Hypotension

2025-06-25 05:23:35
From last 10 months my BP mostly remain 95/65 and i feel sleepy all day and also feel orthostatic hypotension when i stand up. All test done on advice of physician and all are normal except hemoglobin is 12.9 which was 15.7 onr year ago and also weight decreased from 56 to 52 kg.As per physician no need of treatment. Kindly suggest what to do because sleepiness and dizziness is increasing day by day. Note-water intake is 3-4 ltr and also increased salt intake but of no use.
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Ecg findings?? Rft?? Your ht wt??

Answered2025-07-02 04:12:06

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Answered2025-06-26 07:10:00

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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Answered2025-06-26 07:03:07

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Baised on your history there are multiple differential possible (gussing) 1) Autonomic dysfunction. 2) Endocrine disorder 3) Nutritional & Absorption Status (Serum B12, Folate, Ferritin, Vitamin D) 4) Sleep apnea 5) Narcolepsy 6) etc... You need to consult for proper examination and consultation.. so that a proper diagnosis can be made.
Next Steps
management: Compression stockings (up to thighs) — reduce venous pooling Small, frequent meals (postprandial hypotension is common) Sleeping with head elevated (reduces nocturnal diuresis) Gradual positional changes (sit before standing)

Answered2025-06-26 04:35:22

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Hiii Dizziness n sleepiness here are not boc of hypotension here Lots of causes are there In order to know ur health condition better n proper guidance Connect with me over here

Answered2025-06-25 16:20:46

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Need a little bit more history…Kindly consult

Answered2025-06-25 16:08:55

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Low bp rang 90/ 60 Or below. Use of LAMONADE with  pinches of salt,  electoral powder  advisable. Lie down  on back stretch the leg upright  against  wall just 2 min. Take black coffee  . That's all. Hb is yet normal  , so as minimal weight loss . You don't  need any medicine.

Answered2025-06-25 12:40:16

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Answered2025-06-25 11:45:55

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Hello, I understand you’ve been dealing with low blood pressure (around 95/65 mmHg) for nearly 10 months, and now feeling excessively sleepy, dizzy when standing up, and you've also noticed weight loss and drop in hemoglobin. Let’s go through this step by step. 1. What Might Be Happening Your symptoms — low BP, fatigue, dizziness on standing (orthostatic hypotension) — suggest your autonomic nervous system or hormonal balance might be involved. The fact that hemoglobin dropped from 15.7 to 12.9 g/dL shows a significant fall, which may point to chronic illness, nutritional deficiency, or early-stage anemia. Weight loss (from 56 kg to 52 kg) also needs to be taken seriously, especially when unexplained. 2. Why You Still Have Symptoms Despite Water and Salt Intake You're already taking 3–4 liters of water and extra salt, which is good. But if symptoms are not improving, we need to look beyond basic dehydration: There could be adrenal insufficiency (low cortisol, like Addison’s disease) Hypothyroidism, which can cause fatigue, hypotension, weight changes Chronic infection, malabsorption, or internal inflammation Autonomic neuropathy, especially if there’s diabetes or other systemic illness 3. What You Should Do Next You need to go one step deeper in testing: ✔️ Blood tests: Serum cortisol (morning) TSH and free T4 (thyroid profile) Serum electrolytes, vitamin B12, ferritin, and CRP ✔️ Postural BP check: Measure BP lying down and 3 min after standing — drop in BP confirms orthostatic hypotension ✔️ 24-hour BP monitor if needed ✔️ ECG/ECHO to rule out heart rhythm or structural cause 4. What You Can Try in the Meantime Try slowly standing up after sitting for a while — avoid sudden postural changes Use compression stockings (if no contraindications) to improve circulation Add small frequent meals with complex carbs and protein Consider light exercise (under guidance), especially leg movements, to help blood flow Conclusion: Although your doctor found no major issue on initial tests, your persistent symptoms, weight loss, and drop in hemoglobin need more focused evaluation — especially for endocrine or autonomic causes. Please don't ignore this — it is not normal to feel sleepy and dizzy all the time. Reference: Based strictly on Harrison’s Manual of Medicine – Hypotension, Orthostatic Hypotension, and Endocrine Disorders section. Mark HELPFUL 🙂

Answered2025-06-25 11:42:38

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Hello, Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399. Thanks.

Answered2025-06-25 11:42:34

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Connect . Need further details .

Answered2025-06-25 10:41:52

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Get Ecg, cardiac echo and thyroid function tests done,  share results,  then I shall definitely help you.

Answered2025-06-25 10:36:10

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Kindly connect with me for futher consult

Answered2025-06-25 10:32:54

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Need few more details Kindly connect.

Answered2025-06-25 10:19:53

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Please do deep breathing practices early morning before breakfast and after defecation. Take little and easily digestible meals but healthy and nutritious. Do not consume heavy complicated protein like soya bean in heavy amount. Do this and report me again. We'll discuss in detail if no improvement.

Answered2025-06-25 10:04:37

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I can definitely help you over this being a general physician You can consult with me online on Practo or Contact on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Answered2025-06-25 09:07:56

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2025-06-25 08:13:19

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Answered2025-06-25 08:11:56

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Need few more details Kindly consult

Answered2025-06-30 05:12:54

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Need few more details for further evaluation. Kindly connect

Answered2025-06-26 10:18:00

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Get your vitamin and micronutrients level done also test for hormonal diseases like thyroid disorder or diabetes or adrenal insufficiency.
Next Steps
increase electrolyte intake
Health Tips
consult for further evaluation

Answered2025-06-25 17:16:23

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Kindly consult

Answered2025-06-25 16:57:17

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Check thyroid

Answered2025-06-25 10:49:21

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Avoid fried food and spicy food Water intake more Green leafy vegetables and fruits and Fiber meal Do connect and consult

Answered2025-06-25 09:05:38

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Take ors. Drink plenty of water.

Answered2025-06-25 09:05:17

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