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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Blood Pressure, Dizziness And Shaking?

I was dx. with 4th stage lung ca in 2008. some cells are poorly diff. neuroendocrine cells. I had sx. of episodes low blood sugar, sweats. also sx of increase of thyroxine. altho I don t have prob. with thyroid or am not diabetic. I have undergone chemo and have been ca. free for 3 yrs. I am followed every yr. by CT. a nodual which has been stable for yrs has now gotten bigger but not big enough to bx. I will have another Ct in Sept. and if it is 1 cm. they will bx. here is my current prob. I have had 2 episodes of what I believe to be low blood sugas-breaking out in sweats, dizzy, pale and shakey. I drink orange juice and have cheese and I recover fast. Do these episodes have to do with neuroendocrine cells??
Tue, 23 Sep 2014
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Psychiatrist 's  Response
Hi welcome to HCM.
The symptoms in your case are strongly related to the histology of the lung aspects in the tumour.The neuroendocrine cells secrete various products that cause intense vasodilatation of the systemic vessels.This can lead to prompt lowering of the blood pressure and blood sugar associated with symptoms of dizziness and autonomic insufficiency.Drugs like midodrine and Fludrocortisone will help to improve the blood pressure.Orange juice will help to combat low blood sugar.Consult your doctor for further care.
Thank you
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What Causes Low Blood Pressure, Dizziness And Shaking?

Hi welcome to HCM. The symptoms in your case are strongly related to the histology of the lung aspects in the tumour.The neuroendocrine cells secrete various products that cause intense vasodilatation of the systemic vessels.This can lead to prompt lowering of the blood pressure and blood sugar associated with symptoms of dizziness and autonomic insufficiency.Drugs like midodrine and Fludrocortisone will help to improve the blood pressure.Orange juice will help to combat low blood sugar.Consult your doctor for further care. Thank you