Doctor insights on:
Herbal Treatment For Orthostatic Hypotension
Hypotension is defined as "low blood pressure". Blood pressure is measured as two numbers and expressed as systolic blood pressure (sbp) / diastolic blood pressure (dbp). The sbp is the pressure that is generated when the heart squeezes. Dbp occurs when the heart relaxes. 120/70 is considered normal in adults. Less than 100/60 (of either number) can ...Read more
Paroxysmal Htn : Avoid salt. Some people are salt sensitive and avoiding salt is as potent as taking meds (in some patients). The way to diagnose HTN is by BP diary. Check BP first thing in morning (sitting down , both feet on ground). Do it for 7-10 day. If average is >135/85 (both or either number) see you doctor. The correct number depends on your medical profile. ...Read more
What doc do you see for pots (postural orthostatic tachycardia syndrome), what is the treatment, and what are lifestyle modifications?
Several things: First, one should undergo several basic tests, including a careful recording of ones history, check of ones blood pressure sitting and standing, blood tests to look for identifiable medical causes of the syndrome and a search for commonly associated medical conditions. Treatment can begin with a mild tilt of ones bed to keep the head of the bed 6 inches higher than the foot; increase oral fluids. ...Read more
May be best to leave: It may be best to leave it alone, especially if the low heart rate is not causing any symptoms like fainting. Vagotomy (surgically crushing some of the vagus nerve fibers) as well as vagolytic medications (which block the vagus nerve) are available, but why mess with this unless the condition is causing u symptoms? Count ur blessings, most people die from hypertension & fast (too fast) heart rate. ...Read more
Taking tenoretic (atenolol and chlorthalidone) for high blood pressure, is there an alternative natural remedy?
Need details: It's possible to have both conditions seperately, but they could are more commonly related or part of the same condition. It's likely best to spend some time having a heart rhythm specialist, go over your testing and results, and explaining it to you. A good history and physical examination is also helpful. Good luck. ...Read more
Dobutamine: Dobutamine increases cardiac output by reducing systemic vascular resistance and by increasing the rate and force of contraction of the heart. This sometimes results in a higher BP and sometimes in a lower BP so the drug can't be reliably be used to increase BP. Typical doses for CHF are 0-10 mg/kg/minute ...Read more
No betablockers: Check with your physician if any BP meds are affecting the sexual issues .If you are on betablockes need to change to other BP medicines. ...Read more
POTS syndrome: Serotonin is the hormone thought to be responsible for the autonomic nervous system hence heart rate and even blood pressure. Ssri's increase nerve communication and stimulate the standing vasoconstriction reflex and what this does it improves your vessels reactions to standing or sitting. ...Read moreSee 1 more doctor answer
If dehydrated yes: But understand, if your fluid volume is normal (not dehydrated) it will not help. POTS occurs because the normal responses that keep blood flow into your brain when you change position (ie lying down to standing or sitting to standing) do not work properly (it is a complicated process) and you get light headed or even faint. So, take your meds, stay hydrated, change positions carefully. Dr R ...Read more
See a specialist: You need to be very closely monitored by a high-risk obstetrician and maternal fetal medicine specialist. They will need to coordinate your care very carefully with your cardiologist/endocrinologist and good communication of these team members is essential. You will need frequent visits. ...Read moreSee 1 more doctor answer
No proven benefit: There is not proven benefit of saw palmetto or other "natural supplements" in the management of bph. Some men seem to repsond, but the mechanism is unknown. In 2006, the step trial showed no benefit of saw palmetto over placebo. Research has also shown that the amounts of all components in nutirtional supplements vary from 100% less to 150 more than what is listed on the label. ...Read moreSee 1 more doctor answer
Any selective beta blocker alternatives to metoprolol xr for diabetic patients? Also on lasix (furosemide) that causes hyperglycemia and ototoxicity? Alternatives to ask cardiologist? Any non-nsaid antiplatelet (non- aspirin 81 mg) for ckd patient?
Discuss with your MD: Metroprololxr is a good beta blocker&is very well tolerated.There are other options but they are all have same action and side effects.Only Carvedilol is different as it is both alpha and beta blockerLasix is well tolerated. Can be ototoxic in high doses and if combined with other ototoxic drugs . Ototoxicity is rare. Aspirin is safe asking as no contraindications . Discuss your concerns with MD ...Read moreSee 1 more doctor answer
Postural hypotension describes a phenomenon that occurs in some people -- usually otherwise healthy -- in which after they rise from either a prone, or sitting, position their blood pressure quickly becomes lower. As a consequence, the affected person becomes uncomfortably dizzy, or lightheaded for ...Read more
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