high/low blood pressure

[lellieh]

Hi
I am new here, so hello if you are reading this, its nice to meet you.
I am looking for help with a problem my 21 year old daughter has had for about 2 years.
She passes out during/straight after exercise, she also feels faint at other times with no pattern, and passes out with no pattern obvious.
She was on the combined oral contraceptive pill but after a visit to the clinic was taken off immediately due to seriously high blood pressure.
She has had blood tests and all was fine, she has had a 24hour blood pressure which was a little low but ok, she has had a ECG and her heart was fine, she has been given a prescription from the hospital for pills to raise her blood pressure for the short term and hopes that she will grow out of it.
We did not want to take the pills as we don't think it is an answer.
And after another visit to the clinic recently she was told her BP was way too high again (glad she isn't on the pills to raise her blood pressure even higher), and yet today at a lecture she felt faint and passed out (Low blood pressure?)
It all seems very up and down, either too high or too low? I thought exercise raised your heart rate not lowered your BP but I am not an expert.
The hospital now want to do a treadmill test which she is dreading as she always faints on the treadmill, but she will go as we have to see if we can find any answers.
She is a healthy weight, eats well, always has breakfast, lunch and dinner and is not on any other medication.

Does anyone here have any idea what could be the problem??
Thanks so much in advance.
xxx

[lellieh]

Thank you for your reply, she has had a couple of ECG's which looked normal, but she passed out again just this week, but has also been told again that she can not go back on the contraceptive pill as her blood pressure is too high! I am so confused by it all. Off to te hospital again in December so will let you know. Thank you for your advice, I will keep it in mind when we go to the hospital. Thanks

[Paderla Anitha, DNB]

Hello, the fluctuations could be due to many causes from hormonal to heart rhythm disorders. Did she have an ECHO done? Sometime problems with the heart valves can cause varied output from the heart leading to syncope. Pheochromocytoma is another condition which can cause wild fluctuations in blood pressure with normal blood pressure in between spells. A pheochromocytoma is a rare, catecholamine-secreting tumor derived from chromaffin cells. It is a tumor of the adrenal glands. Am just cautioning you, it could just be that she is taking inadequate fluids, but its better to keep these conditions in mind and discuss these with your doctor when you happen to meet him next time. Good luck with her therapy.