Hi ,

Thank you for the query.

I would like to know few more things which would help me in suggesting you better:

1.) Since how long are you having this Problem?
2.) Do you feel like you are going to faint?
3.) Since how long are you taking medication for hypertension?
4.) Do you have blurred vision?
5.) Is your Blood Pressure continuously low?
6.) Do you feel dizzy when you get up from sitting or lying down position or immediately after a meal?

Your History suggests you are suffering from Hypotension and there are various causes for it like,

1.) Poor Nutrition.
2.) Dehydration.
3.) Heart Problems.
4.) Endocrine problems like low blood sugars, hypothyroidism.
5.) High Blood Pressure medications.

Kindly get yourself examined by a Cardiologist so that he may evaluate you in detail and run few tests like,

1.) Bloodwork.
2.) Urinalysis.
3.) ECG.
4.) 2D ECHO.
5.) Table tilt test, which evaluates how your body reacts to changes in position.

Once the cause is confirmed, you will be treated accordingly. You will be prescribed either reduced dose of same medications or by changing the medications.

In addition to this, follow these lifestyle modifications:

1.) Drink more water and other fluids.
2.) Avoid alcohol and smoking, if you do.
3.) Get adequate rest.
4.) Avoid stress, practice relaxation techniques like yoga and meditation.
5.) Eat healthy nutritious balanced diet which should include fresh fruits and XXXXXXX leafy vegetables.
6.) Use more salt in your diet, that is 2500-3000mg per day.
7.) Wear compression stockings.
8.) Slow down when you change your positions.
9.) Stick to your treatment plan and go for regular follow up.

Hope I have answered your query, I will be available to answer your follow up queries.

Wish you Good Health.

Take Care.

Regards,
Dr. Mohammed Tauseef.

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Hi,

Thank you for writing back to me.

Your history suggests you have Orthostatic Hypotension which is a part of aging and it also could be due to use of diuretics which causes excess fluid loss from your body, in your case the culprit could be Pinom-H tablet. You should be speaking to your Cardiologist and ask for change of medicine without compromising on good blood pressure control.

As I said in my previous answer, get yourself examined. If your doctor notices Dehydration, you will be treated with salt and fluids. More severe cases will be treated with drugs, such as midodrine, to raise the blood pressure.

Follow the lifestyle modifications which I had suggested, stick to your treatment plan and go for regular follow up.

Wish you Good Health.

Regards,
Dr. Mohammed Tauseef.

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