Low Blood Pressure (Hypotension): Causes, Symptoms & Treatment

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1 Low Blood Pressure

Low Blood Pressure

Low blood pressure, or hypotension, is when your blood pressure falls below 90/60 mm Hg.1 It can occur due to various reasons like medical issues, certain drugs, or your lifestyle. You might feel dizzy, light-headed, tired, or even nauseous.1 Severe cases can result in shock or harm to your organs. Determining and treating its root cause is important to handle hypotension. This can mean changing how you live, taking specific drugs, or managing other health issues. And remember, working closely with your doctor is crucial for the best care.

Imagine a person sitting or lying down, with a blank expression on their face, and surrounded by medical supplies like an IV bag and a blood pressure monitor. Show their skin as pale or discolored, indicating low oxygen levels, and possibly include a faint image of a heart-shaped monitor showing a weak pulse. Use cool colors such as blues and greens to convey a sense of relaxation and calmness, but also incorporate darker tones to suggest the seriousness of the situation.

All about low blood pressure

Key Takeaways

  • Low blood pressure means your reading is lower than 90/60 mm Hg.
  • Its symptoms include feeling dizzy, light-headed, tired, or nauseous.
  • Using certain medications, getting older, and having medical problems can increase your chances of hypotension.
  • If it gets very low, serious problems like shock and organ damage could arise.
  • Managing it well often includes making life changes, taking medicines, or fixing underlying issues.

Understanding Low Blood Pressure

What is hypotension?

Low blood pressure, or hypotension, happens when your blood pressure falls below 90/60 mm Hg.1 However, what’s low for you may not be for someone else. A reading under 90 mm Hg (systolic) or 60 mm Hg (diastolic) is low for most.1 The American Heart Association says normal is usually under 120/80 mm Hg.1

Types of Low Blood Pressure

There are different kinds of low blood pressure, such as:

  1. Orthostatic (postural) hypotension is when your blood pressure suddenly drops when you stand up.
  2. Postprandial hypotension: blood pressure falls after eating, mostly in older adults.
  3. Neurally-mediated hypotension is a drop in blood pressure after standing for a long time, often in young adults and kids.
  4. Multiple system atrophy with orthostatic hypotension is a rare nerve system disorder. It leads to very low blood pressure when you lie down.

Symptoms of Low Blood Pressure

Common Symptoms

Low blood pressure, or hypotension, often manifests as dizziness or lightheadedness. You might feel very tired or see things as if they are not clear. Nausea and confusion are also common signs.1 These feelings happen when the brain does not get enough blood.2

Signs of extremely low Blood Pressure

Sometimes, very low blood pressure has worse effects. You could get cold, sweaty skin and breathe quickly. Your heartbeat might be faint, but it is very fast. In severe cases, you could even go into shock.2 Shock is critical. It means your organs aren’t getting the blood they need. You must get help right away to survive it.1

Causes of Low Blood Pressure

Hypotension causes

Low blood pressure has several causes. These include various medical issues, certain drugs, and risks.1

Medical Conditions

Medical problems can lead to low blood pressure. For instance, being pregnant or having heart issues are common. Conditions like Addison’s disease and hypothyroidism can also be factors.1

Dehydration, severe blood loss, sepsis, and anaphylaxis are other causes.1

Medications

Some medications lower blood pressure. These include diuretics, alpha-blockers, and beta-blockers for high blood pressure.1

Medications for Parkinson’s, certain antidepressants, and drugs for erectile dysfunction can also be culprits.1

Risk Factors

Low blood pressure risk factors are significant. Older people and those using specific drugs are at a higher risk.1

Medical problems, dehydration, and pregnancy also increase the chances of low blood pressure.1

Complications of low blood pressure

Low blood pressure may cause dizziness, weakness, fainting, and falls.1  If BP is extremely low, it might harm the heart and brain.1 A sudden drop in blood pressure can be deadly, leading to shock.3 Shock shows confusion, cold skin, fast breath, and a weak pulse.3 Quick medical help is vital to avoid organ damage.

Very low blood pressure holds less oxygen, harming the heart and brain.1 A quick BP drop, like from an allergy, can be life-threatening.1 Signs of shock need fast action to avoid harm. This includes confused, pale, quick breathed, and weak pulsed people.3

Low blood pressure issues can vary from mild to life-threatening.2 Being alert and getting medical help early is key to controlling and preventing big problems.2

Diagnosing Low Blood Pressure

A healthcare provider first examines the patient’s medical history to find the root cause of low blood pressure. They might measure blood pressure while lying down, sitting, and standing to see if it changes, known as postural hypotension.1

Physical Examination

The check-up can reveal the reason behind the low blood pressure. The provider will look for signs such as dehydration, anemia, and other health issues that might lead to hypotension.4

Diagnostic Tests

If more clues are needed, the provider could recommend different tests.

