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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How to treat Orthostatic hypotension?

Hello, I am a 27 year old male. I was diagnosed with Orthostatic Hypotension with a tilt test by a cardiologist about a year ago. I ve been very interested in monitoring my blood pressure so I bought a home kit that I use. My average blood pressure is at about 130/85 when sitting. I am aware that my blood pressure drops when standing. When I test myself standing, the readings puzzle me because I do not know how to interpret the results. There is also very little information online about this - readings such as 113/87 HR 85, 115/85 HR 84. I find the lack of disparity between the Systolic and Diastolic reading puzzling I am also aware that my HR should go when I stand up to compensate for the pooling of blood in my legs, however, it seems to slow to 65 BP from 90 BP or so, before jumping to about 98 BP after standing. When this happens, I get a sensation in my stomach similar to gagging (I don t gag, just the stomach pressure) and pressure building behind my ears from my neck. I replicated the slowing of the HR by utilizing my gag complex successfully. I m curious if this is related to the odd blood pressure reading or if any of this is part of the Orthostatic Hypotension I was diagnosed with...
Thu, 12 Jan 2017
Report Abuse
Question is related to
Diseases and Conditions ,  
Cardiologist 's  Response

Normally heart rate should go up with response to decrease in BP but sometimes due to pooling of blood in legs, blood coming to heart decreases and heart contacts rapidly and vigourously. So when empty hearts contracts vigorously then there other reflex is activated called as bezold jarish reflex which leads to slowing of heart beat. Have plenty of oral fluids and avoid standing abruptly. Use measure like crossing of legs, bed rest during episodes.

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

Dr. Sagar Makode
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

yes, yesterday I got dizziness and fainted. I was brought to the ER. My blood pressure was erratic. down to 87/53 the in seconds up to 176/145. the...

Recent questions on  Hypotension

doctor1 MD

Respected madam, I am an anaesthesiologist working in a sudivision hospital . Recently i had a pt of hypothyroidism going for cs. her starting BP...

doctor1 MD

Hi my dad has had prostrate cancer and received radium treatment which finished December 2012 In May 2013 he had a triple heart by-pass, 9 months...

doctor1 MD

Hello, My 87-year-old father s blood pressure this morning is 73 over 45. He takes Valsartan everyday but I did not give it to him today as I...

doctor1 MD

Sorry--was looking at other areas of this website for answers to my question---my 90 year old dad, relatively healthy till past few months with low...

doctor1 MD

I have high blood pressure(165/110) and was put on Lisinoprin 3 weeks ago and it has come down about 30 points...however i have head aches and have...

doctor1 MD

I have copd . My blood pressure is usually around 126/70. The past couple of days it has been around 118/64. I also take benazapril . Should I be...

doctor1 MD

I may a rash from Epsom salt. I used it for my sore knee. The rash is all over my body. I have felt nausea in the stomach and weakness.