RE: Orthostatic hypotension.....

[Guest guest]

This sounds to be3 adrenal - with blood pressure dropping

because you are probably getting up too quickly. This happens to me when I wake

in a morning and as soon as I sit up in bed to get out, my head goes dizzy. I

have learned to sit up very slowly, and then sit for a little while, before

putting my legs over the bed. I sit like that for a few moments and then stand

up and everything is OK. However, if I want to go to the loo quickly, I often

forget, and almost crash out on the floor with a dizzy head. Could be something

similar. Take your BP when lying down - keep the cuff in place, and then stand

up and take it again. See if this drops by several points.

Luv - Sheila

I wasn't sure whether to post this on chat, or

the main board. It is possibly an adrenal or thyroid symptom, so I put it on

the main board in case it helps anyone.

For some time now, I've been having problems with what I believe is orthostatic

hypotension - I feel much better when lying down than standing up, and my pulse

rate shoots up when I'm standing, and my right eye goes funny (it wants to

shut), Often, my vision goes blurry or I get double vision and I get bad

anxiety. This happens more or less every morning: I feel fine when waking, but

as soon as I wake up, then I have only a few minutes before I feel bad. It

feels like the blood drains from my head (or doesn't get there in the first

place).

I have been trying to find out why and what I can do about it for some time

now.

I found this link, where it mentioned 'Impedance Threshold Devices' -or ITDs.

These are a kind of breathing device. http://www.oiresource.com/index.htm

I managed to find an ITD sold by Boundtree.co.uk http://boundtree.co.uk/resqgard-complete-kit?keyword=resq & category_id=0

It works by:

How does the ResQGARD® work?

During inspiration, a negative pressure (created from expansion of the thorax)

draws air into the lungs. When inspiratory impedance is applied to the

breathing circuit, it enhances the negative pressure (vacuum) in the chest,

which pulls more blood back to the heart, resulting in increased preload and

thus, enhanced cardiac output on the subsequent cardiac contraction. The

ResQGARD® can be used on a facemask or with a mouthpiece.

I got the ITD today, and am trying it. It is early days, and i have had quite a

few times in the past where i thought 'this is helping me' and then it turns

out that 'no it hasn't'. Other things that might help orthostatic intolerance

are abdominal binders, and also fludrocortisone, but as fludrocortisone might

have other effects, I wanted to try this approach first.

has anyone else used one of these things?

Chris

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[Guest guest]

Thanks Sheila

I think you are right. Previously i've also considered it could be adrenals

(and a few other things).

When i saw Dr TH, he said my symptoms indicated I needed florinef, but my tests

weren't too bad, was i sure i'd not done these tests on a very active day he

asked. He asked me how my blood pressure was, and I said i was told it was a

bit up, so he said he couldn't give me florinef, but i don't think he checked BP

(must have been an oversight). afterall my idea of high bp may not be his?

I have stopped smoking recently, smoking actually helped this condition i think,

in any case that'll help BP which I don't think was high.

As a test, I took .05 Fludrocortisone this morning, before getting up. And it

did make things a whole lot better. I didn't have the squinted right eye thing

going on, which was nice, nor did i have a kind of anxiety attack, which was

good too. Incidentally, the mask i mentioned below temporarily relieved the eye

thing when I breathed in through it.

i had no idea you also had a similar problem. sometimes my legs have just given

way from under me, like in the lift at work last week. do you find that this

problem affects you less as the day goes on??

I found my problem was better if i got up very slowly like you describe.

oh and i looked at this,

http://www.hertoghe.eu/patients/index.php?option=com_content & view=article & id=131\

& Itemid=89 & lang=en

Aldosterone defic

iency

When STANDING UP OR SITTING

Concentration

Drowsiness, zombie-like feeling

Easily distracted, absent-minded

Day dreaming

Difficulty focusing on tasks

Feels better in head when laying flat on a bed or moving all the time

Vision

Troubled vision with difficulty to focus on objects and tasks when standing

The last one was especially true, i was getting double vision, well triple

vision at times, i had to struggle to focus...as well as keep my eye open....

case closed?

chris

>

> This sounds to be3 adrenal - with blood pressure dropping because you

> are probably getting up too quickly. This happens to me when I wake in a

[Guest guest]

Hello Dr Hertoghe

also gives a list of the 'signs' in my book " The Hormone Handbook " of

-

Pale face, a drowsy

absent-minded look, low blood pressure, below 110/60, orthostatic hypotension:

check for it by taking the blood pressure lying down and immediately after

standing up. A difference of more than 10mm/Hag is labelled as orthostatic

hypotension. Hollow face, sharp wrinkles, eyes deep in orbit, soft eyes (eye

ball feels soft to pressure because of low eyeball pressure). Tongue with teeth

marks visible at tongue borders (tongue indentations). Skin tenting-prolonged

stiff skin fold after pinching the skin of the back of the hand.

