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Hypotension
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.
Answers (25)
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Kindly consult to get appropriate treatment
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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.
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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)
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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
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Need a little bit more history…Kindly consult
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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.
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Connect
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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 🙂
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Connect . Need further details .
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Get Ecg, cardiac echo and thyroid function tests done, share results, then I shall definitely help you.
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Kindly connect with me for futher consult
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Need few more details
Kindly connect.
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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.
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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
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Connect
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Dr. Manoj Kumar
General Physician
9 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly connect
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Dr. Anand Prakash Pandey
General Physician
8 yrs exp
Delhi
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
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Dr. Sunil Nagar
General Physician
17 yrs exp
Rewa
Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Check thyroid
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits and
Fiber meal
Do connect and consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take ors.
Drink plenty of water.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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