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Episodes with low BP, tingling hands and feet, constant fatigue, irregular pulse. Cause and cure?

I have a friend that is 22 years old and has episodes with low BP, tingling hands and feet, constant fatigue, irregular pulse. She is in nursing school, last semester. Exercises. Vegan that eats fish and eggs. Size 10. Recent 24 hour holter monitor showed nothing. ECG normal. Getting worse but no PCPs are taking new patients.
Asked On : Fri, 12 Apr 2013
Answers:  2 Views:  54
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General & Family Physician 's  Response

It seems like your friend has an overactive vasovagal system. There are 2 systems that are active in our body. One is the adrenaline system which makes you hyper and energetic and active. The other is the vagal system which makes you slow down and thus. It seems that in you the vagal system is a bit more active. What happens is that the vagal system has a few trigger factors.

The trigger factors are things like eating too much food at once or cold temperature. What your friend should do is to find her trigger factor and avoid it religiously. I hope this helps.

Dr Vineet
Answered: Wed, 3 Jul 2013
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General & Family Physician Dr. Polash Sannigrahi's  Response
Jun 2015
Hello dear,

The fact that 24 hour Holter monitoring & ECG has not shown anything rules out the any Cardiovascular causes for the symptoms.

The symptoms in your friend can be due to:
1. Anemia- either due to decreased Hemoglobin production or deficiency of certain nutrients like Iron, Vitamin B 12, Folic acid, etc. which helps in blood formation.
2. Inadequate hydration status & electrolyte balance of the body.
3. Any fluctuation in the blood sugar levels.
4. Hormonal & metabolic causes.
5. Stress, inadequate sleep, etc.

Investigations like complete blood count, estimation of blood sugar levels will be helpful to rule out any pathological cause for the symptoms.

And it is also needed that your friend take certain precautions regarding diet & lifestyle, such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid fast food.
4. Avoid smoking & alcohol.
5. Keep away stress..think positive.
6. Exercise regularly & practice meditation.

Wishing a Good Health.
Thanks & take care.
Answered: Tue, 2 Jul 2013
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1 Doctor agrees with this answer

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