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Doctor insights on: Will Postural Hypotension Kill Me

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What should I do with postural hypotension?

What should I do with postural hypotension?

More salt & fluid: Decrease blood pressure medication and change positions more gradually. ...Read more

Dr. Jerome Zacks
673 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


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What does it mean to have postural hypotension?

Low on standing: Normally the blood pressure is actually slightly higher when you stand up. Autonomic nerves cause the blood vessels to constrict and slighly overshoot so that the blood pressure goes up a little. So it is abnormal for your blood pressure to go down (hypotension) when you stand up. There are many reasons why this occurs, so tests are needed to figure out the cause so that it can be treated properly. ...Read more

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What should I do when having postural hypotension?

What should I do when having postural hypotension?

Adrenal support: When having it, get up slowly with something to hold on to to prevent falling. To prevent, look for the cause. It could be a side effect of meds. Most commonly it is due to adrenal insufficiency, a very common condition which is helped by rest, stress reduction, vit c & b vits, salt & herbs like ashwagandha, rhodiola & eleuthero. The book adrenal fatigue by james wilson is an excellent resource. ...Read more

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What is the definition or description of: Postural hypotension?

What is the definition or description of: Postural hypotension?

Low blood pressure: 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 a short time period. ...Read more

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Can you tell me about orthostatic or postural hypotension?

Can you tell me about orthostatic or postural hypotension?

Orthostatic hypotens: The significance has to do with the problems caused by dropping blood pressure with position change. This can be very problematic for people. See the following wiki for more details:

http://en. Wikipedia. Org/wiki/orthostatic_hypotension. ...Read more

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What is the difference between postural hypotension and orthostatic hypotension?

Semantics: They mean the same thing. Postural hypotension theoretically could mean any change in posture that induces low blood pressure, but in reality this is only seen when assuming a standing-up position from seated or lying down. Orthostatic hypotension describes the same phenomenon. ...Read more

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What are treatments to aid postural hypotension?

What are treatments to aid postural hypotension?

Depends on cause: This can be due to meds, nervous system disease, heart disease, dehydration, aging, or other. Treatment for each of these can be different. Postural hypotension occuring after eating can be avoided by eating small meals low in carbohydrates. For all causes, stand up slowly rather than quickly to allow the body to adjust. Fludrocortisone can be used in some cases. Please check with your doctor. ...Read more

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What is Postural hypotension?

BP drop: Your BP (which will normally falls when changing position from recumbent to standing,) drops excessively. ...Read more

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What exactly is postural hypotension?

Low bp with standing: Postural hypotension is a drop in your blood pressure when you change positions. To help improve that your physician could change the time or type of blood pressure, use compression hoses to help keep the circulation up when you stand or add other medication to maintain blood pressure. The treatment varies depending on the cause. ...Read more

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What are the symptoms of postural hypotension?

What are the symptoms of postural hypotension?

Dizziness: Dizziness and lightheartedness sometimes accompanied by an increase in heart rate. ...Read more

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Does postural hypotension usually cause many symptoms?

Does postural hypotension usually cause many symptoms?

Dizziness: Drop in blood pressure with change in posture, usually going from sitting to standing will cause decreased blood flow to the brain which will typically result in lightheadedness. In the most serious of situations, it could cause enough lightheadedness to cause a fall. See your doctor. There are many different causes from medications to certain types of medical conditions. ...Read more

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How common is it for somebody to get postural hypotension?

How common is it for somebody to get postural hypotension?

That depends: Almost anyone can get a drop in blood pressure when standing up suddenly if he or she is dehydrated at the time (for example, if it's a warm day and you've forgotten to take in enough fluids) or has had alcohol or a medication that opens up blood vessels (some blood pressure meds). Less frequently, it can be caused by an abnormal response by your nervous system to the change in posture. ...Read more

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During postural hypotension, will I have a fainting feeling when I suddenly stand up?

During postural hypotension, will I have a fainting feeling when I suddenly stand up?

Yes: Postural hypotension is defined as BP dropping when someone stands up or even sits up. At your age postural hypotension is unusual. Occurs more in older individuals or patients with neuropathy.
You should see an ep doctor as you might need a tilt table test. ...Read more

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Other than getting up slow, what can be done to help with postural hypotension. Thanks?

