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My friend is felt drowsiness in the morning, she has low blood pressure conditions sometimes. Is this feeling of drowsiness is because of low bp? How can we take care of it?

Dr. V.P. Bansal 89% (940 ratings)
MBBS, MD, DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Indore
Yes low bp can be one of the cause for drowsiness. FOR LOW B.P - 1. Eat a diet higher in salt. 2. To avoid problems with low blood pressure and lessen episodes of dizziness after meals, try eating smaller, more frequent meals. Cut back on carbohydrates. Rest after eating 3. Limit alcoholic beverages, Drink more fluids during hot weather and while sick with a viral illness, such as a cold or the flu. 4. Avoid heavy lifting. 5. Avoid prolonged exposure to hot water, such as hot showers and spas. If you get dizzy, sit down. 6. Get regular exercise to promote blood flow. 7. Be careful when rising from lying down or sitting. To help improve circulation, pump your feet and ankles a few times before standing up. Then proceed slowly. When getting out of bed, sit upright on the edge of the bed for a few minutes before standing. 8. Elevate the head of your bed at night by placing bricks or blocks under the head of bed. 9. Avoid straining while on the toilet. 10. Avoid standing still in place for long periods of time. For homeopathic medicine. Contact us.
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Hi Sir, Yesterday night I got blood pressure checked and it was 170/110. Doctor gave me medicine for BP and cholesterol. I am feeling some pressure on chest. Please advise.

Ayurveda, Mumbai
Hi Sir, 
Yesterday night I got blood pressure checked and it was 170/110. Doctor gave me medicine for BP and choleste...
Low salt diet, exercise regularly to control body weight as well as cholesterol. Arjuna rishta 4 TSF 20 ml twice daily for three months then again check your cholesterol levels n bodyweight.
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Hi Doctor, I am feel not good about 3 months and I am so confused that it's depression or not. I feel that my body is not with me. Sometimes, I disturb by small thing and thinking about that whole night and day also. My mind is so disturbed. I feel helpless don't know why? Please give some advice what can I do about that problem. Because now this is very critical for me. II have blood pressure low problem about 2 years.

Dr. Akshata Bhat 91% (1944 ratings)
MBBS, MD - Psychiatry
Psychiatrist, Mumbai
Hi Doctor, I am feel not good about 3 months and I am so confused that it's depression or not.
I feel that my body is...
Feeling low, having crying spells, sleep and appetite disturbances, and difficulty in concentration and attention are some of the signs of Depression. Consult a Psychiatrist for a detailed assessment. It is likely with medication and counselings the symptoms will improve. If you are feeling suicidal or hopeless consult a Psychiatrist immediately.
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Blood Pressure Measurements: Special Cases

Dr. Arvind Kanchan 91% (124 ratings)
MD - Physiology, MBBS
General Physician, Lucknow
Blood Pressure Measurements: Special Cases

Special cases of measurements of blood pressure: 

Certain groups of people merit special consideration for the measurement of blood pressure because of age, body habitus or disturbances of blood pressure related to haemodynamic alterations in the cardiovascular system.

1. Children:

Measurement of blood pressure in children presents a number of difficulties. Variability of blood pressure is greater than in adults, and any one measurement is less likely to represent the true blood pressure. Systolic pressure is more accurate and reproducible than diastolic pressure. A cuff with proper dimensions is essential for accurate measurement. The widest cuff practicable should be used. Ideally, blood pressure should be measured after a few minutes of rest. Values obtained during sucking, crying or eating will not be representative. As with adults, a child’s blood pressure status should be decided only after it has been measured on a number of separate occasions. Ambulatory blood pressure measurement is being used increasingly in children.

2. Elderly people:

In epidemiological and interventional studies, blood pressure predicts morbidity and mortality in elderly people as effectively as in the young. Elderly people have considerable variability in blood pressure, which can lead to a number of diurnal blood pressure patterns that are identified best with ambulatory blood pressure measurement. These patterns include isolated systolic hypertension, white coat hypertension and hypotension. Elderly patients may also have pseudohypertension, a condition in which there is a large discrepancy between cuff and direct measurement of blood pressure in elderly patients. When conventional measurements seem to be out of proportion with the clinical findings, referral to a specialist cardiovascular centre for further investigation may be an appropriate option.

