Many elderly hypertension patients were anxious to urinate at night and wanted to go to the toilet. They suddenly stood up and walked straight to the toilet. When they arrived at the toilet, they fell down. This phenomenon is commonly known as "dream in the toilet". How to avoid this situation?
The first thing you should note is that when you stand up from the lying position, don’t be in a hurry, don’t be in a hurry, sit next to the bed for a minute or two to allow the body to have an adaptation process. Then stand up and go to the toilet. For male patients, when urinating in the toilet, it is best to hold the wall or a firm support point of , so that even if blood pressure is reduced, it is not easy to fall. This is a common sense in life.
For orthostatic hypotension , we can also make self-diagnosis at home. First lie down for 10 minutes to measure the blood pressure in the upper arm. It is best to measure the average value twice; then stand up, and then measure the blood pressure in the upper arm for 1 minute, 3 minutes and 5 minutes, and compare the blood pressure changes between 1 to 5 minutes from the lying position to the erect position. If the systolic blood pressure of is greater than 20 mmHg and (or) diastolic blood pressure of drops more than 10 mmHg within 1 to 5 minutes of standing, it can be diagnosed as orthostatic hypotension of .
For severe orthostatic hypotension, you should go to the hospital as soon as possible. The doctor will find out the specific causes of orthostatic hypotension based on your situation. Some drugs may cause orthostatic hypotension, such as prazosin , doxazosin, etc., especially in the first few days of use, orthostatic hypotension is prone to . If so, your doctor will adjust the medication or dosage for you. If there are other reasons, the doctor may also give corresponding advice and treatment.
The author has clinically treated a 78-year-old male hypertensive patient. His self-tested blood pressure fluctuated significantly for 3 months. The patient's blood pressure in the sitting position in the clinic was 146/82 mmHg, 162/96 mmHg after 10 minutes of lying, and 120/82 mmHg after 3 minutes of lying. The difference between lying and systolic blood pressure and diastolic blood pressure is 42/14 mmHg, which confirms the diagnosis of erectile hypotension. In addition, the blood pressure after 10 minutes of lying position is 162/96 mmHg, which is also consistent with the diagnosis of hypertension in lying position. In other words, this patient has both lying hypertension and erectile hypotension, which is difficult to treat. Severe orthostatic hypotension is not a disease that can be cured at once and for a moment, and requires patients to cooperate closely with doctors' treatment.
[Expert Profile]
Suhai Nanchang University Second Affiliated Hospital Chief Physician, Second-level Professor, Doctoral Supervisor, and Special Allowance Obtainer of the State Council. He has been engaged in the clinical and research work of cardiovascular diseases for a long time and has rich clinical diagnosis and treatment experience. He is good at the diagnosis and treatment of various difficult cardiovascular diseases, such as hypertension , coronary heart disease , atrial fibrillation, pulmonary heart disease, congenital heart disease , arrhythmia , heart failure , etc. He has won the honorary title of "Popular Science Ambassador" in Jiangxi Province.
Author: Second Affiliated Hospital of Nanchang University Chief Physician, Professor, Doctoral Supervisor Su Hai
Edited by: Xiong Shu Liu Zhenghui
Reviewed by: Xie Tao
Issued by: Wan Hongxin
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