How Can High Blood Pressure Be Treated With Dysautonomia?
Question: I was diagnosed with dysautonomia in 1995. I was having tachycardia and hypertension with dizziness upon standing, sweating, thirst, exercise intolerance, difficulty breathing ( I could breathe but felt like I wasn't taking in enough air)). I've had drop attacks, falling without losing consciousness, due to a sudden drop in blood pressure. I've had high blood pressure readings as high as 210/135. I've had low blood pressure as low as 70/43. My doctor says that it's very hard to treat my blood pressure because of such extreme fluctuations. I've also developed idiopathic hyper somnolence so severe I had to take early retirement from my teaching job. About six months ago I began experiencing vertigo. It comes and goes and I never know when I will experience an onset. I went to a doctor who ran tests to find out what type of dysautonomia I have but he said the tests were inconclusive. I think that the medications that I'm on masked my response to the tests. If I'm not experiencing an attack when they do the tests, I don't think the tests show a positive response. Is there any treatment for this disorder? I'm on a lot of medicines but I still experience symptoms every day. I want so much to lead a normal life without thes limitations. Is there a chance the symptoms will lessen over time? Thank you for any advice you can give me.
Brief Answer:
Kindly refer to the detailed answer below
Detailed Answer:
Hello,
In Dysautonomia, managing Blood Pressure is complex.
Currently, the medication you are taking help you in treating supine hypertension but as you have told you started on experiencing vertigo that’s an orthostatic hypotension which may require few more drugs like midodrine or fludrocortisone.
For better care you need a periodic care to maintain a near-normal life. Kindly consult a cardiologist for your orthostatic hypotension.
Hope I have answered your query.
Take care
Regards,
Dr Bhanu Partap, Cardiologist
Kindly refer to the detailed answer below
Detailed Answer:
Hello,
In Dysautonomia, managing Blood Pressure is complex.
Currently, the medication you are taking help you in treating supine hypertension but as you have told you started on experiencing vertigo that’s an orthostatic hypotension which may require few more drugs like midodrine or fludrocortisone.
For better care you need a periodic care to maintain a near-normal life. Kindly consult a cardiologist for your orthostatic hypotension.
Hope I have answered your query.
Take care
Regards,
Dr Bhanu Partap, Cardiologist
Above answer was peer-reviewed by :
Dr. Remy Koshy