Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Fluctuating BP Levels, Vasovagal Episodes, Chills And Weakness?
Question: Hi Doc. Backstory: I have been dealing with Silent Reflux for 2 months and have run into constipation, small and smelly stool, feeling of fullness and slow digestion since taking PPI's. I am now on day 3 of Zantac 150 2x day. I do also have a very mild case of Ulcerative Colits and have recently noticed some fresh blood and mucus in my stool.
Last week I suddenly felt very faint, like a vasovegal episode and have been getting that multiple times a day, with chills since then. Walk in clinic sent me for labs and stool test. Everything looks normal. (Parasite test not back yet). They were thinking i might havw an infection.
Today i thought of checking my blood pressure. (My BP history is 120/80 ish). I was surprised in a 3 hour window my bp bounced around from low 88/56 to high of 102/63. Average was about 91/65. I am assuming this is causing the chills and weakness and vasovagel episodes?
I need some advice on where to go from here. Any ideas on possible causes or tests i should seek?
Current meds: zantec 150mg & Mezavant 1.2gm
Last week I suddenly felt very faint, like a vasovegal episode and have been getting that multiple times a day, with chills since then. Walk in clinic sent me for labs and stool test. Everything looks normal. (Parasite test not back yet). They were thinking i might havw an infection.
Today i thought of checking my blood pressure. (My BP history is 120/80 ish). I was surprised in a 3 hour window my bp bounced around from low 88/56 to high of 102/63. Average was about 91/65. I am assuming this is causing the chills and weakness and vasovagel episodes?
I need some advice on where to go from here. Any ideas on possible causes or tests i should seek?
Current meds: zantec 150mg & Mezavant 1.2gm
Brief Answer:
capsule omez 20 mg daily for week.
Detailed Answer:
Hi
Thanks for writing here.
More than 15% of individual will have slight blood in stool in six month, even a constipation can be responsible for it.
Instead of zantac I would have preferred capsule omez 20 mg take once daily before breakfast for week. Other than this I would not have prescribed you any other medication, would have waited for stool report than based on that I would have considered the drug.
About blood pressure, blood pressure changes is very common. And I wouldn't related the chills, weakness or the vasovagal syncope to those changes given that the highest BP reading noted was 120/80. I would suggest you to drink plenty of water and fruit juices. If those symptoms persist, I will suggest your physician to evaluate it further. The doctor might order a few blood tests, cardiac exam as well as EKG to understand the cause.
Hope this helps.
Take care.
capsule omez 20 mg daily for week.
Detailed Answer:
Hi
Thanks for writing here.
More than 15% of individual will have slight blood in stool in six month, even a constipation can be responsible for it.
Instead of zantac I would have preferred capsule omez 20 mg take once daily before breakfast for week. Other than this I would not have prescribed you any other medication, would have waited for stool report than based on that I would have considered the drug.
About blood pressure, blood pressure changes is very common. And I wouldn't related the chills, weakness or the vasovagal syncope to those changes given that the highest BP reading noted was 120/80. I would suggest you to drink plenty of water and fruit juices. If those symptoms persist, I will suggest your physician to evaluate it further. The doctor might order a few blood tests, cardiac exam as well as EKG to understand the cause.
Hope this helps.
Take care.
Above answer was peer-reviewed by :
Dr. Prasad
Hi. Thanks for the information.
I have been scheduled for a barium xray for further investigation for my stomach issues.
One of the symptoms, vasovagal, seems to be isolated to when i wake up. I think you are correct, that it is not blood preassure related as it is triggered the moment i open my eyes and before i even get out of bed. It is a very strange and frieghtening symptom. I feel unsteady, get cold hands and have a very strong malaise feeling. It subsides a little after i lay there for a bit and then some more once i am up for a bit. This is a very unnerving symptom.
I am seeking as much information as possible as i feel very ill and i am scheduled for a Mexico vacation in a week and i am worried about my health and being in a place where emergency medical,services are not very accessable should something happen.
I have been scheduled for a barium xray for further investigation for my stomach issues.
One of the symptoms, vasovagal, seems to be isolated to when i wake up. I think you are correct, that it is not blood preassure related as it is triggered the moment i open my eyes and before i even get out of bed. It is a very strange and frieghtening symptom. I feel unsteady, get cold hands and have a very strong malaise feeling. It subsides a little after i lay there for a bit and then some more once i am up for a bit. This is a very unnerving symptom.
I am seeking as much information as possible as i feel very ill and i am scheduled for a Mexico vacation in a week and i am worried about my health and being in a place where emergency medical,services are not very accessable should something happen.
Brief Answer:
go through the tests as suggested earlier, raise the lower end of bed while you sleep
Detailed Answer:
Hi
Good to hear from you.
Hi through the tests, for further evaluation as suggested earlier. I would suggest you not get our of the bed immediately after getting up, wait for while. I would suggest you to slightly elevate the lower end of the bed. Drink plenty of fluids, though will be fine.
Hope this helps.
Take care
go through the tests as suggested earlier, raise the lower end of bed while you sleep
Detailed Answer:
Hi
Good to hear from you.
Hi through the tests, for further evaluation as suggested earlier. I would suggest you not get our of the bed immediately after getting up, wait for while. I would suggest you to slightly elevate the lower end of the bed. Drink plenty of fluids, though will be fine.
Hope this helps.
Take care
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
