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Doctor insights on: Orthostatic Hypotension Dysautonomic Syndrome

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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What can cause orthostatic hypotension?

What can cause orthostatic hypotension?

Orthostatic hypotens: Lots of causes from dehydration, dysautonomia, poor venous tone, poor cardiac function thru others, need to work with your doctor to diagnose and treat.

Dr. Melissa Nirenberg
26 Doctors shared insights

Shy Drager Syndrome (Definition)

Shy-Drager Syndrome is now called Multiple System Atrophy. Is has many symptoms across body systems, and has many Parkinson's like motor symptoms. It affects both men and women & starts in your 50s or 60s. Prominent symptoms include: slowness of movements, muscle rigidity and poor balance. It is characterized by deposits of a type of protein called alpha-synuclein ...Read more


Dr. Martin Fried Dr. Fried
General Practice
32 years in practice
State University of New York Upstate Medical University
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Is there a difference bet. Orthostatic hypotension and hypotension?

Is there a difference bet. Orthostatic hypotension and hypotension?

Yes: Orthostatic hypotension is change in blood pressure due to change in position. A low blood pressure may occur when you stand up. Hypotension is low blood pressure at all times, regardless of position

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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What are the symptoms of orthostatic hypotension? Is pain on shoulders one of them?

What are the symptoms of orthostatic hypotension? Is pain on shoulders one of them?

Orthostatic hypotens: Pain in shoulders is not usually a symptom of orthostatic conditions unless you fall and injure the shoulder.

Dr. Louis Gallia Dr. Gallia
Surgery - Oral & Maxillofacial
41 years in practice
University of Washington School of Medicine
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Can tmjd cause orthostatic hypotension?

Can tmjd cause orthostatic hypotension?

TMJ/orthostatic symp: In my 30 years of treating TMJ patients, I have not seen orthostatic hypotension (low blood pressure) related problems.

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Rishi Kumar Dr. Kumar
Anesthesiology
68 years in practice
Baylor College of Medicine
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How can I prevent orthostatic hypotension?

Slow Adjustments: Orthostatic hypotension can be prevented by gradually allowing your body to equilibrate in different phases of movement. For example, after laying in bed for prolonged periods of time, blood tends to pool away from the head. Sit up while still in bed, equilibrate for a few moments, and then proceed to stand. This gives your body's vasculature time to constrict and redirect blood appropriately.

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Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
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Could anxiety cause orthostatic hypotension?

Could anxiety cause orthostatic hypotension?

I think it could be: More likely that a person with orthostatic hypotension could develop anxiety in the anticipation of becoming symptomatic.

Dr. Gutti Rao Dr. Rao
Internal Medicine - Hospital-based practice
42 years in practice
Dr M.G.R. Medical University, Madras, Christian Medical College
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Can I faint from having orthostatic hypotension?

Can I faint from having orthostatic hypotension?

Yes: Orthostatic hypotension means drop in blood pressure due to postural changes, usually abruptly standing up. When BP drops there is strong possibility you-can faint.

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Dr. Venkata Chilakapati Dr. Chilakapati
Internal Medicine - Cardiology
19 years in practice
Andhra University, Andhra Medical College
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Could having surgery cause orthostatic hypotension?

Orthostatic: Yes. If you loose more blood or fluids during surgery, it could cause orthostatic hypotension.

Dr. David Fertel Dr. Fertel
Surgery - Vascular
31 years in practice
A. T. Still University Kirksville College of Osteopathic Medicine
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How can I prevent the effects of my orthostatic hypotension?

Get up slowly: See your dr. And make sure your antihypertensive medications are correct, make sure you are well hydrated, and get up slowly.

Dr. Alon Gitig Dr. Gitig
Internal Medicine - Cardiology
16 years in practice
Albert Einstein College of Medicine of Yeshiva University
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What is the prognosis for patients with orthostatic hypotension?

Not dangerous, but..: This can lead to significant distress and even disability. It's important to remember there is nothing dangerous or life-threatening about this. However, if it happens often, it can cause significant anxiety, and avoidance of certain situations. If routine measures (e.g. Oral hydration) and meds don't work, rehab exercises to retrain the veins and arteries to self-regulate can be very helpful.

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Dr. Mark Gujer Dr. Gujer
Anesthesiology
22 years in practice
University of Minnesota Medical School
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Who specialises in treating the patients suffering from orthostatic hypotension and syncope?

