My diastolic blood pressure seems to be very low; I wonder if this is normal?
Hello Dr.
Liu, I am 20 years old and currently a junior in college.
Since childhood, my diastolic blood pressure and hemoglobin levels have been on the lower side.
The values are as follows: in seventh grade, my systolic/diastolic blood pressure/hemoglobin were 102/43/13.5; in high school, they were 139/71/14.3; in my first year of college, they were 126/59/14.4; and most recently, they were 115/58/13.6.
Occasionally, when I visit the hospital, my diastolic blood pressure is around 60.
I would like to ask you, Dr.
Liu, since my diastolic blood pressure has seemed low since childhood, but I do not experience any significant ongoing discomfort, is there anything I should pay special attention to? Thank you, doctor.
Yang, 20~29 year old female. Ask Date: 2023/09/25
Dr. Liu Hongxiang reply Family Medicine
Hello Mr.
Yang: The normal blood pressure range for adults is a systolic pressure of 110-140 mmHg and a diastolic pressure of around 70-90 mmHg.
Regarding hemoglobin levels, the normal range for males in our hospital is 13-17.5 g/dL, so the hemoglobin levels mentioned above should be considered normal.
A small number of individuals may have lower blood pressure due to their constitution or body size.
In such cases, it is important to compare not only with others but also with oneself.
If your current levels are similar to your past readings and you do not experience any discomfort in your daily activities or exercise, there is no need for concern.
However, be cautious during vertical movements or sudden changes in position, as moving too quickly can sometimes lead to dizziness.
Wishing you good health and happiness.
Sincerely,
Dr.
Liu Hongxiang
Reply Date: 2023/09/25
More Info
It's great that you're taking an active interest in your health, especially regarding your blood pressure. Based on the information you've provided, your diastolic blood pressure (DBP) has consistently been on the lower side, which can be concerning for some. However, let's break this down to understand what it means and what you should be aware of.
1. Understanding Blood Pressure: Blood pressure is measured in millimeters of mercury (mmHg) and is expressed as two numbers: systolic (the top number) and diastolic (the bottom number). Normal blood pressure is generally considered to be around 120/80 mmHg. Your readings indicate that your systolic pressure is within a normal range, but your diastolic pressure is lower than the typical range for adults, which is usually between 70-90 mmHg.
2. Low Diastolic Pressure: A consistently low diastolic pressure, such as the 58 mmHg you've reported, can sometimes indicate that your heart is not filling adequately between beats. This could be due to various reasons, including dehydration, blood loss, or even certain medications. However, if you are not experiencing any significant symptoms, this may simply be your body's normal variation.
3. Symptoms to Watch For: While you mentioned that you do not experience ongoing discomfort, it’s essential to be vigilant about any symptoms that could indicate a problem. Symptoms of low blood pressure can include dizziness, fainting, fatigue, and blurred vision. If you start experiencing these symptoms, it would be wise to consult a healthcare professional.
4. Lifestyle Considerations: Maintaining a healthy lifestyle can help manage your blood pressure. Regular exercise, a balanced diet rich in fruits, vegetables, and whole grains, and adequate hydration are crucial. Since you mentioned that you have a history of low blood pressure, ensure you are drinking enough fluids, especially during hot weather or when exercising.
5. Monitoring Your Blood Pressure: It's a good practice to monitor your blood pressure regularly, especially if you have a history of low readings. Consider measuring it at different times of the day and under various conditions (e.g., after resting, after exercise) to get a comprehensive view of your blood pressure patterns.
6. Consulting a Healthcare Provider: Given your history of low diastolic pressure, it may be beneficial to discuss this with a healthcare provider. They can evaluate your overall health, consider any potential underlying conditions, and determine if further testing is necessary. This is especially important if you have any family history of cardiovascular issues or if you start experiencing any concerning symptoms.
7. Conclusion: In summary, while your low diastolic blood pressure may be a normal variation for you, it’s essential to remain aware of any changes in your health. Regular check-ups and open communication with your healthcare provider can help ensure that you maintain good health and address any potential issues early on. Remember, your body is unique, and what is normal for one person may not be for another. Always prioritize your health and well-being.
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