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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Low BP Levels?

I am a 61 y.o. female. Recently left an extremely stressful job for one that I now work 12 hour shifts 3 consecutive nights per week. Multiple stressors at home as well. Past Hx include colon resection (no chemo) 1996, with regular 1 or 2 year follow ups, all normal, Father passed in 1987 - Pulmonary Fibrosis, Mother age 91 has treated High BP, otherwise healthy. Older brother died at age 67 of Pulmonary Fibrosis. Younger brother, age 60, diagnosed 15 months ago with Multi System Atrophy. Maternal GM had a stroke at age 77. About 7 days ago my BP dropped and I almost fell (right leg gave out and I felt weak and whoozy. Normal for me is apprx. 110/72. Now I get readings averaging apprx. 95/61 with Pulse Rate averaging apprx. 100. I went to the ER and they did a urinalysis, EKG, blood work, and gave me IV fluids (normal saline solution). All came back normal. I am generally on a low salt diet for some swelling in my feet, but all labs were normal at that time, as well. I have been doing some tough gardening work in recent days in 100 degree weather, but mostly in the shade. I try to drink water frequently throughout the day. Urine is regular, normal frequency, light yellow color. I ve increased my salt intake today, drinking water and Gatorade and feel a little better, but last BP was 95/61 Heart Rate 102. I also started to take 3 iodine drops in water once a day starting today, as well as Vitamin D, and a baby asprin. I d like some input on what might be the cause of such a sudden drop in BP and what direction to go from here. Thank you.
Fri, 19 Dec 2014
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Internal Medicine Specialist 's  Response
Dear madam..Based on information that you have provided the cause of your blood pressure seems to be dehydration . In most of people this blood pressure is normal. If you do not have any symptoms such as dizziness nausea fatigue for feeling of weakness etc then plz don't worry about that..just drink plenty of water and juices take salt rich diet. Avoid alcohol and caffeine containing products as they will cause excessive urination and thus dehydration . Your urine output is adequate and your all blood work is normal that rule out any serious underlying cause..but still if you develop further decrease in blood pressure in spite of salt rich diet with plenty of drinks..you must consult to your physician for further evaluation and management . Hope this will help.
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How To Treat Low BP Levels?

Dear madam..Based on information that you have provided the cause of your blood pressure seems to be dehydration . In most of people this blood pressure is normal. If you do not have any symptoms such as dizziness nausea fatigue for feeling of weakness etc then plz don t worry about that..just drink plenty of water and juices take salt rich diet. Avoid alcohol and caffeine containing products as they will cause excessive urination and thus dehydration . Your urine output is adequate and your all blood work is normal that rule out any serious underlying cause..but still if you develop further decrease in blood pressure in spite of salt rich diet with plenty of drinks..you must consult to your physician for further evaluation and management . Hope this will help.