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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low BP, Feeling Of Fainting, Difficulty In Breathing. Treatment?

I am a 40 yr old female and have low blood pressure on a normal for me is 90/65 thats on a good day........ I've been on Midodrine 30mg for over 5 yrs but it does not work. I feel faint a lot and i have trouble breathing all the time everyday of my life. Ant answers or advise. I see a cardiologist but he is no help to me??????
Mon, 21 Oct 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

     Dizziness on getting up from bed, it may be from postural hypo-tension.. Did you check your BP – standing and lying? It can be from anaemia – what is your haemoglobin?
     The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear.
     If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting.

     If there are no clues, back to the Cardiologist! - for HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – all may be necessary for further assessment and assistance.
     
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care     
Wishing all well
God bless
Good luck
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Low BP, Feeling Of Fainting, Difficulty In Breathing. Treatment?

Hi friend, Welcome to Health Care Magic Dizziness on getting up from bed, it may be from postural hypo-tension.. Did you check your BP – standing and lying? It can be from anaemia – what is your haemoglobin? The body s balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting. If there are no clues, back to the Cardiologist! - for HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – all may be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Wishing all well God bless Good luck