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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Stabilize Fluctuating BP Levels?

I am 70, male, 190lbs, 5'10" I have been doing some hard work cleaning mildew from the sides of my house. BP in the morning before starting 135/82, after working hard my heart rate is 100 and BP is 84/65. I have had no serious health problems. I have been a type 2 for about 4 yrs. Am on Glipiside and Metformin.
Tue, 6 Sep 2016
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Internal Medicine Specialist 's  Response
Unfortunately, this is concerning. Your blood pressure and heart rate should increase with activity. You should have your heart examined throughly. A drop in blood pressure like this could be from valvular disease, arrhythmias, dehydration, or vascular disease from diabetes. Additionally, it could be caused by cardiomyopathy which is damage or dysfunction of the heart muscle. I would continue taking your medication as prescribed. Drink plenty of fluids. If you get dizzy or lightheaded, then you need to rest. If you have chest pain, you should be evaluated at the emergency room.
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How To Stabilize Fluctuating BP Levels?

Unfortunately, this is concerning. Your blood pressure and heart rate should increase with activity. You should have your heart examined throughly. A drop in blood pressure like this could be from valvular disease, arrhythmias, dehydration, or vascular disease from diabetes. Additionally, it could be caused by cardiomyopathy which is damage or dysfunction of the heart muscle. I would continue taking your medication as prescribed. Drink plenty of fluids. If you get dizzy or lightheaded, then you need to rest. If you have chest pain, you should be evaluated at the emergency room.