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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication For Low BP,dizziness And Sharp Tightness Around Chest

Hi, I am a 23 year old female who has had low bp for a while. My normal bp is usually 100-110/50-60. I have a number of concerns. First of all, when I stand for long periods of time, I feel faint, dizzy, nauseous, and often black out and start sweating. I need to sit down or lean against something in order to not faint. Also when I have been sleeping, and I get up in the morning, I will have the same symptoms. I have been taking my blood pressure and during these episodes, my blood pressure has usually been between 80-90/40-50, and my pulse is racing, between 110-130bpm. I have also recently been having chest pain, minor, but there. Even as I sit here, resting, my chest hurts. A tight sharp pain. Is this something that can wait? My doctor can't see me for another two weeks...
Wed, 28 Feb 2018
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Cardiologist 's  Response
Hello,

Your symptoms are indicative of orthostatic hypotension. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes underlying your complaints:
- A resting ECG and cardiac ultrasound.
- A chest x-ray study.
- A head-up tilt test (HUTT) to investigate for orthostatic hypotension.
- Complete blood count for anemia.
- Thyroid hormone levels for adrenal gland dysfunction.
- Blood electrolytes for any possible imbalance.
- Cortisol plasma levels for adrenal gland dysfunction.
- Kidney and liver function tests.
You should discuss with your doctor on the above tests.


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

Regards,
Dr. Ilir Sharka
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Suggest Medication For Low BP,dizziness And Sharp Tightness Around Chest

Hello, Your symptoms are indicative of orthostatic hypotension. For this reason, I would recommend consulting with your attending physician for a careful physical exam and some tests to investigate for the possible causes underlying your complaints: - A resting ECG and cardiac ultrasound. - A chest x-ray study. - A head-up tilt test (HUTT) to investigate for orthostatic hypotension. - Complete blood count for anemia. - Thyroid hormone levels for adrenal gland dysfunction. - Blood electrolytes for any possible imbalance. - Cortisol plasma levels for adrenal gland dysfunction. - Kidney and liver function tests. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka