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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for hypotension with dizziness

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Dr. Priyank Mody

Cardiologist

Practicing since :2009

Answered : 909 Questions

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Posted on Mon, 27 Mar 2017 in Hypertension and Heart Disease
Question: My blood pressure was 99/51 yesterday with a pulse of 51and I was dizzy. The dizziness I understand. Today there is a pressure-like feeling in my head and my blood pressure is 151/87, pulse 62. Why does this happen?
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Answered by Dr. Priyank Mody 39 minutes later
Brief Answer:
Most probably the symptoms are due to fluctuation in blood pressure

Detailed Answer:
Hello
The dizziness you describe was due to blood pressure being on the lower side , sudden change and fluctuation in the blood pressure reaching 150 plus may be the reason for the symptoms of headache.
One should avoid such fluctuations in blood pressure , Maybe titration the dose of diuretic HCTZ may help. Do discuss the same with your doctor .
The medications you are on , Sjogrens and the history of radiation may all result in such fluctuations in blood pressure . So a detail search for cause and treating the same would be best way forward .
If between Lisinopril and HCTz, Lisinopril would be a better antihypertensive considering your age and Co existing problems if your kidney function and potassium are normal .
Regards Dr. Mody
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Follow up: Dr. Priyank Mody 58 minutes later
Thank you Dr. Mode. I plan to follow up with my Dr. today if there is an opening. Otherwise asap. Your answer was considerate of the total health picture than my physician.
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Answered by Dr. Priyank Mody 15 hours later
Brief Answer:
Happy I could help

Detailed Answer:
I am happy I could help you .
Let me know if anything is needed after you visit your doctor or if any further clarification is needed .
Regards Dr. Mody
Above answer was peer-reviewed by : Dr. Kampana
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