Brief Answer:
Try non-pharmacological measures.

Detailed Answer:
Hi,
My name is Dr. Prakash HM and I would like to help you with your questions.
I assume your Blood pressure was within normal limits before 5 weeks, and now it is 90/60. However, you are not complaining of any dizziness and I hope you do not have.
Many tests have been done to rule out various causes of hypotension and everything was negative, which is good. Low blood pressure, if it does not cause any major symptoms usually rarely requires treatment.
Steroids are usually prescribed in hypotension as it helps boost blood volume. As you are allergic to it, you need to look for other options.
I always look into medications first. Among your medications, I noticed Clonozapem, possibly prescribed for fibromyalgia. One of the side effects of Clonozapem is dizziness secondary to hypotension. Was its dosage recently increased. Do you need to take three times a day or can you take only at night?
If you have done so many investigations, I expect the thyroid profile would have also been checked and synthyroid dose adjusted. If not, hypothyroidism can cause hypotension.
You have allergies to various medications. You can try a few non-pharmacological measures like increased salt intake, more water, more caffeine and crepe bandage or stockings to lower limb to increase the blood flow in the upper parts (It should not be too tight to cause pain or pressure ulcers)
One risk I usually tell in hypotensive cases is that of fall, especially while getting up. You need to wake up slowly, try to use walking stick. Avoid falls at this age as healing takes a very long time and fractures are more common due to reduced bone mineral density.
You also need to take protein rich diet, not only to increase weight, but hypotension can occur secondary to low protein in blood. You are already with fatty liver, so protein levels could be down. Also nutritional supplementation like Vitamin B12 and folic acid is essential to improve the blood cells and the neural stimulus.
I suggest you to meet the ophthalmologist to identify your cause of off and on blurred vision.
Dull headache could be secondary to hypotension. Tenderness in midsection to right of navel could be secondary to muscle pain. Other tests done during you kidney test would have shown any internal pathology (if you had any). You can take NSAID pain killers.
Few WBC in urine is normal. If it is significant, it should be more than 5 wbc/high power field in microscopy.
Hope i was able to answer you queries. If you have any further questions, I will be happy to answer. Take care. Avoid injuries.

Dr. Prakash HM

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Brief Answer:
continue treatment, avoid falls.

Detailed Answer:
Hi,
E. coli infection of the urinary tract, if ongoing with septicemia could cause hypotension. Now that you are completely free from urinary tract infection, it would not be the cause.
In medication history, there was an indication of clonazepam - 3 times/day. If it is one time & bed time, it could not be the cause.
Vitamin B 12 injections would take around 15-20 days to show some response. You will slowly feel your energy coming back.
Protein requirement is 1g/kg body weight/day normally. You need to increase your diet intake to more than that.
If you still have dizziness and associated hypotension, and pharmacological therapies are causing allergic reactions, you need to try non-pharmacotherapeutic measures as earlier indicated.
Symptoms improvement would take at-least 15-20 days. Take precautions to avoid falls and injuries.
Check your thyroid profile. TSH, T3 and T4 levels. If it was done and it is normal, continue non-pharmacological measures for two weeks at-least to notice symptomatic improvement.
Do follow up later if you have any further queries.
Thanks for asking.
Dr. Prakash HM

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