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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Blood Pressure Along With Disorientation?

I am in the hospital for 3 admission in the past 6 weeks of which I ve been home for a total of 8 days. My B/P has been dropping starting in Oct from 70/54 to Tues 48/28 and was unconscious for over 4 hours with each time this period gets longer and I m more disoriented for longer periods of time. The dr hospitalize wants to release me tomorrow, I will not go and proceed with a Medicare grievance. I do have numerous health issue
Fri, 2 Nov 2018
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General & Family Physician,  's  Response
Hi,

We will try to help you in the best way possible. First of all it's sad to know what you had been going through lately.

Based on the history you have shared, with such low blood pressures, the endocrine workup should be done including cortisol levels and Thyroid functions should be monitored.

Alongside blood counts, hemoconcentration levels etc should be monitored to rule out circulatory causes leading to low blood pressures.

A fluid challenge may be tried and response monitoring should be done. But with such low levels of blood pressure discharge from health facilities isn't recommended.

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

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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What Causes Low Blood Pressure Along With Disorientation?

Hi, We will try to help you in the best way possible. First of all it s sad to know what you had been going through lately. Based on the history you have shared, with such low blood pressures, the endocrine workup should be done including cortisol levels and Thyroid functions should be monitored. Alongside blood counts, hemoconcentration levels etc should be monitored to rule out circulatory causes leading to low blood pressures. A fluid challenge may be tried and response monitoring should be done. But with such low levels of blood pressure discharge from health facilities isn t recommended. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician