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tokio
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Posted 1 Year, 5 Months ago Linkback
I know this topic was just addressed, but the circumstances are different. I am a 20 year old female. In the past two years, I have lost 90 lbs. and currently fluctuate between 130-140 at 5'4". I exercise regularly and my diet is moderate. I do smoke a lot, and I do drink caffeine on a daily basis. I drink, on average, maybe once or twice a month. I experience migraines and recently my vision began blurring, although this may be due to my previous job working with computers. I also have dizzy spells maybe once every two weeks.

Now that medical history is out of the way, I've been monitoring my blood pressure over the past year. The highest it has been was 109/67, which was actually after invasive surgery.

Today I took it and the average reading was 83/54 with a pulse of 70. It's been this way for a while now. Should I be worried?
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Saskia
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Posted 1 Year, 5 Months ago Linkback
Tokio, welcome to the forum

This you could be asking here, but don't you honestly think that the only one giving you a reliable answer would be your physician?

I would hate to give you the wrong information based upon what 'is known' publicly.

I do think with a blood pressure like that you should get to know the underlying factors for such, and hopefully solve hem
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Mjsimmons510@hotmail.com
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Posted 1 Year, 2 Months ago Linkback
People typically post on a site such as this because they - like us - have been woefully disappointed by the "help" they have received at the hands of AMA medical industry "professionals".
If we could get functional and timely answers from medical professionals we wouldn't resort to fishing around on the internet in hopes of finding some sort of solution to a problem that - yes - a GP should be addressing easily.
I'm sorry that we must look here for answers, but inappropriately advising us to seek medical advice from our doctors is quite frankly, patronizing at best.
I understand what you are attempting to accomplish by inserting that caveat, but it only serves to frustrate your readers by reminding them of what they are already acutely aware of : that the state of medical care in this nation is so woefully inadequate, we are reduced to getting our answers from each other in a grassroots online movement to circumvent of problems with the medical care system and getting on with the pressing need of healing ourselves! If you can assist us in that, by all means do so, but please, no references to "if this is a medical emergency please hang up and call 911" or any other similarly patronizing caveats.
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Saskia
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Posted 1 Year, 2 Months ago Linkback
Oh wow, mjsimmons I never meant it patronizing. Perhaps all this is clear for who's living in the U.S. but here, in Israel, if one has a medical problem one runs to one's physician and DEMANDS all information, check-ups, tests and everything related to the problem's solution.

I am sorry to hear that the medical system in the U.S. isn't the same
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Average Jane
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Posted 7 Months, 3 Weeks ago Linkback
Low blood pressure and weight loss can be a sign of adrenal insufficiency. Sometimes it is the only sign for a very long time, the other symptoms come at a very slow rate and the progression is insidious until the patient is in a state of vague but certain unwellness. It is something to look into and I would start by request to have my electrolytes checked and getting an ACTH stimulation test. Do not accept being only given a morning cortisol reading, it is a commonplace error, driven by cost consciousness, -- morning cortisol levels will often read within the normal range even when there are issues. If your ACTH stimulation comes back low, or your electrolytes are off, you should be referred to and treated by an endocrinologist.

As an aside: I don't see what the issue is with a reply like this either. If someone asks like this to ask a question they should be given at least a measure of a reply and not a brush off -- which is what occurred here. It has nothing to do with what country we live in either.
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stuart
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Posted 7 Months, 3 Weeks ago Linkback
This was a very old thread that has grown new life.

I think it's important to stress that in providing answers to questions, that we are not doctors. That, at least in most countries, it is actually illegal to provide a diagnosis in someone else unless we are licensed medical practitioners,

Moreover, no medical practitioner worth his salt will provide you with a diagnosis without seeing you face to face except in the rarest of circumstances.

So, the goal here is to provide information, and it must come with a disclaimer that we are NOT doctors (don't even play one on TV!) and the information is not intended as a diagnosis. If someone posts a question where like in this case, they have very low blood pressure, and it seems stable then there are a large number of possible causes. I might suggest some obvious ones, but the way to find out for sure is to talk with a doctor. If someone posts with a dangerous condition, I am going to say "Call 911 if you have an event again" because that is the correct thing to do ... not because I don't want to provide an answer.

Sometimes the answer would be a diagnosis - certain kinds of chest pains are, for example, the pains of a heart attack. I am not legally qualified to provide a diagnosis. Therefore, I'm going to suggest that they contact their doctor with urgency and that if the pains strike again, forget the doctor and call 911 to get to the hospital! Don't drive yourself.

It's a moral and legal dilema ... you know somebody is seriously ill so you want them to get help and above all else you don't want them to die, but you can't "diagnose" them. So, you provide some information that may be related along with a warning to see a doctor or hospital. It's not about fobbing them off.
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