Well: Many doctors are trained and capable to begin a work-up for this. Many times it just takes medication management, however if conservative measures and work-ups have not solved the problem a cardiology visit should help you get solutions. Not all syncope is heart or vessel related however and other specialists such as neurology may need to be included.

Dr. Idan Sharon Dr. Sharon
Neurology
24 years in practice
Tel Aviv University, Sackler School of Medicine
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Dr. David Schleimer Dr. Schleimer
Dentistry - Orthodontics
34 years in practice
University of Pennsylvania School of Medicine
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Can severe anxiety cause orthostatic hypotension?

Can severe anxiety cause orthostatic hypotension?

Yes, but rare: Anxiety can have a myriad of effects, and it could cause this. Basically it is a fall in blood pressure due to positional changes, and would be more common for anxiety to raise blood pressure than reduce it, but it could be rarely implicated. It can have many causes from innocuous sources to serious medical problems. If occurs often see your md to rule out problems.

Dr. Mark Fisher Dr. Fisher
Neurology
30 years in practice
Temple University School of Medicine
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How to treat orthostatic hypotension in 16 year old female?

How to treat orthostatic hypotension in 16 year old female?

Please clarify: That's like asking, "How do I not ruin casseroles? " It's only the beginning, not the end. How orthostatic? How hypotensive? Need frequency, duration, precipitating circumstances and numbers: Blood pressures, heart rates, etc. You can't possibly expect a 10-word post with no information to elicit a useful answer.

Dr. Robert Meislin Dr. Meislin
Sports Medicine
32 years in practice
New York University School of Medicine
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Is it possible for me to have orthostatic hypotension even though I run cross-country?

Is it possible for me to have orthostatic hypotension even though I run cross-country?

Orthostatic: Running cross country and having orthostatic hypotension do not have to any intimate relationship as the hypotension may be related to an overactive vaso vagal reflex.

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Dr. Calvin Weisberger Dr. Weisberger
Internal Medicine - Cardiology
47 years in practice
Jefferson Medical College of Thomas Jefferson University
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Please tell me what can I do to prevent the side effects of my orthostatic hypotension?

Please tell me what can I do to prevent the side effects of my orthostatic hypotension?

Blood pressure: You can increase the fluids and salt in your diet, wear support hose and pay attention when you are standing up to do it slowly.

Dr. Venkata Chilakapati Dr. Chilakapati
Internal Medicine - Cardiology
19 years in practice
Andhra University, Andhra Medical College
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Can you explain the mechanism of orthostatic hypotension that occures due to use levodopa?

Can you explain the mechanism of orthostatic hypotension that occures due to use levodopa?

Orthostatic hypotens: Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. In a series of 100 patients treated with levodopa, 25 developed significant orthostatic hypotension (ann intern med. 1970;72 (5):751-752. Doi:10.7326/0003-4819-72-5-751).

Dr. David Astrachan Dr. Astrachan
ENT - Head & Neck Surgery
33 years in practice
Yale University School of Medicine
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What is the difference between the symptoms of vertigo and symptoms of orthostatic hypotension?

What is the difference between the symptoms of vertigo and symptoms of orthostatic hypotension?

Motion vs. Lighthead: Vertigo is defined as "the sensation of motion in the absence of motion." this will lead to the feeling that either you are moving in some way (spinning is common) or your environment is moving. People with orthostatic hypotension do not typically complain of motion, rather they feel as if they are lightheaded or as if they might faint.

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Dr. Atul Singh Dr. Singh
Internal Medicine - Nephrology & Dialysis
24 years in practice
Gujarat University, B. J. Medical College
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What lab tests should be done to figure out the cause of orthostatic hypotension in a young adult?

What lab tests should be done to figure out the cause of orthostatic hypotension in a young adult?

No single lab: The best place is to get a good history and physical exam. There is not single test for all patients. Based on your history and exam test can be ordered and in some patients no test are needed. An ex is a person with diarrhea that stopped and have no major medical issues all they need is increased fluids. A good conversation with your MD is needed.

Dr. Peter Will Dr. Will
Internal Medicine - Cardiology
years in practice
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What do I do about lightheadedness while standing/walking associated with orthostatic hypotension?

What do I do about lightheadedness while standing/walking associated with orthostatic hypotension?

? Medicines: Are you taking any medicines? Some could cause that. Otherwise, at your age, you should have an evaluation if it is causing you significant problem.

Dr. Jerome Zacks
671 Doctors shared insights

Hypotension (Definition)

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


Dr. Chirag Patel
262 Doctors shared insights

Postural Hypotension (Definition)

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