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Suggest Treatment For Orthostatic Hypotension
Question: i was admitted to hospital with syncope and sob 7 days ago due to medication induced orthostatic hypotension. during my bp med adjustments. i was not responding and eventually ended up on 4 bp meds and hydrochlorthiazide. dropped too low to 110/50. came home 3days ago feel slowly better but still experiencing light headed and milder sob. what is the time frame is it normal to take a week- few days ? i was on the cardiac floor of a major teaching hospital in new york and did well with an echo ekg and all blood work over 4 days
Brief Answer:
Bp adjustment problem
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
There are 2 possible causes.
1. Your bp is still getting low occasionally. But not low enough to cause you to faint. But enough to cause symptoms.
This will need a further dose adjustment.
2. Probably your bp was very high. Now at 110 by 50 it's normal , but too low compared to previous bp. This is why your brain , previously adjusted to a high BP is not feeling good and causing symptoms. It should come down slowly.
I also suggest testing a CV DOPPLER if not tested already.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal
Bp adjustment problem
Detailed Answer:
Hi,
I am Dr Mittal.
I have read your message.
I think I can help you.
There are 2 possible causes.
1. Your bp is still getting low occasionally. But not low enough to cause you to faint. But enough to cause symptoms.
This will need a further dose adjustment.
2. Probably your bp was very high. Now at 110 by 50 it's normal , but too low compared to previous bp. This is why your brain , previously adjusted to a high BP is not feeling good and causing symptoms. It should come down slowly.
I also suggest testing a CV DOPPLER if not tested already.
I have tried to make it as simple as possible. I hope that the information contained in this message will be able to help you find the best solution for your problem. Best of luck. Dr Mittal
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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