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Suggest treatment for low BP - Online Doctor Chats

Date : 12-Sep-2014
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
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User:Hi Doctor, My Wife has low blood pressure 90/70 from past 3 days what medicine/remides you adivise. Thanks
Doctor:What kind of symptoms has she been having?
User:She has migraine
User:feeling dizziness and headache.
Doctor:What started this? did she eat anything new or has she been sick?
User:She is suffering from low bp long time. last month Bp was 100/90 but from past 3 days it is 90/70
User:nothing new she ate. diet is normal
Doctor:Ok, can you tell me her height and her weight please?
User:height 5.5 and weight 77.
Doctor:Ok. the most common causes of this kind of hypotension are
Doctor:1) Dehydration
Doctor:2) Poor nutritional intake
Doctor:3) Heart conditions such as an arrythmia
Doctor:For the first two, can you tell me if she has been eating and drinking fluids properly?
User:yes doctor she is eating n drinking properly but she is insomniac. No proper sleep
Doctor:I see
Doctor:is this a long term problem or recent? (The lack of sleep)
User:long term problem
Doctor:Ok. There are two things i want you to do
Doctor:Both of them are tests that require you to take her to the clinic or to the hospital
Doctor:1) Get an ECG done on her to rule out any heart issues
Doctor:2) Get a Comprehensive Blood Count, Electrolytes, and Thyroid profile test done
Doctor:These are blood tests that will check for anemia or any hormonal issue which would cause this hypotension
Doctor:Until then. let her drink Soda's and such which have caffeine and sodium in them to help bring up the BP
User:I have done all the test in the last 2 months and there are no sign of heart issue and point number 2 doctor due to migrane she doesnt get enought sleep
Doctor:I see, the blood tests were done as well?
User:Yes, and it was normal no sign of issue
Doctor:OK, well, i understand that she has migraines. but my only issue with that is that, migraines do not usually cause hypotension. Thats why i'm looking for some other issue
User:ok. she has some nutritional intake issue previously it might be a problem?but after that it has been improved i mean from past 2 months she has been taking balanced nutrition
Doctor:The migraines need to be dealt with using medication. For now, she can take IMOL PLUS. That will stop the immediate headache when she gets it. To prevent headaches in the future she will need to be examined by a neurologist and put on a migraine preventive like propanolol or rizatriptan
User:She is taking Divaa-od 250 as of now for preventive for Migrane
Doctor:Ok, make sure she is continuing the balanced diet. Keep her away from chocolate (as it causes migraines) and make sure she is hydrated well
Doctor:This is a drug for seizures? Why was she given this? Does she have a seizure issue?
User:ok. Thank you doctor as of now how to bring BP up as she is feeling dizziness currently
User:not at all doctor. we have visited neurologist and he gave Divaa od as preventive
Doctor:OK, i understand
Doctor:it can help in prevention, but it takes a long time to work, several months
User:yes, she is been taking from past 4 months
User:does she need any medication for now for BP?
Doctor:i see. Well, for now. Make sure she drinks plenty of fluids, let her have softdrinks that have caffeine in them (Coke, pepsi, etc)
Doctor:Get her Imol Plus (that will help with the headache)
Doctor:and lets let her get a few good nights of rest with that
Doctor:there are no good medications that can BRING UP BP outside of a hospital, such meds are given by IV in emergency situations
User:oh alright doctor. Thank you for your time i will get some soda as of now
Doctor:Thanks for visiting me here. Bye for now.
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