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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How can blood pressure, dizziness and sleep apnea be treated?

My blood pressure when sitting is runs between 118/80 to 130/90 depending on stress levels. At night when lying down it is dropping to 109/60 if on my right side and 99/46 if i am lying on my left side. I was a little dizzy last which has never happened before. I do have mild sleep apnea when on back, but I do not lose O2 saturation so I do not have a Cpap. I have significantly over weight, but cardio stress test are fine. I also know that home electronic blood pressure monitors are not that accurate. Any suggestion.
Fri, 27 Apr 2018
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Dietitian & Nutritionist 's  Response
Hello,

Reducing your weight will help to manage things in a better way. Plan a healthy diet with small frequent meals increase fiber and regular physical activity of at least 30 mins per day.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ssulthana82
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Internal Medicine Specialist Dr. Sp Vittal's  Response
Hello,

Check with a mercury sphygmomanometer in two positions:

1. While sleeping on the bed both upper limbs.
2. While standing after 2 to 3 min check again and see whether your blood pressure is dropping more than 20 mm Hg while standing compared to lying down position.

If there is no fall, then you need not worry.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sp Vittal
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