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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low After Having Meals?

hi doc
my name z ayesha. my b.p z most of the time z low n m feelng low after meal. i have read abt this,its postprandial hypotension.....plz give me advice to cope up with my problem
i eat regularly n my weight is increasing now a days...m 27 and my weight is 67.
Mon, 26 Oct 2015
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that there are not many pharmacological treatments for postprandial hypotension.

First, it is necessary have the right diagnosis.

How much does your blood pressure decrease after each meal?

Does it decrease during standing up position too?

I recommend consulting with your GP for a careful physical examination, a resting ECG, a head up tilt test (for orthostatic intolerance) and some blood lab tests :

-complete blood count (for chronic anemia)
-kidney and liver function tests
-blood electrolytes
-fasting glucose
- glucose tolerance test ( for possible glucose intolerance).

You should closely monitor your blood pressure different times during the day and refer those values to your doctor.

If the diagnosis of post prandial hypotension is established, I would recommend some tips to help you improve this situation:

- eat many small meals during the day and avoid large meals.
- avoid fast absorbed sugar in food
- avoid sugar and soda drinks
- take plenty of fluids and increase salt intake.

Hope to have been helpful!

Best regards,

Dr. Iliri

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What Causes Low After Having Meals?

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that there are not many pharmacological treatments for postprandial hypotension. First, it is necessary have the right diagnosis. How much does your blood pressure decrease after each meal? Does it decrease during standing up position too? I recommend consulting with your GP for a careful physical examination, a resting ECG, a head up tilt test (for orthostatic intolerance) and some blood lab tests : -complete blood count (for chronic anemia) -kidney and liver function tests -blood electrolytes -fasting glucose - glucose tolerance test ( for possible glucose intolerance). You should closely monitor your blood pressure different times during the day and refer those values to your doctor. If the diagnosis of post prandial hypotension is established, I would recommend some tips to help you improve this situation: - eat many small meals during the day and avoid large meals. - avoid fast absorbed sugar in food - avoid sugar and soda drinks - take plenty of fluids and increase salt intake. Hope to have been helpful! Best regards, Dr. Iliri