3. Obese people:

The association between obesity and hypertension has been confirmed in many epidemiological studies. Obesity may affect the accuracy of measurement of blood pressure in children, young and elderly people, and pregnant women. The relation of arm circumference to bladder dimensions is particularly important. If the bladder is too short for the arm as often happens with obese arms, blood pressure will be overestimated – ‘cuff hypertension’. The increasing prevalence of the metabolic syndrome (obesity, hypertension and hyperglycaemia) makes accurate measurement of blood pressure in obese people increasingly important. In some obese patients, the arm circumference is so great that upper arm measurement is not possible and forearm measurement may be the only option. For conventional measurement, the Korotkoff sounds are auscultated over the radial artery and for devices that measure blood pressure by oscillometry (devices for self-measurement and ambulatory blood pressure measurement), the cuff is placed on the forearm.

4. Patients with arrhythmias:

Large variations in blood pressure from beat to beat make it difficult to obtain accurate measurements in patients with arrhythmias. In patients with arrhythmias, such as atrial fibrillation, blood pressure varies depending on the preceding pulse interval. No generally accepted method of determining auscultatory end points in patients with arrhythmias exists. Devices for measuring blood pressure with oscillometry vary in their ability to accurately record blood pressure in patients with arrhythmias. Measurements of blood pressure at best will constitute a rough estimate in those with atrial fibrillation, particularly when the ventricular rhythm is rapid or highly irregular, or both. The rate of deflation should be no faster than 2 mm Hg per heartbeat, and repeated measurements may be needed to overcome variability from beat to beat. Two potential sources of error exist when patients have bradyarrhythmia. If the rhythm is irregular, the same problems as with atrial fibrillation will apply. When the heart rate is extremely slow – for example, 40 beats/min – it is important that the rate of deflation used is less than for people with normal heart rates, as too rapid deflation will lead to underestimation of systolic blood pressure and overestimation of diastolic blood pressure.

5. Pregnant women:

Clinically, relevant hypertension occurs in more than 10% of pregnant women in most populations. High blood pressure is a key factor in making medical decisions in pregnancy. Disappearance of sounds (fifth phase) is the most accurate measurement of diastolic pressure, except when sounds persist to zero, in which case the fourth phase of muffling of sounds should be used.

6. Patients who take antihypertensive drugs:

In patients who take antihypertensive drugs, the timing of measurement may have a substantial influence on the blood pressure. The time of taking antihypertensive drugs should be noted.

7. Patients who are exercising:

Systolic blood pressure increases with increasing dynamic work as a result of increasing cardiac output, whereas diastolic pressure usually remains about the same or moderately lower.

An exaggerated blood pressure response during exercise may predict development of future hypertension.

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I am a bodybuilder so I am taking Termin 30 mg daily mrng n night before 10 min entering the gym so. Is this Termin cause some issue in body or not please suggest me?

Dr. Rajiv Kumar Srivastava 88% (121 ratings)
M.Ch - Cardio Thoracic Surgery, MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
Cardiologist, Durgapur
Termin 30 Mg Injection is a sympathomimetic agent with mainly indirect effects on adrenergic receptors. It is mainly used to steady blood pressure levels in hypotensive states, for instance, following spinal  anaesthesia .Cardiac output and systolic and diastolic pressures are usually increased. A change in heart rate is variable, depending on the degree of vagal tone. Sometimes the net vascular effect may be vasodilation. Large doses may depress the myocardium or produce effects in the central nervous system. Some side effects include: fear, insomnia, tremors, nausea, vomiting, urinary retention, psychosis, restlessness, anxiety,  confusion, irritability, and  reduced appetite,  dyspnea, weakness.
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I am 35 year old, my lower bp is always around 90 to 95. What I have to take care to control.

Dr. Mitesh S Asnani 92% (256 ratings)
Homeopath, Gandhinagar
Hello, Avoid salty, fried and sweet. DO walking every day as well as Pranayam. Take small quantity of water at small interval avoid water after meal for half hour. Do not eat as stomach become full.
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I am suffering from low blood pressure, and I have lack of energy in my body. Due to this I am unable to work.

Dr. Rajiv Bajaj 92% (1084 ratings)
MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
Take more rest, eat more good foods, nuts, butter, etc. Spend some time doing things that relax and cheer you.
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