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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevated BP Along With Dizziness And Fatigue?

My husband is having BP problems. BP normally runs 150ish over 90ish, which I know is considered high. For about a month he has been having trouble with his BP dropping: 80/60, 60/40, 91/55. He becomes weak, lethargic, dizzy, very unbalanced, etc. Today he actually fainted and fell. His BP was 91/52. He was out for just a few seconds. So far all doctors are saying that it is from rapid movements and getting up to fast etc. I fear that there are other problems leading to these symptoms. What kind of doctor do you go to with these complaints?
Tue, 6 Mar 2018
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General & Family Physician 's  Response
Hello,

I think he is experiencing hypotension episodes. Different conditions cause it. Heart problems, some heart conditions that can lead to low blood pressure include extremely low heart rate (bradycardia), heart valve problems, heart attack and heart failure.

Endocrine problems, thyroid conditions such as parathyroid disease, adrenal insufficiency (Addison's disease), low blood sugar (hypoglycemia) and, in some cases, diabetes can trigger low blood pressure.

Dehydration, when your body loses more water than it takes in, it can cause weakness, dizziness and fatigue. Fever, vomiting, severe diarrhea, overuse of diuretics and strenuous exercise can lead to dehydration.

Blood loss, losing a lot of blood, such as from a major injury or internal bleeding, reduces the amount of blood in your body, leading to a severe drop in blood pressure.

Severe infection (septicemia), when an infection in the body enters the bloodstream, it can lead to a life-threatening drop in blood pressure called septic shock.

Severe allergic reaction (anaphylaxis), common triggers of this severe and potentially life-threatening reaction include foods, certain medications, insect venoms and latex. Anaphylaxis can cause breathing problems, hives, itching, a swollen throat and a dangerous drop in blood pressure.

Lack of nutrients in your diet, a lack of the vitamins B-12 and folate can keep your body from producing enough red blood cells (anemia), causing low blood pressure. Some medications can cause low blood pressure, including:

- Water pills (diuretics), such as furosemide (Lasix) and hydrochlorothiazide (Maxzide, Microzide, others)
- Alpha blockers, such as prazosin (Minipress)
- Beta blockers, such as atenolol (Tenormin) and propranolol (Inderal, Innopran XL, others)
- Drugs for Parkinson's disease, such as pramipexole (Mirapex) or those containing levodopa
- Certain types of antidepressants (tricyclic antidepressants), including doxepin (Silenor) and imipramine (Tofranil)
- Drugs for erectile dysfunction, including sildenafil (Revatio, Viagra) or tadalafil (Adcirca, Cialis), particularly when taken with the heart medication nitroglycerin.

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

Regards,
Dr. Olgeta Xhufka
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What Causes Elevated BP Along With Dizziness And Fatigue?

Hello, I think he is experiencing hypotension episodes. Different conditions cause it. Heart problems, some heart conditions that can lead to low blood pressure include extremely low heart rate (bradycardia), heart valve problems, heart attack and heart failure. Endocrine problems, thyroid conditions such as parathyroid disease, adrenal insufficiency (Addison s disease), low blood sugar (hypoglycemia) and, in some cases, diabetes can trigger low blood pressure. Dehydration, when your body loses more water than it takes in, it can cause weakness, dizziness and fatigue. Fever, vomiting, severe diarrhea, overuse of diuretics and strenuous exercise can lead to dehydration. Blood loss, losing a lot of blood, such as from a major injury or internal bleeding, reduces the amount of blood in your body, leading to a severe drop in blood pressure. Severe infection (septicemia), when an infection in the body enters the bloodstream, it can lead to a life-threatening drop in blood pressure called septic shock. Severe allergic reaction (anaphylaxis), common triggers of this severe and potentially life-threatening reaction include foods, certain medications, insect venoms and latex. Anaphylaxis can cause breathing problems, hives, itching, a swollen throat and a dangerous drop in blood pressure. Lack of nutrients in your diet, a lack of the vitamins B-12 and folate can keep your body from producing enough red blood cells (anemia), causing low blood pressure. Some medications can cause low blood pressure, including: - Water pills (diuretics), such as furosemide (Lasix) and hydrochlorothiazide (Maxzide, Microzide, others) - Alpha blockers, such as prazosin (Minipress) - Beta blockers, such as atenolol (Tenormin) and propranolol (Inderal, Innopran XL, others) - Drugs for Parkinson s disease, such as pramipexole (Mirapex) or those containing levodopa - Certain types of antidepressants (tricyclic antidepressants), including doxepin (Silenor) and imipramine (Tofranil) - Drugs for erectile dysfunction, including sildenafil (Revatio, Viagra) or tadalafil (Adcirca, Cialis), particularly when taken with the heart medication nitroglycerin. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka