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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Do My Hands And Feet Swell And Get Ice Cold When BP Is Low?

Why do my hands and feet swell and get ice cold when my blood pressure is low. They only swell when its low, both numbers will be low at this time. Somewhere around 85/60 and sometimes lower. I do take medicine for low BP and this only happens a couple times a month. It that normal when having low BP.
Wed, 9 Sep 2015
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Cardiologist 's  Response
Hello!

Thank you for asking on HCM!

I would like to know if your fingers get discolored during these episodes ( a slight change in the color, bluish or pale color) and if these episodes are also triggered by the cold weather.

Your symptoms may be related to Raynaud's phenomenon or to a low blood flow to the small vessels of the hands and feet, caused by the systemic low blood pressure.

I recommend consulting with your attending physician to consider the possibility of making some changes to your antihypertensive therapy, to avoid such low values of blood pressure (a decrease in the dosage or stopping any of the drugs).

Betablockers can trigger this phenomena and exacerbate your symptoms, while calcium channel blockers are very helpful in avoiding the occurrence of such phenomena.

Hope to have been helpful!

Best wishes,

Dr. Iliri
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Why Do My Hands And Feet Swell And Get Ice Cold When BP Is Low?

Hello! Thank you for asking on HCM! I would like to know if your fingers get discolored during these episodes ( a slight change in the color, bluish or pale color) and if these episodes are also triggered by the cold weather. Your symptoms may be related to Raynaud s phenomenon or to a low blood flow to the small vessels of the hands and feet, caused by the systemic low blood pressure. I recommend consulting with your attending physician to consider the possibility of making some changes to your antihypertensive therapy, to avoid such low values of blood pressure (a decrease in the dosage or stopping any of the drugs). Betablockers can trigger this phenomena and exacerbate your symptoms, while calcium channel blockers are very helpful in avoiding the occurrence of such phenomena. Hope to have been helpful! Best wishes, Dr. Iliri