Dr. Penchilaprasad Kandikattu
Internal Medicine
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
I need some opinions or advice on my health condition. My PCP and I believe I have an autonomic dysfunction for which I take the tablets Propranolol 10 mg twice a day and Xanax 25 thrice a day. For the past three days, my symptoms have worsened. My resting (lying down) BP has been low at 105 to 110 mmHg, the upper values, with heart rates ranging between 90 to 50 bpm. However, when I stand up, my BP level elevates to 150 mmHg systolic pressure, which causes lightheadedness, dizziness, pre-syncope, and also up to to the point that I lose my sight for a few seconds.
And I am extremely fatigued that I spend most of my time in bed. I have also been having weird adrenalin surges at night that I cannot control. This issue began around five years ago and has been progressive since then. However, my recent blood reports are normal but the MRI reports were slightly abnormal. It revealed two lesions, one protruding from the deep white matter in both frontal areas. Is this something serious that I should seek immediate care for, or can I push through it?
Please answer.
Hello,
Welcome to icliniq.com.
I went through your query and understood your concern.
Postural hypotension can cause decreased blood pressure in a standing position. Kindly check your blood pressure in standing and lying down positions. If your blood pressure falls below 20 mmHg after standing, it is called postural hypotension. So due to the falling blood pressure, the heart will pump rapidly and increase the heart rate to control blood pressure. It is common in everyone. In addition, cardiac output is heart rate and stroke volume calculated together, and blood pressure is the product of heart rate and peripheral resistance.
In case of decreased heart rate, the blood pressure is also decreased. The above symptoms may be observed in anemia, hyperthyroidism, pheochromocytoma, aortic regurgitation, etc.
Kindly consult a cardiologist, get blood tests and echocardiography done, and get treated accordingly.
I hope this helps.
Take care.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Internal Medicine
Related Questions
MRI says degenerative changes seen. Is any treatment required?
Microvascular Ischemic Disease - Symptoms, Causes, Risk Factors, Diagnosis, Treatment, and Prevention
My palms and soles are red with burning sensation and occasional swelling. Why?
MRI of IAC for asymmetrical hearing loss shows small vessel disease. Please explain.
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
