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Suggest remedy for fatigue and dizziness in a person with low BP

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Posted on Thu, 3 Dec 2015
Question: Hi I am 68 and reasonably fit but carry a bit of extra weight 5 or 6 kilograms. I am type two diabetic an this has been well controlled for 20 years. I take no other medication. Recently after some exercise I felt really light headed and had to sit down The trainer took my blood pressure at 130/60 heart rate 73. Is this a low bp and would it have caused the dizziness which lasted for an hour or so
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Answered by Dr. Ilir Sharka (45 minutes later)
Brief Answer:
I recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that 130/60 mm Hg is not considered a low blood pressure and your symptoms don't seem to be related to it.

Your troubles may be related to an inner ear disorder or to cervical spondylarthrosis, which can trigger dizziness after body movements (like during physical exercises).

I recommend you to consult with your GP for a careful physical examination, a resting ECG, a cervical column x ray study and some blood lab tests ( complete blood count, PCR, fasting glucose, sedimentation rate, kidney and liver function tests, blood electrolytes, HbA1C).

A Doppler ultrasound of the cervical vessels would be necessary to investigate the blood flow to the brain and exclude possible arterial stenosis.

A head up tilt test may be needed if suspicions of postural hypotension are raised.

Hope to have been helpful!

Feel free to ask any other questions whenever you need!

Greetings!

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8488 Questions

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Suggest remedy for fatigue and dizziness in a person with low BP

Brief Answer: I recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that 130/60 mm Hg is not considered a low blood pressure and your symptoms don't seem to be related to it. Your troubles may be related to an inner ear disorder or to cervical spondylarthrosis, which can trigger dizziness after body movements (like during physical exercises). I recommend you to consult with your GP for a careful physical examination, a resting ECG, a cervical column x ray study and some blood lab tests ( complete blood count, PCR, fasting glucose, sedimentation rate, kidney and liver function tests, blood electrolytes, HbA1C). A Doppler ultrasound of the cervical vessels would be necessary to investigate the blood flow to the brain and exclude possible arterial stenosis. A head up tilt test may be needed if suspicions of postural hypotension are raised. Hope to have been helpful! Feel free to ask any other questions whenever you need! Greetings! Dr. Iliri