Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

161 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes dizziness when diagnosed with low BP in an elderly person?

Answered by
Dr.
Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 2788 Questions

default
Posted on Fri, 3 Nov 2017 in General Health
Question: My sister is 57 years old and is having episodes with very low blood pressure, fainting, and feeling like she is moving in quicksand. She is generally a healthy person with no chronic disease or issues.
What could be her problem?
doctor
Answered by Dr. Lekshmi Rita Venugopal 50 minutes later
Brief Answer:
Please follow up with additional details

Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic for your health concern

I habe gone through your question.
It will be helpful if you could provide the following details, so that I can provide a detailed answer

-How often does she experience fainting spells?
-Does she notice any heart palpitations or skipped beats?
-Is your sister on any medications? If so,please provide the list
-Does she experience any ringing in ear, vertigo while having these episodes?
-Does she complain about constant head ache or vision changes recently?
-Was any other investigation other than EKG done to evaluate cardiac status?
-Any other associated concerning symptoms?

Awaiting
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Lekshmi Rita Venugopal 2 hours later
This just started in the last 3 1/2 weeks. She had a UTI, and was treated for that with antibiotics- but it was one she had taken before with no problems. She is not noticing any heart problems or issues. No vision changes. No other meds. She does get headaches, and her speech gets slurred when this happens, along with the feeling of being in quicksand, and extremely tired. She fainted for about 5 min. the last time in the ER. They have run labs and tests, but haven't given her any answers yet. Today she felt fine, and monitored her BP during spin class at the gym and it was normal.
doctor
Answered by Dr. Lekshmi Rita Venugopal 5 hours later
Brief Answer:
Follow up answer

Detailed Answer:
Hello again,

There are two important concerns here with your sister's history: cardiac issues or cerebrovascular disease.
Cardiac issues like cardiac arrhythmias can cause hypotension and fainting. However, it will not be picked up in an EKG always. 24-hour Holter monitoring test is required to assess cardiac electrical activity.
Since she is also complaining of slurred speech, it is also important to assess for possible cerebrovascular disease like Transient Ischemic attack, where blood supply to the brain is temporarily affected. Carotid doppler study and CT brain is recommended to rule out TIA and stroke.

In short, I recommend that she undergo 24-hour Holter monitoring testing, carotid artery Doppler studies and CT brain as next step in evaluation. She can follow up with her primary provider to get the necessary evaluations done.

Hope I was able to help you
Please let me know if you need further clarifications
Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Kampana
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Medical Topics

Recent questions on  Carotid artery

doctor1 MD

I just had a Bilateral carotid artery ulstrasound with the following findings. The right common carotid artery peak systolic velocity is 87 cm/second and the internal cartotid artery peak systolic velocity is 216 cm/second. Pre sclerotic right ICA ststolic velocity measures 86, with post dynamic velociity measuring 205 centimeters per second. The systolic velocity ratio is 2.5. On the left, the common is 66 cm/second & internal is 424 cm/second. Pre stenotic velocity is 129 and post is 179 cm/sec. The systolic velocity ratio is 3.1. I am seeing a surgeon tomorrow. Are these numbers alarming?

doctor1 MD

i had carotid artery surgery 4 years ago since then i been in pain where the surgery was performed and unable to move my neck what is wrong. i been told i have to live with it

doctor1 MD

Hi sir, my father 63 had a heart bypass surgery one year ago, he is fine but he has suddenly giddiness and felt down,. we met doctor and he took Ecg and BP everything is fine. after one month again he had giddiness and felt down then again met our...

doctor1 MD

I want to know what the risk is of having Surgery for a very blocked carotid artery?

doctor1 MD

Hello Doctor,
My Sister aged 75 years has undergone a Carotid & Vertebral Doppler Study and the following are the results:
1. Large Calcified Plaque is seen in left common Carotid bulb leading to 50-60% of blockage.
2. Thrombotic plaque is seen in the Osti of Left Internal Carotid artery leading to 50-60% blockage.
3. Atheromstous plaque is seen right common Carotid artery and external carotid artery.
4.Calcified plaque is seen in right common carotid bulb.
5. Diffuse atheromatous wall changes seen in bi-lateral carotid vessels.
All the arteries show normal pulsations, flow and spectral patters, with optimum peak velocities.

Department of radiology and imaging:
Impression:
1. Calcified plaque is seen in right common carotid bulb leading to 50-60% blockage.
2. Thrombotic plaque is seen in the origin of Left Internal Carotid artery leading to 50-60% blockage.
3. Calcified plaque also seen in right common carotid bulb with no flow limiting disease.
4. Atheromstous plaque is seen right common Carotid artery and external carotid artery with no flow limiting disease.
5. Diffuse atheromatous wall changes seen in bi-lateral carotid vessels.
SUGGESTED NECK ANGIOGRAPHY FOR FURTHER EVALUATION.

My General Physician has advised me to consult a Vascular Surgeon for further treatment.
Please advise me on the Following:
1. Course of action that I should follow.
2. The alternative treatments available
3. The approximate costs involved and the duration for recovery.
4. Good surgeon/hospitals in Chennai, India.
5. Any other important advice.
Thank you,

doctor1 MD

My mom (74 yrs) 5'3" 110 lbs - did a lifeline screening test for AFIB and something came up strange - heart rate was 053 beats/min - what does this mean? Is the blood going thru very slowly? Also the carotid artery test came up as mild. What can she do to fix this problem? Do not recommend drugs or surgery here, they are NOT an option. Pls advise.

doctor1 MD

hello. I have mutiple lipoma's all over both of my thighs and have been getting new ones appearing as often as every two days and they are pressing on the nerves and two large ones by my carotid artery what can I use or what should I do. Please help thank you