1. < Heart & Blood Health

Is anyone dealing with postprandial hypotension?

Posted by anet @anet, Jul 5, 2023

My husband’s blood pressure drops after meals sometimes. He had never passed out, but it is scary, He just feels weak. On one occasion his BP was 75/60. He has CKD and also had aortic aneurysm surgery a year ago. His blood pressure fluctuates up and down quite often, but then will be normal for a week at at a time. His kidney doctor has him taking 2.5 mg of lisinopril when his BP is over 130. Just wondering how others treat this condition. We are seeing his cardiologist this week.

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John, Volunteer Mentor | @johnbishop | Jul 5, 2023

Hi @anet, There is another discussion started by @bumble81 who mentioned having postprandial hypotension here - Digestive issues, weird sensations: https://connect.mayoclinic.org/discussion/digestive-issues-weird-sensations/. @stefspad, @elizabej and @bonnieb81 have mentioned postprandial hypotension in other discussions and may have some thoughts or experience to share with you.

You didn't mention your husband has any abdominal pain after eating but I thought this article sounds similar to what you describe is happening after your husband eats a meal.
""Can low blood pressure cause abdominal pain? — If you feel abdominal pain and dizziness after eating, it may be because your blood pressure hasn't stabilized. This sudden drop in blood pressure after a meal is called postprandial hypotension. Normally, when you eat, blood flow increases to your stomach and small intestine." — What's Causing My Abdominal Pain and Dizziness? – Healthline: https://www.healthline.com/health/abdominal-pain-and-dizziness.

Hoping his cardiologist can find some answers at your husband's appointment this week. Are you able to provide an update after his appointment?

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1 reply
anet | @anet | Jul 10, 2023
In reply to @johnbishop "Hi @anet, There is another discussion started by @bumble81 who mentioned having postprandial hypotension here -..." + (show)
@johnbishop

Hi @anet, There is another discussion started by @bumble81 who mentioned having postprandial hypotension here - Digestive issues, weird sensations: https://connect.mayoclinic.org/discussion/digestive-issues-weird-sensations/. @stefspad, @elizabej and @bonnieb81 have mentioned postprandial hypotension in other discussions and may have some thoughts or experience to share with you.

You didn't mention your husband has any abdominal pain after eating but I thought this article sounds similar to what you describe is happening after your husband eats a meal.
""Can low blood pressure cause abdominal pain? — If you feel abdominal pain and dizziness after eating, it may be because your blood pressure hasn't stabilized. This sudden drop in blood pressure after a meal is called postprandial hypotension. Normally, when you eat, blood flow increases to your stomach and small intestine." — What's Causing My Abdominal Pain and Dizziness? – Healthline: https://www.healthline.com/health/abdominal-pain-and-dizziness.

Hoping his cardiologist can find some answers at your husband's appointment this week. Are you able to provide an update after his appointment?

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He does not have any pain. Just the drop in BP and sometimes gets a little wobbly. The cardiologist decreased his BP medication. He has cardiovascular disease and a slow heart rate. After eating his body directs blood to his digestive system. That causes the drop in blood pressure for a few hours. He has a low heart rate anyway and his heart has to try to speed up and try to get the BP back up. Doctor is doing more tests and says he may need a pacemaker.

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