Several diseases

may be aggravated or possible caused by the dehydration that accompanies

aldosterone deficiency. In particular cardiovascular disease (thrombosis,

coronary heart disease), rheumatoid and digestive diseases, and possibly Alzheimer's

dementia.

Lab tests required:

sodium Potassium, Aldosterone (after activity) and then laying down. Sodium

Potassium, Phosphorus and Aldosterone.

Medications for

Aldosterone deficiency: Oral: (alpha-flurohydrocortisone (flurocortisone such

as Florinef) 50-200 ug/day. Most frequent starting dose is100 ug/day.

There are two

exceptions to the rule. Patients with a tendency to swell or who suffer from

arterial hypertension should not receive aldosterone or should start at lower

doses. Patients with severe low blood pressure (90mmHog of systolic blood

pressure) may start at 125/150 ug per day.

Caution is

recommended with individuals whose feet, ankles and/or hands easily swell, or

who have high blood pressure, as these are all signs that may exacerbate with

aldosterone replacement without significant benefit from the therapy. Patients

who tend to swell or have high BP should not take fludrocortisone nor

aldosterone, or if they do, should start on doses as low as 25 to 50ug per day

and then after 10 days cautiously increase the daily dose by 25ug every 10 days

up to 100 ut unless the patient shows signs of excess.

However, he goes on

to say how you can naturally boost aldosterone: East sufficient salt. Drink

sufficient water. Eat adequate calories. Eat sufficient protein and (unburned

cholesterol-containing red meat, poultry, eggs. Eat organic foods (pesticides

damage the adrenal glands and thereby reduce aldosterone secretion). Take

breaks through the day lying down if possible. Move regularly, do not stand or

sit in the same position for a long time. Avoid exposure to prolonged stress, including

intensive sports.

Luv - Sheila

Feels better in head when laying flat on a bed or moving all the time

Vision

Troubled vision with difficulty to focus on objects and tasks when standing

The last one was especially true, i was getting double vision, well triple

vision at times, i had to struggle to focus...as well as keep my eye open....

case closed?

chris

>

> This sounds to be3 adrenal - with blood pressure dropping because

you

> are probably getting up too quickly. This happens to me when I wake in a

No

virus found in this message.

Checked by AVG - www.avg.com

Version: 2012.0.1913 / Virus Database: 2114/4893 - Release Date: 03/25/12

[Guest guest]

Thanks Sheila

I am thinking florinef may not be for me. I feel very depressed today, much

like i felt when i first started HC. However, I have lost the strange feelings

and the visual problems, but got depression instead! I took 0.5mcg, so a low

starting dose.

Maybe the diet stuff could help, i don't know. but the absolute worst worst

worst time of the day is the morning, i was always ending up very panicky.

http://www.newtreatments.org/fromweb/licoriceconversation.txt

Capt Wms: I added 3 mg of hydrocortisone to my licorice and

became depressed within 3 days. What's going on here?

Dr. Baschetti:

It is not surprising that you began to feel depressed after

taking hydrocortisone. As I wrote in my fax of 28 April, you

might need hydrocortisone " within a few months " , not now. Your

hypocortisolemia lasted 20 years. As a consequence, your

glucocorticoid receptors (GR) have an enhanced sensitivity. This

explains why for some months even small doses of hydrocortisone

added to licorice, which greatly potentiates its action, may

result in effects similar to those produced by hypercortisolemia,

a typical abnormality of depressed subjects.

> >

> > This sounds to be3 adrenal - with blood pressure dropping because

> you

> > are probably getting up too quickly. This happens to me when I wake in a

>

>

>

> _____

>

> No virus found in this message.

> Checked by AVG - www.avg.com

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>