Recurrence of a pre-existing condition?
Hello, Dr.
Yeh.
I apologize for bothering you with a question.
My mental state has improved a lot; I walk regularly, go to bed early, wake up early, and I am also working hard on managing my temper and being polite to others.
I've been busy, and without intentionally trying to lose weight, I have lost about 5 to 6 kilograms.
I previously took heart medication and sleep aids, which I have finished, and I have been trying to stop taking them for two weeks.
However, last night I suddenly felt very dizzy and had discomfort in my heart.
Today, my blood pressure was measured at 98/58, which seems a bit low.
I am confused because my lifestyle is regular, my mood is positive and proactive, I have been facing and solving problems, and I haven’t "lost my temper" during this time.
My diet is balanced, and my sleep is normal.
I can't think of any other reasons that could be causing the heart discomfort and dizziness.
Could this be related to the abrupt discontinuation of medication or the sudden weight loss? Do I need to continue taking medication? Thank you!
Wei Qi, 30~39 year old female. Ask Date: 2005/09/15
Dr. Ye Boshou reply Neurology
Congratulations, your physical and mental health is in good condition.
If you occasionally experience dizziness or discomfort in your heart, you can take a small amount of medication as needed, but there is no need for regular use.
Continue to relax and stay active.
Reply Date: 2005/09/15
More Info
It sounds like you are experiencing a complex interplay of symptoms that can be quite distressing. Based on your description, you have made significant lifestyle changes, including regular exercise, improved sleep patterns, and a more balanced diet, which are all commendable steps towards better health. However, the recurrence of dizziness and heart discomfort, along with low blood pressure readings, suggests that there may be underlying factors that need to be addressed.
Firstly, let’s discuss your blood pressure reading of 98/58 mmHg. This is indeed on the lower side of the normal range, and while some individuals may naturally have lower blood pressure without any issues, it can lead to symptoms such as dizziness, lightheadedness, and even fainting, especially when standing up quickly or after prolonged sitting. Low blood pressure can be caused by various factors, including dehydration, certain medications, or even changes in diet and exercise routines. Since you mentioned that you have recently stopped taking heart and sleep medications, it’s possible that your body is still adjusting to this change.
The symptoms of dizziness and heart discomfort can also be linked to anxiety or panic attacks, especially if you have a history of anxiety-related issues. Stress and anxiety can manifest physically, leading to symptoms such as palpitations, dizziness, and a feeling of tightness in the chest. It’s important to consider whether recent life changes or stressors could be contributing to your symptoms, even if you feel you are managing your emotions well.
Another possibility to consider is the impact of your recent weight loss. A sudden drop in weight, especially if it is unintentional, can sometimes lead to nutritional deficiencies, which may affect your overall health and contribute to symptoms like dizziness and heart discomfort. Ensure that you are consuming enough calories and nutrients to support your body’s needs, particularly if you are engaging in regular physical activity.
Given your situation, it would be wise to consult with a healthcare professional who can evaluate your symptoms in the context of your overall health. They may recommend further tests to rule out any underlying conditions, such as electrolyte imbalances, thyroid issues, or other cardiovascular concerns. It’s also important to discuss your blood pressure readings and any symptoms you are experiencing, as they may suggest the need for medication adjustments or additional interventions.
In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Stay Hydrated: Ensure you are drinking enough fluids throughout the day, as dehydration can contribute to low blood pressure and dizziness.
2. Monitor Your Diet: Focus on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Consider consulting a nutritionist if you are unsure about your dietary needs.
3. Gradual Movements: When changing positions, such as standing up from sitting or lying down, do so slowly to help prevent dizziness.
4. Stress Management: Continue practicing relaxation techniques, such as deep breathing, meditation, or yoga, to help manage anxiety and stress levels.
5. Follow-Up: Keep track of your symptoms and follow up with your healthcare provider, especially if your dizziness or heart discomfort persists or worsens.
In conclusion, while your lifestyle changes are positive, the recurrence of your symptoms warrants further investigation. It’s essential to work closely with your healthcare provider to ensure that any underlying issues are addressed and to determine the best course of action moving forward.
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