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Suggest Treatment For Hypotension

Posted on Wed, 18 Jan 2017

Question: Hi there. To day i dropped down on the floor without any warning or Dizziness.This is the second time this has happened in the past two weeks.The first time i went to the A & E in Blackrock Clinic Dublin and they carried out many tests. Everything was quite normal. After to days incident i took my blood pressure 127/54. Would this be considered Too !! Low. ?? I hope to see my Cardiologist on Tuesday. Could i have your opinion. I know this will be difficult. Kind Regards XXXX. XXXX XXXXXXX Sorry my Date of XXXXXXX is 04/05/1944

Answered by Dr. Rahul Tawde (43 minutes later)

Brief Answer:
Yes the diastolic pressure is very low

Detailed Answer:
Hello, Thank you for posting your question on Health Care Magic.
Sorry to hear about your fall.By the description that you have given I would put three things in the forefront one is due to severe hypotension which is more or less documented.The second is an absent.seizure which may require further evaluation in terms of EEG and CT of the brain .
I would also like to know if you had lost consciousness after your fall.
The third possibility is a cardiac arrhythmia which is an irregular heart beat which could be picked up by holter monitoring
I would suggest you to hold your Co-diovan till you see your cardiologist and get your blood pressure checked daily.
Hope this helps
Best wishes

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Rahul Tawde (2 hours later)

Hello Dr. Hallema. Thank you for your reply. To answer your queries. I had a EEG and CT of head which i bumped on my first fall. I did not lose consciousness on either fall.
There was no dizziness prior to either fall. Just my legs seem to collapse and down i went. Do you mean me to stop the Co Diovan until i see my Cardiologist.? Should i increase my Asprin.? Unfortunatly i cannot see my GP or Cardiologist until Tuesday because on New Year Holidays. Kind Regards and may I wish you a Happy New Year

Answered by Dr. Rahul Tawde (5 minutes later)

Brief Answer:
Yes

Detailed Answer:
Hello again, I would withhold Co diovan for a few days or till you see your cardiologist on Tuesday.
There is no need to increase Aspirin nothing will happen till Tuesday .
But check your blood pressure daily for the next two days .
Glad your CT and EEG are ok.
Wish you a very happy 2017

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rahul Tawde (34 minutes later)

Thank you. I will let you know what my Cardiologist tells me on Tuesday.
However please tell me why you advise stopping Co Diovan.

Answered by Dr. Rahul Tawde (35 minutes later)

Brief Answer:
It is an antihypertensive medication

Detailed Answer:
Hello again
Co diovan is an antihypertensive medication it might lower blood pressures further and the episode may recur.
Best wishes

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Rahul Tawde (47 minutes later)

Thank you for your time. You have been very helpful. My mind is easy until Tuesday.
Kind Regards, XXXX, XXXX, XXXXXXX

Answered by Dr. Rahul Tawde (2 minutes later)

Brief Answer:
It's okay

Detailed Answer:
you are welcome. Take care let me know your progress.
Best wishes

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Above answer was peer-reviewed by : Dr. Prasad