low blood pressure
 

Lately when I got my vitals taken at inpatient I had low blood pressure(typically 90 something over 60 something or lower) and today while I was playing wuffle ball with my mom I got lightheaded and had to sit. I also had this problem before I was on most of my medications. During choir concerts/rehersals I'd woble a little because I got lightheaded. I feel my heart pounding in my chest once I sit down. I don't have many other symptoms besides shaking hands and weak knees when this happens.
Should I talk to my med provoider/doctor about my blood pressure issues? Typically my lightheaded episodes happened when my blood pressure got to low. It happened before when they were taking my vitals and it was like 88/56 or something near that. On the first take is was 91/76 and then when they went to retake it, it was even lower, and I noticed a difference in the take. My vision got blurry and I felt like the world was spinning around me.
Any ideas what could be happening to me too? I know this isn't a website for medical diagnosis, but I just want ideas of what my doctor could think? I know orthostatic hypertension is a possibility, and so is the condition POTS(Postural Orthostatic Tachycardia Syndrome). But it'd be good to hear some other ideas!
Thanks,
Maddie

Re: low blood pressure
 

Re: low blood pressure
 

Re: low blood pressure
 

I try to stay as hydrated as I can, though I lack at it, so it could be that.
ANd a small, portable fan would be a really smart idea, I might have to steal that from you, thanks.

Re: low blood pressure
 

Hi Maddie,

Thanks for sharing what you’ve been going through — that definitely sounds concerning and uncomfortable, especially when it's affecting everyday things like choir or just playing a game with your mom.

You’re absolutely right to be thinking about bringing this up with your doctor. Consistently low blood pressure readings like 88/56 combined with symptoms like lightheadedness, blurry vision, shaking, and a racing heart can be signs that something needs further investigation.

Like you mentioned, POTS (Postural Orthostatic Tachycardia Syndrome) and orthostatic hypotension are both possibilities, especially since your symptoms seem to worsen when you're standing or being active. But there are other things your doctor might consider too, like:

Dehydration or electrolyte imbalance, especially if it’s hot or you haven’t eaten/drunk enough.

Medication side effects, even if you've had symptoms before starting — some meds can lower your blood pressure more than intended.

Low blood sugar (hypoglycemia), which can cause similar symptoms.

Vasovagal syncope, a common cause of fainting and dizziness, especially in younger people.

Anemia or other underlying conditions that affect how oxygen moves through your body.

Endocrine disorders, like adrenal or thyroid issues.

It’s good that you’re tuned in to how your body feels — that’s super important. Make sure to keep track of your symptoms (when they happen, how long they last, what you were doing, etc.) and bring that log to your provider. That info can help guide testing or referrals (like to a cardiologist or neurologist, if needed).

Wishing you clarity and answers soon. And yes — definitely advocate for yourself. You deserve to feel well and steady ��

Take care,

Re: low blood pressure