instruction: hello doctor I have been recently diagnosed with postural orthostatic tachycardia by my family doctor I have been experiencing lightheadedness fainted a few times after standing my be is really high 186 102 mhg on average with a normal pulse while lying down then as soon as I sit or stand up my be drops quite low 104 75 mhg on average I have also been experiencing severe fatigue my whole body just aches all the time and I constantly feel short of breath and get chest tightness and on and off pains I have reoccurring tremors in my left arm and fingertip numbness I become very foggy minded usually at night and I get words mixed and my speech gets slurred and stuttered the worst most uncomfortable feelings I have is shortness of breath and have difficulty trying to breathe I cannot sleep feeling like this I have a month old baby to take care of but I need some advice on getting at least some temporary relief with my breathing and chest pains until I see the cardiologist please help I am currently taking celexa 40 my at night for depression
output: hi welcome to icliniq com it is postural orthostatic hypotension I a significant drop of blood pressure which is causing fainting and giddy kind of symptoms to prevent this avoid sudden movements like while getting up from the bed sit with the legs hanging on the side for a while then get up while feeling faint just lie down on the floor do not try to control and stand surely you will fall second thing your resting be blood pressure is high it needs to be controlled as early as possible it looks like gestational hypertension after pregnancy chest tightness and breathing difficulty are due to resting high be take tablet amlodipine my once daily until you see any cardiologist and avoid sudden movements