Postprandial evaluation - nOH after meals. Supine hypertension

[aspergerian13]

My motor skills shut down after meals and snacks.

Postprandial evaluation - nOH after meals.

The recommendations of a consensus panel for the screening, diagnosis, and treatment of neurogenic orthostatic hypotension and associated supine hypertension.

[Excerpts.] Postprandial evaluation.

Christopher H. Gibbons, Peter Schmidt, [...], and Horacio Kaufmann.

J Neurol. 2017; 264(8): 1567–1582.

ncbi.nlm.nih.gov/pmc/articl...

Post-prandial hypotension.

It should be noted that large meals, particularly those high in carbohydrates or associated with alcohol, can magnify the drop in blood pressure. Elderly persons are more susceptible to these effects [8]. If symptoms are more prominent postprandially, then measurement of orthostatic blood pressures before and after meals should be considered.

Diet.

In patients with OH/nOH, normal sympathetic activity cannot compensate for blood pooling within the splanchnic circulation after eating. With nOH, sympathetic vasoconstrictor nerve activity is deficient and many patients become severely hypotensive within 2 h of eating [8, 68].

It is important to recognize this problem because treatment of OH/nOH can diminish symptoms post-meal. Patients can be asked to measure their blood pressure before and 30 min after a high carbohydrate meal. In individuals with postprandial hypotension, smaller, more frequent meals are recommended [69, 70].

There is also some evidence that a low glycemic diet may have a beneficial effect on the symptoms of OH/nOH [68, 71, 72]. Finally, postprandial hypotension can be reduced with caffeine [73] or acarbose [74].

[MBAnderson]

I think this further reinforces the wisdom of a low-carb diet, and even then, being highly selective about which carbs.

[aspergerian13]

X-ray found disk and spine problems between cervical C5-6 and C6-7. MRI is scheduled for Monday. My disk problems and related symptoms conjoin with my Parkinson's and with my orthostatic and postprandial hypotension and also with my supine hypertension and myPIGD verigo problems and perhaps with my tinnitis.

Two fine citations among many will follow.

[aspergerian13 in reply to aspergerian13]

Excellent, concise:

Cervical Spondylosis and Hypertension.

ncbi.nlm.nih.gov/pmc/articl...

Preventing and treating orthostatic hypotension: As easy as A, B, C.

JUAN J. FIGUEROA, MD, et al. Mayo.

ncbi.nlm.nih.gov/pmc/articl...