Hypotension is a decrease in systemic blood pressure below accepted low values. While there is not an accepted standard hypotensive value, pressures less than 90/60 are recognized as hypotensive. Hypotension is a relatively benign condition that is under-recognized mainly because it is typically asymptomatic. It only becomes a concern once pumping pressure is not sufficient to perfuse key organs with oxygenated blood.
Hypotension is most commonly asymptomatic. However, if symptoms become apparent, the most common is lightheadedness or dizziness. In extremely low pressures, syncope may occur. Other symptoms are possible which typically begin from the underlying etiology rather than hypotension itself. They may include chest pain, shortness of breath, irregular heartbeat,
Next Steps
Here in your scenario, your Systolic BP is in the normal limits whereas your diastolic BP fell below 60 a few times, which may be the reason behind your symptoms…
First we need to investigate the cause by doing the baseline blood tests like CBC,
TSH, free T4… If it seems to be apparently normal, we go higher UP like cardiac evaluative procedures like Echocardiography…
Also need to check whether you are having any menstrual abnormalities like overflow of periods & no others sources of internal blood loss..
Differential Diagnosis
Benign hypotension
Distributive shock
Cardiogenic shock
Hypovolemic shock
Obstructive shock
Combined-type hypotensive shock
Health Tips
The prognosis of benign hypotension is very good. Symptomatic hypotension has a variable prognosis depending on the etiology and severity.
Drink good amounts of water and add a bit of salt beyond current amount.