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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Low Blood Pressure With Tiredness Be Treated?

I have normal/low blood pressure (107/70), but lately I have been feeling REALLY tired and my blood pressure has been averaging 100/56 and lower. I was in the hospital with diverticulitis a few weeks ago and my blood pressure stayed about 90/55. I am usually a very active 62 year old female, but when my blood pressure drops like this, I am so tired I do not want to do anything. I exercise 8 - 10 hours per week.                
Sat, 26 May 2018
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Dietitian & Nutritionist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

My dear, do you know how to manage the pockets in your bowel? That is the first step, to get your bowels regulated.

Diverticulosis is the uninfected state of the pockets in the bowel. Those are treated by gradually increasing fiber to 20 or 25 g per day while drinking 8 cups of clean water per day. Increasing fiber too quickly will cause gas cramping.

Try to stay away from things that might get stuck in the pockets, like corn, popcorn kernals, unchewed pieces of food, etc. One doctor I worked with insisted peas were a problem.

When those pockets do get filled up and infected, you will get diarrhea and fever and end up hospitalized.This is what you try to avoid with the high fiber diet and avoiding seeds, corn etc. When infected you need to go on a low fiber low residue diet meaning no milk, no fruit skin, white bread, eggs instead of cereal, etc. Tell them to give you a copy of the diet.

When you come home and the infection is gone gradually start increasing fiber and water.

I hope this explanation helped somewhat.
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How Can Low Blood Pressure With Tiredness Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. My dear, do you know how to manage the pockets in your bowel? That is the first step, to get your bowels regulated. Diverticulosis is the uninfected state of the pockets in the bowel. Those are treated by gradually increasing fiber to 20 or 25 g per day while drinking 8 cups of clean water per day. Increasing fiber too quickly will cause gas cramping. Try to stay away from things that might get stuck in the pockets, like corn, popcorn kernals, unchewed pieces of food, etc. One doctor I worked with insisted peas were a problem. When those pockets do get filled up and infected, you will get diarrhea and fever and end up hospitalized.This is what you try to avoid with the high fiber diet and avoiding seeds, corn etc. When infected you need to go on a low fiber low residue diet meaning no milk, no fruit skin, white bread, eggs instead of cereal, etc. Tell them to give you a copy of the diet. When you come home and the infection is gone gradually start increasing fiber and water. I hope this explanation helped somewhat.