Blood Pressure and Related Issues: A Question
Hello, doctor...
I have had a habit of donating blood regularly for the past five years, which also helps me monitor my health status.
From five years ago until about six months ago, my systolic and diastolic blood pressure consistently remained stable at 120/80 mmHg.
However, six months ago, my systolic blood pressure suddenly began to decrease, while my diastolic pressure remained relatively unchanged (ranging from 100/70 mmHg to the recent 100/80 mmHg).
The gap between the two blood pressure readings has gradually narrowed.
What does this indicate about my health condition? Additionally, around the same time, I started experiencing occasional soreness in my right back near the last rib and the spine.
A few months later, I began to have unexplained pain in my right knee.
There seems to be a slight indentation in the right knee joint compared to the left knee.
During this period, I have undergone X-rays, ultrasound, and blood biochemical tests at Tri-Service General Hospital, Songshan Hospital, and National Taiwan University Hospital, but the cause of the knee pain has not been identified.
I also experienced unusual dryness in my throat during this time.
Is there a connection between these events? If so, which specialty should I consult? Thank you!
Jie, 20~29 year old female. Ask Date: 2004/05/17
Dr. Zeng Guosen reply Internal Medicine
Hello:
1.
Blood pressure has decreased from 120 to 100 over the past six months.
Is it the same blood pressure monitor? Have you been taking any medications, and have you experienced any gastrointestinal bleeding or weight loss? It is recommended to consult a cardiologist.
2.
For right knee pain, it is difficult to determine the possible causes based solely on the description provided.
It is advisable to visit an orthopedic clinic.
Sincerely, Dr.
Tseng Kuo-Sen, Internal Medicine, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2004/05/17
More Info
Understanding changes in blood pressure and their potential health implications is crucial for maintaining overall well-being. In your case, you have reported a noticeable decline in systolic blood pressure (from 120 mmHg to 100 mmHg) while diastolic pressure has remained relatively stable. This change, particularly the narrowing gap between systolic and diastolic pressures, can be indicative of several underlying health issues.
Firstly, a decrease in systolic blood pressure can be attributed to various factors, including dehydration, blood loss, heart problems, or hormonal changes. It is essential to consider whether there have been any lifestyle changes, such as alterations in diet, physical activity, or medication use, that could have contributed to this decline. Additionally, if you have experienced any gastrointestinal bleeding or significant weight loss, these could also lead to lower blood pressure readings.
The symptoms you describe, including right back pain near the last rib and spine, as well as unexplained right knee pain, warrant further investigation. While these symptoms may seem unrelated, they could potentially be linked to a systemic issue, such as an autoimmune disorder or a metabolic condition. The knee pain, especially if accompanied by visible changes in the joint, could suggest an underlying inflammatory process or degenerative joint disease, which might require evaluation by an orthopedic specialist.
The abnormal sensation of excessive thirst could indicate a metabolic condition, such as diabetes or an endocrine disorder, which may also correlate with your blood pressure changes. It is important to monitor these symptoms closely and consider comprehensive blood tests to evaluate kidney function, blood glucose levels, and electrolyte balance.
Given the complexity of your symptoms, it would be advisable to consult with a primary care physician who can coordinate your care and potentially refer you to specialists such as a cardiologist for the blood pressure concerns and an orthopedic doctor for the knee pain. Additionally, an endocrinologist may be beneficial if metabolic issues are suspected.
In summary, the changes in your blood pressure, along with the accompanying symptoms, suggest that there may be interconnected health issues at play. It is crucial to approach this situation holistically, considering both the cardiovascular and musculoskeletal aspects of your health. Regular monitoring, lifestyle adjustments, and appropriate medical consultations will be key in addressing these concerns effectively.
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