  • They might do an Electrocardiogram (ECG) to watch the heart’s rhythm and how it works.
  • An Echocardiogram could be used to get a closer look at the heart.
  • Blood tests can show if there’s anemia or problems with blood sugar or electrolytes.
  • Wearing a 24-hour heart monitor (Holter monitor) might be suggested to find heart rhythm issues.
  • A tilt table test can determine how the body responds to position changes.

These tests aim to pinpoint the cause of low blood pressure and recommend the most suitable treatment.1

Managing and Treating Low Blood Pressure

Lifestyle changes can help a lot with hypotension.3 You may need to eat more salt and drink more water. Avoiding alcohol is key. Ensure you drink enough, especially when it’s hot or sick. Regular exercise is great for better blood flow. Try not to stand for too long, and use compression stockings.

Medications for Low Blood Pressure

Sometimes, you might need medicine to raise your blood pressure. One option is fludrocortisone, which helps keep more water in your body.3 Another is midodrine, which makes blood vessels narrower.4 If your low blood pressure comes from another health problem, you could get pills for that, too.4 Be sure to talk a lot with a doctor before taking these, as they might mix up with other drugs or health issues.

Lifestyle Changes Medications
  • Increasing salt and fluid intake
  • Avoiding alcohol
  • Staying hydrated
  • Exercising regularly
  • Avoiding long periods of standing
  • Using compression stockings
  • Fludrocortisone to promote fluid retention3
  • Midodrine constricts blood vessels4
  • Medications to address underlying conditions4

If you adjust your lifestyle and work with a doctor, managing low blood pressure can be successful. This can prevent issues.

Create an image depicting a person standing in the sunlight with their arms raised upward. Their skin appears healthy and vibrant, with a rosy glow. A stethoscope protrudes from their pocket, indicating they are under medical care. Behind them, a landscape of greenery and hills stretches out, suggesting the benefits of regular outdoor exercise. In the foreground, a glass of water and a bowl of fresh fruit symbolize the importance of proper hydration and a balanced diet in maintaining healthy blood pressure levels. The image should convey a sense of vitality and wellness from receiving effective low blood pressure treatment.

Low Blood Pressure in Specific Populations

Low blood pressure, or hypotension, can affect anyone. Yet, older adults and pregnant women are more at risk. They need special attention.

Low Blood pressure

Older Adults

As we age, keeping our blood pressure steady gets harder.1 Our blood vessels lose their stretchiness over time, making it harder to handle sudden changes, such as standing up quickly. As a result, older folks face a higher chance of orthostatic hypotension. Plus, they often take more medicines, have more health issues, and get dehydrated easily, all of which can lead to their blood pressure being too low.

Pregnant Women

When a woman is pregnant, her body changes a lot.2 Blood vessels grow quickly, which can lower her blood pressure. This drop is common in the first 24 weeks of pregnancy.2 Usually, blood pressure returns to normal after the baby is born.

Monitoring blood pressure is key for these groups. Lifestyle changes and medicine might be needed to prevent problems with hypotension.1 The elderly often deal with postural hypotension. In pregnant women, blood pressure naturally drops during the early months.

Preventing Low Blood Pressure

It’s not always possible to prevent low blood pressure. But, taking steps to lower the risk or manage symptoms is important.4 Drink lots of fluids, mainly water, to stay hydrated.4 If your doctor says it’s okay, adding salt to your diet might be helpful, too.4 Be careful when you change positions, like getting up from sitting or lying down. This can avoid dizziness.4 Compression stockings can stop blood from staying in your legs too long. This helps with low blood pressure.4

Being active can improve your blood flow and help with low blood pressure.4 Dealing with any health issues causing low blood pressure, such as heart or hormone problems, is crucial.4 Avoiding drugs that could lower your blood pressure is also wise without a doctor’s advice.4 Lastly, learning to relax through deep breathing or meditation reduces stress. This supports healthy blood pressure.4 Following these tips can help many people manage their low blood pressure well.4 A person jogging outdoors in a green park with trees and grass around, with a bottle of water in hand and a fit athletic outfit. Nearby, a basket of fresh fruits and vegetables can be seen. The sun is shining brightly and casting shadows on the ground. The person appears to be happy, energetic, and healthy, indicating the benefits of exercise and a balanced diet in preventing low blood pressure.

