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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Would an anxiety disorder cause BP ? fluctuations in Blood pressure?

My symptoms include: Genera feeling of being unwell in the mornings Activity intolerance (im not out of shape) feel dizzy, fatigue, low bp on physical exerction. nonspecific tremors and dizziness central chest discomfort SOB Fluctuating BP throughout the day from high to low Numbness and tingling in my arms/hands occasionaly. weight gain Im not sure if this is anxiety or typical with anxiety. what do you think it is? is fluctuating bp common at all with anxiety disorders? or should i rule that option out Im currently in the hospital undergoing tests, they cant seem to find out whats wrong with me..but this was one suggestion. please dont tell me to call 911, im here already I have had stress tests..all were unremarkable. I have another to do tommorow. My Bp is low when I stand and High when I am at rest
Sun, 20 Dec 2009
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Did they perform a tilt table test? Some of your symptoms seem to be from orthostatic hypotension (drop in bp when moving from a lying or sitting position to a standing position) what were the orthostatic blood pressures? Generally, a change of 20 or more in the upper (systolic) number shows orthostatic hypotension. You didn't list any really substansive symptoms of anxiety in your list above. Although anxiety CAN cause some of the symptoms above, this doesn't scream the cause to me. Bradycardia could also be a cause, What has your heartrate been running? Are you on any cardiac medications? There are so many questions that need asked to list them all here. If your in the hospital, your in the best place to ask questions. Your nurse is the best resource you have!! Ask them to take the time to answer and EXPLAIN the tests you have had, what they were looking for and what the results mean to you. Your doctor should also take the time to explain these as many times the nurse is not permitted to give results that have not been explained by the MD. Don't be afraid of taking up the doctors time by asking questions.
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