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Can loss of balance occur due to high blood pressure?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

Since four years, I am having high BP. I am taking Met XL 50 now and my BP is around 112/82 mm of hg . Sometimes, I have episode of headache and sweating. I feel like I am going to fall. When I check BP during that time with digital machine it shows it around only 112. Does this happen because of BP? Some people say digital machine does not show accurate reading. What should I do now?

Answered by Dr. Barot Margi Jayprakash

Education:

MBBS

Professional Bio:

Dr. Barot Margi is a dedicated General Practitioner with clinical experience in providing holistic healthcare. She specializes in treating both acute and chronic illnesses while offering preventive care and health education to her patients. Dr. Margi is skilled in managing undifferentiated diseases at an early stage, often requiring urgent intervention. Her areas of expertise include lifestyle disease management and women’s health, with a focus on long-term well-being.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

I can understand your concern. Yes, there are some variations seen in BP (blood pressure) readings while using digital device. So, to eliminate your doubt do one thing. After checking BP at home from your digital device try to verify it with manual machine. If both reading are same then it concludes that your BP is normal or I would rather say little bit low for your age. Now coming to your symptoms, weakness and giddiness as you described could be due to orthostatic hypotension (postural hypotension). It is fall in BP during upright position. I want you to measure your BP first in sleeping position. Then stand erect for 10 to 15 minutes and measure BP again. If there is fall of more than 20 in systolic then it confirmed it. When do you feel like you are going to fall? Do you feel dizzy lightheaded or you feel that everything around you is moving?. Do you have any earache or ringing in your ear? Any nausea or vomiting? Does it occur in some particular position and aggravate by movement? If answer to my above question is no and there is more than 20 difference in two reading then it is orthostatic hypotension. What is your pulse rate? My advice for your condition are to avoid sudden change in position when you change your position from sleeping to erect do it very slowly. As you have mentioned you are taking Met XL (Metoprolol) for high blood pressure, which is a beta blocker known to cause bradycardia. Your problem could be because of this also. Revert with the answer to assist further. Thank you and take care. Regards.

Medically reviewed by Dr. K. Shobana
Published At January 12, 2016
Reviewed At February 16, 2024

Education:

MBBS

Professional Bio:

Dr. Barot Margi is a dedicated General Practitioner with clinical experience in providing holistic healthcare. She specializes in treating both acute and chronic illnesses while offering preventive care and health education to her patients. Dr. Margi is skilled in managing undifferentiated diseases at an early stage, often requiring urgent intervention. Her areas of expertise include lifestyle disease management and women’s health, with a focus on long-term well-being.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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Education:

MBBS

Professional Bio:

Dr. Barot Margi is a dedicated General Practitioner with clinical experience in providing holistic healthcare. She specializes in treating both acute and chronic illnesses while offering preventive care and health education to her patients. Dr. Margi is skilled in managing undifferentiated diseases at an early stage, often requiring urgent intervention. Her areas of expertise include lifestyle disease management and women’s health, with a focus on long-term well-being.

This doctor is not available for online consultations on the platform anymore.

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