Low Blood Pressure and Daily Activities

You might need to change how you do things if you have low blood pressure. This can stop you from feeling dizzy or even fainting. Taking small steps can make a big difference.

Postural Hypotension Precautions

To manage postural hypotension, try these tips:

  • Be slow when you stand up from sitting or lying down1
  • Move your legs and feet a bit before you stand to help blood flow1
  • Hold onto handrails to stay steady
  • Take breaks if you have to stand for a long time1

Diet and Exercise for Low Blood Pressure

Changing what you eat and how you move can also ease low blood pressure:

  • Have small meals more often to avoid postprandial hypotension12
  • Don’t eat too many carbs at once
  • Drink enough water before, during, and after working out
  • Do gentle exercises, like walking or swimming1
  • Don’t switch your body position too quickly when you’re active1

All these changes can keep you doing the things you love and really boost your daily life quality. Making some small tweaks with 125 in mind is key.

Natural Remedies for Low Blood Pressure

Many folks with low blood pressure seek help from natural remedies. They use these along with medical advice and lifestyle changes. This combination can assist in handling hypotension and its causes.

Herbal Supplements

Some herbal supplements might help those with low blood pressure.6 Licorice root, for instance, could raise blood volume and pressure.6 Ginger is good for flow and stops dizziness.6 Ginkgo biloba also boosts blood flow to the brain.6 Caffeine-based herbs like guarana or yerba mate can quickly lift pressure.6

Mind-Body Practices

On top of herbs, certain mind-body practices are good for low blood pressure.6 Yoga, for one, can improve your blood flow and pressure.6 Acupuncture might nudge the nervous system to help adjust pressure.6 Lastly, meditation cuts down stress and supports heart health.6

But always talk to your doctor before trying any natural remedies. They could interact badly with your medicines or cause other problems.7 Getting the right advice is key to using these treatments safely and effectively.

Acupuncture for Low Blood Pressure

Several clinical trials have demonstrated the efficacy of acupuncture in treating hypotension. Acupuncture can be used either alone or in conjunction with antihypertensive drugs to lower blood pressure. When used in conjunction with other therapies, acupuncture can lessen the negative effects of drugs.

The effectiveness of acupuncture therapy for abnormal blood pressure depends on several factors, including:
  • The acupoints used
  • The type of acupuncture technique, such as lifting, thrusting, moxibustion, bleeding, or rotating
  • The current parameters used for electroacupuncture
  • The frequency of treatments
  • The length of the treatment 
The exact mechanism by which acupuncture lowers blood pressure is still speculative, but some studies suggest that it may work by ameliorating oxidative stress and the redox-sensitive pathway in the rostral ventral lateral medulla (RVLM). Others have suggested that electroacupuncture may work by stimulating afferent nerves, which can lead to an autonomic reflex. 
Several published papers have shown that acupuncture significantly improves primary hypotension. For instance, patients with hypotension responded significantly to EA applied at a slow wave (2–5 Hz) on the acupoints Neiguan (PC–6) and Gongsun (SP–4) (Yin et al. 2000).

Homeopathic medicine for hypotension

A secure, all-natural way to manage low blood pressure is with homeopathy. It is a useful treatment that has no negative side effects or negative impacts. “Symptomatic” alleviation is the initial benefit of homeopathic treatments. It relieves dizziness, nausea, and exhaustion, enabling the patient to resume their daily activities. The body’s blood circulation must then be restored to normal, which entails improving heart and pulse rate functioning. The goal of doing this is to keep blood pressure within normal limits.

Before using homeopathic medication to treat low blood pressure, the reason for the low blood pressure must be identified. This includes a thorough examination and assessment of the patient’s medical background. Low blood pressure affects people of all ages and has many reasons. As a result, prescription drugs are written appropriately.

Both people with a sudden, severe drop in blood pressure and those who have consistently low blood pressure can benefit from homeopathy. When treating acute episodes of low blood pressure, the primary goal of these medications is to relieve symptoms. The next goal is maintaining normal blood pressure by strengthening the heart’s muscles and improving blood circulation. The etiology of low blood pressure is always taken into account when writing a prescription for it. Another benefit is that medications for low blood pressure can be used effectively with people of all ages.

Homeopathic remedies for low blood pressure

Viscum Album, Gelsemium, China, and Naja are the best medications for lowering blood pressure. Gelsemium is used when low blood pressure causes noticeable vertigo, dizziness, and lightheadedness. China is quite helpful for blood loss and dehydration caused by diarrhea due to low blood pressure. If valvular heart defects cause hypotension, Naja and Viscum Album are great options.

1. For severe vertigo and dizziness that accompany low blood pressure

Gelsemium and Viscum Album are the best medications for low blood pressure that cause noticeable vertigo and dizziness. Gelsemium is a great option when there is noticeable dullness, vertigo, and dizziness. Fatigue and drowsiness are symptoms of the illness. There’s also head and eyelid heaviness. Additionally, the pulse is sluggish. Gelsemium also works well when a person experiences a sharp drop in blood pressure due to emotional arousal. Some things, including any negative news, fear, unexpected grief, and others, might induce emotional excitation. If you have chronic low blood pressure-related dizziness, Viscum Album is a good medication to take next. The pulse is feeble and small. Additionally, a dull, aching ache in the head manifests. These medications guarantee full recuperation and stimulate sluggish circulation.

2. For Hypotension Following Sun Exposure

Glonoine and Natrum Mur are effective medications for lowering blood pressure after sun exposure. Glonoine is one of the greatest treatments for low blood pressure following sun exposure. Following sun exposure, symptoms like fainting, head heaviness, and dizziness indicate it. An upright attitude is used to indicate vertigo. When headache, fatigue, nausea, and vomiting occur after prolonged sun exposure, Natrum Mur is the next medication chosen. A weak, sluggish pulse lowers blood pressure. These medications can be taken repeatedly when treating low blood pressure in an emergency.

3. For Dehydration-Related Low Blood Pressure

Carbo Veg and China are two of the best medications for low blood pressure following dehydration. These two medications aid in raising blood pressure. When severe diarrhea with dehydration is the culprit, these blood pressure medications work well. There are episodes of fainting and a noticeable weariness. There is hypotension. The pulse is feeble, sluggish, and frequently undetectable. The body is sweating and feels cold to the touch. The individual displays a photo of a collapse. When taken on schedule, these medications assist in bringing blood pressure back to normal.

4. For Low Blood Pressure after Blood Loss (Hemorrhage)

Ferrum Met and China are the most commonly prescribed medications for low blood pressure that follow blood loss. These herbal remedies aid in the full recovery from blood loss-induced hypotension. Individuals requiring these medications exhibit low blood pressure along with noticeable fatigue and debility. Vertigo and dizziness are other complaints. The pulse is tiny, irregular, weak, and feeble. In some individuals, significant anemia is prevalent. To treat hemorrhage-related hypotension, these medications function like a tonic.

5. When the diastolic pressure is low
When particularly used to lower diastolic blood pressure, Baryta muriatica is among the finest medications for low blood pressure. There is a noticeable lassitude and heaviness in the head in the morning. Baryta muriatica is extremely beneficial for elderly patients with hypotension. In addition to head heaviness, limb weakness is frequently reported. When Baryta Muriatica is recommended, the pulse is likewise sluggish and, in certain cases, undetectable.

6. For Low Blood Pressure Associated with Heart Valve Issues

Two crucial drugs for valvular heart problems that cause low blood pressure are Naja and Viscum Album. Naja and Viscum Album are very helpful medications for hypotension associated with heart valve issues. When the pulse is weak, tiny, or irregular, they are recommended for low blood pressure. Additionally, complaints are made of weight and oppression around the heart. There may also be palpitations.

When to Seek Medical Attention

Low blood pressure usually doesn’t need fast medical help, especially without symptoms.1 Yet, there are moments when quick healthcare is vital:

  • Sudden, severe drops in blood pressure
  • Symptoms of shock include confusion, cold/clammy skin, rapid breathing, and weak pulse8
  • Dizziness, lightheadedness, or fainting that makes it hard to do normal things1
  • Ongoing, unexplained low blood pressure readings

When low blood pressure symptoms are severe, it can be deadly.8 It’s crucial to visit a doctor for a checkup. They can find the problem and start the right treatment.

If you feel faint and confused, with a weak pulse and strange breathing, get help fast.8

At the ER, doctors will check your heart, blood pressure, and more if you have dangerously low blood pressure signs.8

Outlook and Living with Low Blood Pressure

Many people don’t find hypotension a big issue if it doesn’t show any symptoms. Some even have naturally low readings without problems.7

But, hypotension can be a concern. It’s risky if it is sudden, severe, or has worrying signs. Talking to a doctor to find and treat the cause is crucial.7

Most people can be healthy by managing their blood pressure wisely through lifestyle adjustments, medications, or treating other illnesses. The main thing is to monitor it, know what might affect it, and get help when needed.

