pressure has fallen to 70/50 or 80/60 and he is unresponsive. After laying him down with legs elevated blood pressure returns to normal and no further episodes. This has been happening daily, right after breakfast. Is there some relationship between eating and blood pressure decrease only in the morning? Thank you
doctor
Answered by Dr. Neeraj Kumar (32 minutes later)
Brief Answer:
Get evaluated for postural hypotension and autonomic dysfunction

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
Hypotension can be due to medication for parkinsons disease.
Meal related decrease in blood flow can occur too.
Postural hypotension at this age can be due to autonomic dysfunction.
Is there any history of diabetes?
Parkinsons type known as multiple system atrophy can also have such features.
Get to your neurologist for evaluation.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2259 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Suggest Treatment For Postural Hypotension

Brief Answer: Get evaluated for postural hypotension and autonomic dysfunction Detailed Answer: Hello, I have gone through your question and understand your concern. Hypotension can be due to medication for parkinsons disease. Meal related decrease in blood flow can occur too. Postural hypotension at this age can be due to autonomic dysfunction. Is there any history of diabetes? Parkinsons type known as multiple system atrophy can also have such features. Get to your neurologist for evaluation. Hope you found the answer helpful. Do get back to me for further information. Regards Dr N Kumar Neurologist