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THE HERALD OUTLOOK Saturday November IS 1969 Page 27 This drug can cause low blood pressure DR GOTT DEAR GOTT been diag nosed with orthostatic hypotension My doctor put me on which upset my stomach and gave me vere headaches also upset my stomach made me nervous and I sleep Is there anything else to try DEAR READER Orthostatic hypo tension Is an unusual condition marked by excessively low blood pressure when a person is in an up right position Ordinarily when we sit or stand monitoring nerves our blood are stimulated to raise blood pressure against the force of gravity This prevents the blood from rushing downward out of the brain and us faint In explaining this to pa I often use a plumbing analogy They re not getting enough steam heat to the third floor The most common cause of ortho static hypotension is medicine that is used to treat hypertension the drug may work so well that the blood sure falls too far and orthostatic symptoms appear The cure simple reduce the of medicine to allow the blood pressure to rise Orthostatic hypotension itself a symptom not a disease can also be caused by fluid loss hemorrhage or excessive sweating nerve disorders neuropathy or spinal injury and some degenerative afflictions such as amyloidosis Treatment obviously depends on the underlying cause which must be corrected for example admims fluids or blood transfusions If the cause cannot be corrected doc tors usually manage the condition by prescribing special elastic stockings to prevent pooling of blood in the legs increasing dietary salt to pro mote a blood pressure rise or giving medicine such as ephednnei to in crease the blood pressure works by causing salt re by the kidneys producing a rise in blood pressure I not aware that a central nervous tern stimulant is especially helpful If your doctor is unable to solve your problem I suggest you ask for a con with a vascular specialist DEAR GOTT What is con tamed in the pull apart kind of cap sules that hold vitamins herbs and medicines If I take one of these cap sules I have abdominal swelling and diarrhea Yet if I pull the capsules apart and empty the contents into ter I don t suffer any consequences This doesn t make any sense to me DEAR READER Most capsule co verings are made of gelatin a com mon protein I ve never heard of any one being allergic to gelatin but I suppose you could be sensitive to dyes or other compounds in thecoat ing Ask your pharmacist to look up the names of the companies that man the various capsules you take Then write them and request in formation about what goes into their gelatin coatings This may solve your problem DEAR GOTT At I was di agnosed with an underactive thyroid I been taking 25 micrograms of Cytomel a day for the past years Also about 15 years ago I bad a hys terectomy and nave been taking 625 Ogen a day Now I read a report saying it is not necessary to take es after age In fact it does no good whatever What s your opinion DEAR READER You seem to be receiving appropriate treatment Cy tomel for your thyroid condition The question of estrogen therapy is more complex If at the time of your hysterecto my your ovaries were removed you would have experienced surgical menopause unless you were given supplemental hormone pills The ovaries are the main source of estrogen in women and menopause will occur at any age when they are removed The symptoms are the same in women who reach the age when their ovaries stop producing estrogen On The Star TEMPSTAJ Heating and Cooling Products Get the Advanced Home Comfort package that beats the heat pump whatever the season GUS MOWBRAY lid 751 Main St East Mlton 878 iw A 2293 OTOCLL PLUMBING SHOWROOM GauoBlown AUTO PROPANE RESIDENTIAL COMMERCIAL INDUSTRIAL GUARANTIED MILTON 8782318 8227780 M SEPTIC TANK PUMPING DRAINS CLEANED A REPAIRED ELECTRIC SNAKE SERVICE FT OF HOSE RESIDENTIAL 8532790 home J Main St Acton Sil BASEMENT WATERPROOFING SPECIALISTS 10 YEAR UNCONDITIONAL GUARANTEE SERVING BRAMPTON GEORGETOWN 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