Conclusion

Low blood pressure, also known as hypotension, is quite common. It may occur for many reasons, such as health issues or how we live. It can be silent, but big or sudden drops are risky. They need quick medical help.9

Gaining knowledge about low blood pressure helps. People can then create a smart plan with their doctors or nurses. This plan could mean changing habits, using medicines, or fixing other health troubles that might cause low blood pressure.10

Many people can stay healthy with low blood pressure if they get the right care. It is key to know about the issue, understand when to get help, and stop problems before they start.10

FAQ

What is low blood pressure?

Hypotension occurs when your reading drops below 90/60 mm Hg. Numerous potential causes, such as health conditions, medications, or lifestyle choices, can cause it.

What are the different types of low blood pressure?

Types include orthostatic, postprandial, neurally mediated, and system atrophy with orthostatic hypotension. Each type has its own causes and treatments.

What are the most common symptoms of low blood pressure?

Common signs are feeling dizzy, seeing things unclearly, and extreme tiredness. You might also feel queasy or not think clearly. In bad cases, your skin can be cold and moist, and your breathing and heartbeat can change.

What are the potential causes of hypotension?

Many things can bring it on. Health problems, drugs, and some risks play a part. Heart or gland problems, losing blood or fluids, and serious allergies are some health causes.

Drugs for blood pressure or mood and some Parkinson’s medications can also lower it. Being older, dehydrated, or having a baby can increase your risk, too.

What are the potential complications of low blood pressure?

Fainting and falling are common. Severe drops in blood pressure can harm the heart and brain. It might cause shock, a life-threatening condition.

How is low blood pressure diagnosed?

Doctors will examine you and your history first. They’ll measure your blood pressure in different positions. Tests like EKGs or checking your heart for a day can help, too.

How is low blood pressure treated?

Many can manage through lifestyle changes. This might mean more salt and water, less drinking, staying active, and not staying up too long. Sometimes, medications like fludrocortisone or midodrine are necessary.

Are certain populations more prone to low blood pressure?

Yes, the elderly and pregnant women are more at risk. Age and health problems make it harder to control blood pressure for the elderly.

Pregnancy changes can cause blood vessels to expand quickly, dropping blood pressure. This is more common in the first 24 weeks.

How can low blood pressure be prevented?

Though you can’t always avoid it, certain measures help. This includes enough water and salt, slow movements, and staying active. It’s also important to treat any health problems you have.

What adjustments can people with low blood pressure make in their daily routine?

To lessen symptoms, move cautiously from sitting or lying to standing. Also, eat and exercise in ways that keep your blood pressure steady.

Can natural remedies help with low blood pressure?

Some find relief in herbs like licorice or activities like yoga. But always talk to your doctor first. Natural remedies might not mix well with your meds.

When should someone seek medical attention for low blood pressure?

Seeing a doctor is really important if your blood pressure drops suddenly and makes you feel like you might pass out. It’s also vital if it keeps happening with no clear cause. These signs could mean a serious problem.

Holistic Treatment for Low Blood Pressure in Philadelphia

You must follow a healthy lifestyle to prevent hypotension. Take routine blood pressure measurements to ensure that there is no abnormality. If you do suffer from high blood pressure, contact your doctor immediately. The above-mentioned natural remedies for hypotension can help you fight this condition.

For a professional approach to holistic remedies for hypotension, contact the Philadelphia Holistic Clinic at (267) 403-3085 and schedule your first appointment with Dr. Tsan. Under his supervision, the best homeopathic, acupuncture, and hypnosis practitioners work under one roof, providing holistic treatment.

Source Links

  1. https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/symptoms-causes/syc-20355465
  2. https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/low-blood-pressure-when-blood-pressure-is-too-low
  3. https://www.webmd.com/heart/understanding-low-blood-pressure-basics
  4. https://www.mayoclinic.org/diseases-conditions/low-blood-pressure/diagnosis-treatment/drc-20355470
  5. https://www.healthline.com/health/hypotension
  6. https://www.healthline.com/health/low-blood-pressure-diet
  7. https://www.medicalnewstoday.com/articles/319506
  8. https://www.medicalnewstoday.com/articles/when-is-low-blood-pressure-an-emergency
  9. https://www.ncbi.nlm.nih.gov/books/NBK499961/
  10. https://www.healthdirect.gov.au/low-blood-pressure-hypotension