Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms do not seem to be related to any cardiac disorders.

I would explain that during a meal, several changes occur in our body:

1- There is a changing in blood circulation, increasing blood flow in the gastro-intestinal system and decreasing blood flow in the skin and some other organs, including the brain. Sometimes this can be more exaggerated, leading to low blood pressure after eating, also called post-prandial hypotension. That is why I would recommend measuring your blood pressure during these episodes, to be sure that your blood pressure is not low.

2- Some changes in your blood occur, like :
-a big glucose load, which can lead to changes in your blood glucose, increasing insulin levels.
- increased serotonin levels, which can lead to increased sleepiness. This is quite a normal reaction of the body.
- changes in blood electrolytes.

Based on the above mechanisms, I would explain that a metabolic disorder or post-prandial hypotension could be the cause of this symptomatology.

I would recommend consulting with your attending physician and performing some tests:

- a Head Up tilt test for orthostatic intolerance or post-prandial hypotension
- fasting glucose
- glucose tolerance test for possible glucose intolerance
- some other blood lab tests (complete blood count for anemia, cortisol plasma levels, HbA1C, kidney and liver function tests, blood electrolytes).

If all the above tests result normal, you have nothing to worry about.

I would also advise you some tips to help improve or prevent this situations:

- try to avoid large meals and eat frequently during the day in small meals
- avoid hypercaloric food, which causes excessive loads of glucose in your blood.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

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Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful!

You can ask me directly at any time if you will have any other uncertainties in the future in the link below:

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765

Best wishes,

Dr. Iliri

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