Orthostatic Hypotension Causes & Treatment | Cleveland Clinic
Orthostatic hypotension can be asymptomatic or symptomatic, causing lightheadedness, dizziness or syncope, and even angina due to. Find out more about symptoms, causes and treatment of this form of low Orthostatic hypotension can make you feel dizzy or lightheaded, and. These episodes of low blood pressure from standing up quickly are work with you to figure out what's causing your dizziness and to treat any.
Your doctor may be able to make a diagnosis by monitoring your blood pressure while you transition from sitting to standing. A fall of more than 20 to 30 millimeters of mercury in your systolic blood pressure or 10 millimeters of mercury diastolic blood pressure, or both within three minutes of standing is considered orthostatic hypotension. He or she also may recommend monitoring your blood pressure over a hour period or specific tests to check your autonomic function.
The next goal is finding ways to improve your symptoms. Waist-high compression stockings or an abdominal binder can help prevent symptoms by keeping blood from pooling in your abdomen and legs.
You can learn to anticipate when you are likely to have symptoms and take measures to help keep your blood pressure steady. In general, always try to move from lying to sitting to standing in gradual stages. Start walking only after you feel steady. Finally, orthostatic hypotension can occur as a medication side effect. Self-help suggestions Be guided by your doctor, but general suggestions that may help you to manage orthostatic hypotension include: Get up slowly from a sitting or lying position to allow your blood vessels time to adjust.
Wear support stockings to reduce the pooling of blood in the legs, which helps to boost blood pressure throughout the body. Eat small, frequent meals instead of three large meals per day. Drink plenty of fluids throughout the day to prevent dehydration. Alcohol can cause dehydration and dilation of blood vessels. Consider drinking small but regular doses of caffeine, which boost blood pressure.
A cup of coffee or tea with each meal tends to reduce the severity of orthostatic hypotension. Remember, however, that caffeinated drinks can cause dehydration, so moderation is the key. Avoid vigorous exercise, hot baths, saunas and any hot environment because heat causes blood vessels to widen dilate. It also may be harder for an aging heart to beat faster and compensate for drops in blood pressure. These include medications used to treat high blood pressure or heart disease, such as diuretics, alpha blockers, beta blockers, calcium channel blockers, angiotensin-converting enzyme ACE inhibitors and nitrates.
Other medications that may increase your risk of orthostatic hypotension include medications used to treat Parkinson's disease, certain antidepressants, certain antipsychotics, muscle relaxants, medications to treat erectile dysfunction and narcotics. Using medications that treat high blood pressure in combination with other prescription and over-the-counter medications may cause low blood pressure. Some heart conditions, such as heart valve problems, heart attack and heart failure; certain nervous system disorders, such as Parkinson's disease; and diseases that cause nerve damage neuropathysuch as diabetes, increase the risk of low blood pressure.
Evaluation and Management of Orthostatic Hypotension - - American Family Physician
Being in a hot environment can cause heavy sweating and possibly dehydration, which can lower your blood pressure and trigger orthostatic hypotension. If you have to stay in bed a long time because of an illness, you may become weak. When you try to stand up, you may experience orthostatic hypotension.
Because your circulatory system expands rapidly during pregnancy, blood pressure is likely to drop. This is normal, and blood pressure usually returns to your pre-pregnancy level after you've given birth.
Mayo Clinic Q and A: Orthostatic hypotension is more than feeling dizzy every now and then
Drinking alcohol can increase your risk of orthostatic hypotension. Complications Persistent orthostatic hypotension can cause serious complications, especially in older adults.
Falling down as a result of fainting syncope is a common complication in people with orthostatic hypotension.