Can Low Blood Pressure Justify Bad Temper? the Connection

Q: Can Low Blood Pressure Justify Bad Temper? the Connection

Hello： 1. <br>Hypotension is generally defined as a systolic blood pressure less than 90 mmHg or a diastolic blood pressure less than 60 mmHg. <br>Common symptoms of hypotension include dizziness, fatigue, weakness, cold extremities, and difficulty concentrating. <br>Additionally

Can low blood pressure justify getting angry?

Hello, doctor… My boyfriend is 35 years old, and we have been together for over ten years, living together for five years.
In recent years, he has started to show symptoms of low blood pressure (perhaps he always had it, but I didn't notice the difference before we lived together).
Whenever he is hungry, he becomes particularly irritable and has a bad temper, speaking to me in a harsh tone… I have endured this sudden outburst multiple times and feel very wronged and no longer want to tolerate it.
Today, I brought it up to him, wanting to communicate properly, but he said, "Low blood pressure is like this! If you can't understand or tolerate it, I can't help it.
If you can't stand it, we can break up." I would like to ask the doctor… (1) Does low blood pressure really cause irritability??? Should I be understanding of him??? (2) If this is indeed a symptom, is there a treatment for it?? Which specialty should we consult?? Thank you, doctor, for your answers.

Ni Ni, 30~39 year old female. Ask Date: 2022/09/18

Dr. Lin Zhebin reply Family Medicine

Hello: 1.
Hypotension is generally defined as a systolic blood pressure less than 90 mmHg or a diastolic blood pressure less than 60 mmHg.
Common symptoms of hypotension include dizziness, fatigue, weakness, cold extremities, and difficulty concentrating.
Additionally, common causes of hypotension include orthostatic hypotension, dehydration, bleeding, cardiac issues, anemia, and endocrine disorders.
2.
If your boyfriend is experiencing any of the aforementioned symptoms related to hypotension and his blood pressure measurements are below these values, it is advisable to seek medical attention from a cardiologist.

Reply Date: 2022/09/18

More Info

Low blood pressure, or hypotension, can indeed have various effects on an individual's physical and emotional state. While it is not a direct cause of irritability or bad temper, the symptoms associated with low blood pressure can contribute to mood changes and irritability. Let’s explore this connection in detail.

Understanding Low Blood Pressure
Low blood pressure is generally defined as a reading below 90/60 mmHg. It can lead to symptoms such as dizziness, fainting, fatigue, and in some cases, confusion. These symptoms can be exacerbated by factors such as dehydration, prolonged bed rest, certain medications, or underlying health conditions. When someone experiences these symptoms, it can understandably affect their mood and behavior.

The Connection Between Low Blood Pressure and Mood
1. Physical Discomfort: Individuals with low blood pressure may experience physical discomfort, such as dizziness or fatigue, especially when they stand up quickly or after prolonged sitting. This discomfort can lead to frustration and irritability. If your boyfriend feels lightheaded or weak, it’s not surprising that he might react with impatience or anger, particularly if he is also hungry.

2. Blood Sugar Levels: Hunger can also play a significant role in mood changes. When blood sugar levels drop due to not eating, it can lead to irritability and mood swings. This is often referred to as being "hangry" (hungry + angry). If your boyfriend is experiencing low blood pressure and is also hungry, the combination could intensify his irritability.

3. Psychological Factors: Chronic health issues, including low blood pressure, can lead to stress and anxiety, which may manifest as irritability. If your boyfriend feels that he has little control over his health, it could contribute to a short temper.

Should You Understand and Support Him?
While it is important to empathize with your boyfriend's condition, it is equally important to set boundaries regarding how he treats you. Understanding that low blood pressure can contribute to mood changes does not mean you should accept poor treatment. Open communication is key. Expressing how his behavior affects you is crucial for a healthy relationship.

Treatment Options for Low Blood Pressure
If your boyfriend's low blood pressure is significantly affecting his quality of life, it may be beneficial for him to seek medical advice. Here are some steps he can take:
1. Consult a Healthcare Provider: He should see a primary care physician or a cardiologist to evaluate his blood pressure and overall health. They can determine if there is an underlying condition that needs treatment.

2. Lifestyle Changes: Increasing fluid intake, consuming more salt (under medical supervision), and eating smaller, more frequent meals can help manage low blood pressure. Regular exercise can also improve circulation and overall cardiovascular health.

3. Medication: In some cases, medication may be prescribed to help manage low blood pressure. This should be discussed with a healthcare provider.

4. Monitoring: Keeping track of blood pressure readings can help identify patterns and triggers, allowing for better management of symptoms.

Conclusion
In summary, while low blood pressure can contribute to irritability and mood changes, it is essential to address how these symptoms impact your relationship. Encouraging your boyfriend to seek medical advice and exploring treatment options can be beneficial. At the same time, maintaining open communication about your feelings and setting boundaries is crucial for a healthy relationship. Understanding and support are important, but they should not come at the expense of your well-being.

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