Hydrate!: Hydrate yourself if your thirsty. May need support stockings either knee or thigh length. Let your md adjust or change medications! ...Read more

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Are there some genetic reasons I get postural hypotension off and on?

Are there some genetic reasons I get postural hypotension off and on?

Doubt it: Orthostasis has multiple causes. I could not find a specific genetic component. If you know what's causing yours may be there is some genetic or hereditary trait like in diabetes autonomic neuropathy, may be in lewy body dementia, or shy drager syndrome. Most orthostasis occurs in elderly and pts with anihypertensives or antidepressants. ...Read more

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What can you tell me about postural hypotension tachycardic syndrome? Do you always notice low BP when sitting? Most significant signs/sx?

What can you tell me about postural hypotension tachycardic syndrome? Do you always notice low BP when sitting? Most significant signs/sx?

Many: There not enough space to answer your question in a meaningful way. Please read the following and if you have specific questions, please ask again
http://en. Wikipedia. Org/wiki/postural_orthostatic_tachycardia_syndrome. ...Read more

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What happens if you have postural hypotension what are ways to stop feeling dizzy?

What happens if you have postural hypotension what are ways to stop feeling dizzy?

Move slowly: Get up very slowly, always giving yourself time (at least 1-2 minutes) to equilibrate. Wear tight fitting support hose. Eat a lot of salt. Drink lots of fluid. If you're still dizzy when you're lying down, you don't have postural hypotension. Reconsider the diagnosis. ...Read more

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What is the technical definition of postural hypotension, and what's it got to do with the spinal cord injury?

What is the technical definition of postural hypotension, and what's it got to do with the spinal cord injury?

Postural hypotension: ...is a big problem for many patients with SCI, particularly those with cervical or high thoracic spine injuries. It occurs from damage to the nerves of the autonomic nervous system. Some can be treated with just salt tablets, but there are medications which can help if needed. Exercise, including usingelectrical stimulation (FES) or bodyweight-suported treadmill, can be useful. Good luck! ...Read more

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I think there might be a genetic link. My (maternal) aunt and I both have pretty severe postural hypotension (fainting occasionally).?

I think there might be a genetic link. My (maternal) aunt and I both have pretty severe postural hypotension (fainting occasionally).?

You are correct: A genetic defect resulting in low aldosterone could be found in genetically related people. Low aldosterone results in low sodium, and low sodium results in low volume, and low volume results in low blood pressure. Standing will result in less than needed blood pressure to keep the brain alert. ...Read more

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Could a 19 yr old have orthostatic (postural) hypotension?

Yes: More common in younger patients. Get evaluated if you have symptoms or are concerned. ...Read more

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Should I see a specialist for postural hypotension, or can my regular doctor take care of it?

Both: Some times neurologists that specialize in autonomic disorders or dysautonomia can help where your primary care doctor cannot, but usually your regular doctor can point you in the right direction. Treatments range from the simple (avoiding standing quickly) to prescription medications, and depend on your personal history. ...Read more

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45 minutes tilt test what would be the difference in results between pots and postural hypotension?

Heart rate: In pots there may a drop in BP upon standing but the bigger issue is a fast hr. In neurally mediated syncope (orthostasis) there is a drop in BP that is associated with either no change in hr (vasodepresor), or a cardioinhibitory response where hr slws. ...Read more

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I am a 48 year old female with hypotension and postural hypotension. Are there any precautions I should take when having sex with my husband?

I am a 48 year old female with hypotension and postural hypotension. Are there any precautions I should take when having sex with my husband?

Bp: You are on medications which can lower blood pressure. During the active period of sex there should be minimal chance of problem, afterwards there could be blood pressure drop so would not be upright with legs dependent for perhaps ten minutes afterward just to play it safe. ...Read more

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What are the risks associated with getting postural hypotension in the eye?

What are the risks associated with getting postural hypotension in the eye?

None: The change in pressure is miniscule and not clinically relevant unless one has severe glaucoma. ...Read more

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Does postural hypotension always relates to low blood pressure?

Does postural hypotension always relates to low blood pressure?

