How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Chip Your Own Question

Dr. Chip
Dr. Chip, Board Certified Physician
Category: Medical
Satisfied Customers: 26808
Experience:  20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
18722459
Type Your Medical Question Here...
Dr. Chip is online now

Why does my BP collapse every few weeks (70/30 typical)?

Customer Question

Why does my BP 'collapse' every few weeks (70/30 typical)? I have to go to A&E, nothing is done save put me on a saline drip and stop my amlodipine (5mg) and thyroxine (150 micro gms) tablets for 24 hours when my BP returns to normal and I am sent home
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Chip replied 2 years ago.
Hi--when did this first happen and have you had a full cardiac workup?
Customer: replied 2 years ago.

Had stent fitted to cardiac artery Oct 12. This phenominon started about Jan 13, and happens about every 2 months.


 


I do not know what a 'a full cardiac workup' is. I have no faith in my local hospital or my consultant. What is the best cardiac investigative unit, and who is the best girl/guy there?

Expert:  Dr. Chip replied 2 years ago.
Let me ask some more questions first Shirley. Have you had your thyroid functions and cortisol levels checked?
Customer: replied 2 years ago.

Complete thyroidectamy after thyroid cancer. Thyroid function test with thyroid oncologist every 12 months - keeping my T4 and T3 levels high so that there is no call on any remaining thyroid material to produce as this may stimulate more thyroid cancer.


 


As far as I know never had a cortisol level check - do not know what this is.

Expert:  Dr. Chip replied 2 years ago.
An adrenal gland hormone that does affect blood pressure when it's low. I understand the trying to keep the T4 and T3 levels high but what are you taking to do that?
Customer: replied 2 years ago.

I am taking 175mg /150mg of levothyroxine on alternate days to ensure high T4 and T3 and low TSH

Expert:  Dr. Chip replied 2 years ago.
OK Shirley--and we can continue after this if you'd like. Your TSH is the key here and unless it's around 1.0 or less you are still basically hypothyroid and that could be the blood pressure problem. Alternately, you need your cortisol levels check since as I said it can cause a low blood pressure problem, especially if you needed fluids when you were in the ER. So you need to discuss all this with your doctor

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Last | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions