How to Treat Low Blood Pressure: When to See a Doctor

How to treat low blood pressure?

Hello Doctor: My blood pressure is 95/55 mmHg with a pulse of 80 beats per minute.
The volunteers say that I have low blood pressure (they almost always say this when they measure it).
I would like to ask you: Should I see a doctor? Which specialty should I consult? I often feel very fatigued and cannot stand for long periods.
Thank you! Ms.
Huang

Ms. Huang, 40~49 year old female. Ask Date: 2011/07/31

Dr. Li Han reply Cardiology

Hello, Ms.
Huang.
Regarding your question...
Is a blood pressure of 95/55 mmHg and a pulse of 80 beats per minute considered low blood pressure? Essentially, the term low blood pressure does not solely refer to a reading below 90/60 mmHg, but rather it is accompanied by pathological manifestations, meaning there is inadequate perfusion to tissues or organs.
For instance, if a person's resting blood pressure is only 85/50 mmHg but they have normal energy and vitality, and their blood pressure and heart rate increase appropriately during exercise, then that blood pressure is considered normal for them, not low blood pressure.
As for your frequent feelings of fatigue and inability to stand for long periods, do these indicate symptoms of low blood pressure? Relax; many young women have similar blood pressure readings as yours.
You likely measured it in a calm state, perhaps unintentionally.
Speaking of fatigue...
you might need sufficient sleep and proper rest.
If, after making adjustments, you still feel fatigued, it may be wise to consult your trusted family physician.
If you still have concerns about your blood pressure, you can discuss it with a cardiologist.
Take care.

Reply Date: 2011/07/31

More Info

Dear Ms. Huang,
Thank you for reaching out with your concerns regarding your blood pressure readings and the symptoms you are experiencing. Based on the information you've provided, it appears that you are experiencing low blood pressure, also known as hypotension. Your readings of 95/55 mmHg indicate that your systolic blood pressure (the top number) is on the lower end of the normal range, and your diastolic blood pressure (the bottom number) is also low. This can lead to symptoms such as fatigue, dizziness, and difficulty standing for extended periods, as you have noted.

When to See a Doctor
It is advisable to consult a healthcare professional, especially since you are experiencing persistent symptoms like fatigue and difficulty standing. These symptoms can significantly impact your quality of life and may indicate an underlying health issue that needs to be addressed. You should consider seeing a primary care physician or a specialist in internal medicine. If your symptoms are severe or if you experience fainting spells, it may be prudent to seek immediate medical attention.

Possible Causes of Low Blood Pressure
Low blood pressure can result from various factors, including:
1. Dehydration: Insufficient fluid intake can lead to decreased blood volume, resulting in lower blood pressure.

2. Heart Problems: Conditions such as bradycardia (slow heart rate), heart valve issues, or heart failure can affect your blood pressure.

3. Endocrine Issues: Disorders of the adrenal glands, such as Addison's disease, can lead to low blood pressure.

4. Severe Infection (Septicemia): This can cause a drop in blood pressure due to systemic inflammation.

5. Blood Loss: Significant blood loss from injury or internal bleeding can reduce blood volume and lower blood pressure.

6. Nutritional Deficiencies: Lack of essential nutrients, such as vitamin B12 and folate, can lead to anemia and low blood pressure.

7. Medications: Certain medications, including diuretics, antidepressants, and medications for high blood pressure, can cause hypotension as a side effect.

Diagnostic Approach
When you visit a doctor, they will likely conduct a thorough evaluation, which may include:
- Medical History: Discussing your symptoms, lifestyle, and any medications you are taking.

- Physical Examination: Checking your heart rate, blood pressure in different positions (lying down, sitting, standing), and overall health.

- Blood Tests: To check for anemia, electrolyte imbalances, and other potential issues.

- Electrocardiogram (ECG): To assess your heart's rhythm and detect any abnormalities.

- Echocardiogram: If heart issues are suspected, this imaging test can provide more information about heart function.

Treatment Options
The treatment for low blood pressure depends on the underlying cause. Here are some general approaches:
1. Increased Fluid Intake: Drinking more fluids can help increase blood volume and improve blood pressure.

2. Dietary Adjustments: Eating small, frequent meals and increasing salt intake (under medical supervision) can help some individuals.

3. Compression Stockings: These can help improve circulation and prevent blood from pooling in the legs.

4. Medications: If lifestyle changes are insufficient, your doctor may prescribe medications to help raise your blood pressure.

5. Monitoring: Regular follow-ups to monitor your blood pressure and adjust treatment as necessary.

Conclusion
Given your symptoms and blood pressure readings, it is essential to seek medical advice. A healthcare professional can help determine the cause of your low blood pressure and recommend appropriate treatment options tailored to your specific situation. Remember, managing low blood pressure effectively can significantly improve your quality of life.

Take care, and I wish you the best in your health journey.

Sincerely,
Doctor Q&A Teams

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