Yes: Postural hypotension means, by definition, that the BP falls when you assume an upright posture. The starting BP isn't necessarily low. For instance, supine BP could be 200/100 and with standing, BP might fall to 160/70: this is also postural hypotension. ...Read more

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I am easy to faint all my life. Dr.'s have said vasovagal syncope, postural hypotension. They say eat salt. Is there any otther recourse?

Several: Drink plenty of fluids and avoid standing up quickly. If the salt and fluids don't help a medication called Florinef (fludrocortisone) can sometimes help quite a bit. If this doesn't work then ssri medications (like prozac) can be very effective. You need to talk with a specialist in syncope. ...Read more

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Have previa. Last week I could see the blood flowing out! Could postural hypotension be related to it? (now on bedrest but up to bathroom)

Have previa. Last week I could see the blood flowing out! Could postural hypotension be related to it? (now on bedrest but up to bathroom)

Call your doctor: I hope you called your doctor about the blood flow. Blood pressure that drops when you sit or stand (changes with posture = postural) can be due to infection, medications as well as dehydration (ie, bleeding). ...Read more

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How can back/flank pain, insomnia and postural hypotension be related?

Tough question: Possible UTI with dehydration, not sure how to incorporate insomnia except due to discomfort or nocturia? ...Read more

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Hi there my 13 yr old dayghter has postural hypotension and is always dizzy and feeling sick can. This be treated she cant go to school at the noment.

Hi there my 13 yr old dayghter has postural hypotension and is always dizzy and feeling sick can. This be treated she cant go to school at the noment.

Salt & Water: Orthostatic (postural) hypotension may be caused by many things, including, but not limited to, dehydration, anemia, certain medications & autonomic nerve problem. If your child is otherwise healthy, and without any heart or kidney issues, the best way to treat this condition is by drinking lots of fluids & increase salt intake, especially during illness & when exposed to heat. Avoid dehydration. ...Read more

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I am having heartburn, gerd, reflux, belching after taking food and often postural hypotension. Whether I am having hyper or hypoacidity? Please help me..

I am having heartburn, gerd, reflux, belching after taking food and often postural hypotension. Whether I am having hyper or hypoacidity? Please help me..

Gerd: It is hyperacidity.Postural hypotension requires further work up. Are you taking BP medications especially diuretics. You may not be drinking enough fluids. It also depends on the degree of postural hypotension. ...Read more

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Sir there is pain in heart for short span, breathlessness, hairloss, postural, hypotension, weight loss?

Sir there is pain in heart for short span, breathlessness, hairloss, postural, hypotension, weight loss?

Symptoms: These are unusual and troubling findings for a 20 year old man.
My best advice is for you to go to the nearest Emergency Room today. You will be carefully examined and recommendations made.
With your symptoms it is possible you will be admitted to the hospital but that doesn't happen too often.
Wishing you well soon. ...Read more

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DR diagnosis 15 yr ol girl, slim, good diet, not dehydrated with postural hypotension from heat. I know what it IS, but what would be root cause? Deficiency?

DR diagnosis 15 yr ol girl, slim, good diet, not dehydrated with postural hypotension from heat. I know what it IS, but what would be root cause? Deficiency?

Postural hypotension: It is not a deficiency. It is a state of your body. When you get hot, the normal response of your body to cool off is to dilate your skin blood vessels. This causes your blood pressure to drop. Then when you change position, especially if you stand up suddenly, your body can't maintain enough blood flow to your brain because it is all going to your skin to cool off. Now you feel dizzy or pass out. ...Read more

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Separate postural/orthostatic hypotension and tachycardia diagnoses, how does this work?

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

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Separate postural/orthostatic hypotension and tachycardia problems, or just one cause for both?

Not the same: In postural or orthostatic hypotension, BP drops significantly when upright (because among other things, blood pooling). A mechanism the body uses to correct this low BP is to increase the heart rate in an effort to mobilize that pooled blood and increase BP (hydration may help). Abnormal tachycardias are due to electrical abnormalities in your heart and may need to be treated. See your doctor. ...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


Dr. Mohamad Ali
175 Doctors shared insights

Low Blood Pressure On Standing (Definition)

I think you are referring to orthostatic hypotension. It is defined as a fall in systolic blood pressure of at least 20 mm Hg or diastolic blood pressure of at least 10 mm Hg when a person ...Read more