Best Doctors for Orthostatic Hypotension in Chennai

Types/Stages of Orthostatic Hypotension

Orthostatic hypotension is classified into the following types:

• Initial Orthostatic Hypotension: A fast drop in blood pressure within 15 seconds of standing. This type often affects individuals with nervous system disorders.

• Delayed Orthostatic Hypotension: In this type, the fall in blood pressure happens after 3 minutes of standing. It is often linked with ageing.

• Postprandial Orthostatic Hypotension: This type implies a decrease in blood pressure after eating a meal. The digestive process diverts blood to the stomach leading to reduced blood flow to the brain and a consequent fall in pressure.

• Secondary Orthostatic Hypotension: This occurs due to underlying conditions such as diabetes or Parkinson’s disease or due to certain medications or dehydration.

Symptoms of Orthostatic Hypotension

The symptoms of orthostatic hypotension can vary depending on the individual and severity of the condition:

• Dizziness or lightheadedness when standing up

• Fainting or momentary loss of consciousness

• Blurred or fuzzy vision

• Weakness, particularly when changing positions

• Confusion and difficulty concentrating

Tests to Diagnose Orthostatic Hypotension

The doctors for orthostatic hypotension use several diagnostic tests, such as:

• Physical Examination: It involves checking for signs of low blood pressure and assessing the patient’s overall health.

• Orthostatic Vital Signs Measurement: Measuring blood pressure and heart rate in various positions such as lying down, sitting, and standing.

• Tilt Table Test: This involves tilting the patient’s body at different angles while monitoring vital signs.

• Blood Tests: To check for factors affecting blood pressure regulation such as electrolyte levels, blood sugar levels, and anaemia.

Treatment or Surgery Options for Orthostatic Hypotension at Apollo Hospitals Chennai

The best doctors for orthostatic hypotension treatment at Apollo Hospitals Chennai offer a tailored treatment plan based on the underlying cause and severity of the condition:

• Lifestyle Modifications: These may include increasing fluid and salt intake, wearing compression stockings, and avoiding triggers such as heat.

• Medications: Drugs like fludrocortisone or midodrine may be prescribed to help raise blood pressure.

• Physical Manoeuvres: Certain techniques such as leg muscle tensing or crossing legs while standing can help improve blood pressure regulation.

• Surgery: In rare cases, surgery may be needed to address underlying conditions causing orthostatic hypotension, such as heart valve problems.