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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Fluctuations In Blood Pressure

I m 38 female 290lbs 5ft 7 morbidly obese high cholesterol on zocor for it and its under control now. I have high blood pressure on occassion I m on metropol for it. As well as tacacardia. I suffer from bouts of low blood pressure too all at the same time as well so its either real high or real low and one extreme to the next can t seem to win with the blood pressure problems and constant severe migraines with aura and also complicated migraines with stroke like symptoms. No stroke found after ct scan and mri. I have problems constantly with severe dizziness when shopping and migraines that are so disrupting I can no longer drive or go shopping in stores without collapsing and needing to be put into a wheelchair because can t stand up or I will pass out due to blood pressure or high blood pressure like 150 over 120 causing problems. These horrible migraines are disrupting my life so bad I have no life and its very disabilitating.My quality of life is virtually non existent.Why are these migraines causing my blood pressure to be so erratic and so uncontrollable? Is that normal? Can migraines cause that normally and if not are there some extremely rare cases that do? Please tell me how to stop this and how to get my quality of life back. Thank you!
Mon, 6 Oct 2014
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Psychiatrist 's  Response
Hi welcome to HCM.
The frequent episodes of dizziness in your case are caused together by the low episodes of blood pressure and autonomic disturbances of migraine.Both can exacerbate each other.Dose escalation of metoprolol can help to prevent these fluctuations.Migraine can be effectively controlled by drugs like sumatriptan and propanalol.Have a baseline EKG and a non contrast CT scan to rule out organic brain pathology.Avoid migraine precipitating factors.Consult your neurologist for further queries,
Thank you
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Suggest Remedy For Fluctuations In Blood Pressure

Hi welcome to HCM. The frequent episodes of dizziness in your case are caused together by the low episodes of blood pressure and autonomic disturbances of migraine.Both can exacerbate each other.Dose escalation of metoprolol can help to prevent these fluctuations.Migraine can be effectively controlled by drugs like sumatriptan and propanalol.Have a baseline EKG and a non contrast CT scan to rule out organic brain pathology.Avoid migraine precipitating factors.Consult your neurologist for further queries, Thank you