Hypo and hypertention? 149/59

Patient : Hi I'm a 27 year old female whos athletic and eats well. I had a blood pressure of 149/59 and heart rate of 50 at the dentist the other day. I have symptoms of low blood pressure sometimes but how can i be hypo and hypertension and what should i do?
Symptoms:  fatigue, lightheaded upon standing or randomly, heart beat races randomly
Doctor :   Thank you for your questions. Fluctuations in blood pressure between hypo- and hypertension can be caused by different e tioligies. One of the possibilities is due to hormonal fluctuations such as in thyroid hormone. Certain medications can cause fluctuations in blood pressure such as Lithium. Lithium can cause a condition called neuroleptic malignant syndrome, wherein fluctuations in blood pressure is a symptom. we recommend that you have your doctor evaluate you for any of these possible causes for your changes in blood pressure. Thank you for choosing askthedoctor.com

Comments / Follow Ups

Patient: I did not mention that my abnormal blood pressure changes have been occurring for a couple years now so luckily neuroleptic malignant syndrome is not the case. Today my blood pressure was 120/68 then two hrs later 108/60 accompanied by fatigue and lightheadedness. I'm having a full blood panel done including t3 and t4 so hopefully that brings some answers!

Related Q&A

Q: Hi...I amm 37 male...was detected with Vitamin D Deficiency Level is only 8.....Doc gave me DV 60k once a week for tw...

Q: I need my MRI results to be looked at, do i have MS is it possible?

Q: My wife is 52 and generally healthy. She recently became confused at a Walmart and could not figure out how to get to...

Q: Hyperextended my knee two days ago and have been in pain. Knee locked up on me last night when trying to stand up fro...

Q: I have idiopathic cranial hypertension and I have a trip planned for Cusco and Machu Picchu. Is it dangerous to go to...


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon