Best Doctors for Orthostatic Hypotension in Delhi

Types/Stages of Orthostatic Hypotension

Orthostatic hypotension can be categorised into the following types:

• Initial Orthostatic Hypotension: Commonly observed in individuals with nervous system disorders and characterised by a rapid drop in blood pressure within 15 seconds of standing up.

• Delayed Orthostatic Hypotension: This type is associated with ageing and cardiovascular conditions and is characterised by a blood pressure drop that occurs after 3 minutes of standing.

• Postprandial Orthostatic Hypotension: This is marked by a drop in blood pressure after eating, especially a heavy, large meal.

• Secondary Orthostatic Hypotension: This occurs as a result of underlying conditions such as diabetes or neurological disorders. It can also be caused by certain medications or dehydration.

Symptoms of Orthostatic Hypotension

The symptoms of orthostatic hypotension can range from mild to severe and may include:

• Dizziness or lightheadedness when standing up

• Fainting or syncope due to sudden blood pressure drop

• Blurred or blackened vision

• Weakness or fatigue, especially when changing positions

• Confusion or difficulty concentrating

Tests to Diagnose Orthostatic Hypotension

To diagnose orthostatic hypotension, general doctors for orthostatic hypotension may use a combination of the following tests:

• Physical Examination: To check for signs of low blood pressure and assess the patient’s overall health.

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

• Tilt Table Test: To evaluate changes in blood pressure and heart rate in response to body position changes

• 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, Delhi

At Apollo Hospitals, Delhi, doctors for orthostatic hypotension offer multiple treatment options depending on the severity of the condition:

• Lifestyle Modifications: Increasing salt and fluid intake, wearing compression stockings, and avoiding triggers such as hot environments can help manage the condition.

• Medications: Prescription medicines, such as fludrocortisone and midodrine, may help raise blood pressure or improve symptoms.

• Physical Manoeuvres: Techniques such as tensing leg muscles or crossing legs while standing may help improve blood pressure regulation.

• Dietary Adjustments: A well-balanced diet and avoiding large carbohydrate-rich meals may prevent postprandial hypotension.