Low Blood Pressure??

Hi guys, so im 3 weeks out and my blood pressure is 90/60 which has me pretty concern.  I went to my two week follow-up last week and it was 100/70 which was good.  Today I had a physical for my new job and the nursed seemed very shocked that is was 90/60.  I asked if it was bad and she said they will take low over high any day. I then called my surgeons office and spoke to his nurse and she said that your blood pressure drops when you lose weight so this is normal.  She did warn me to check it often and watch for the bottom number if it is too low.

What is too low?  What is normal ranges for WLS people? 

I didnt think to ask these questions at the time, so just curious to know if anyone has had low blood pressure since WLS, and if so what have been your experience?

Thanks so much.

I was glad to see this topic. I've been struggling with low blood pressure for several months. I'm never over low 90's for the top and low 60's for the bottom. I'm constantly dizzy and sometimes when I get up too fast I feel very faint. Dr. says that if I start passing out then we have an issue. I sortof felt irritated about her response. Any other comments?

I was kinda told the same thing, to watch for dizzy, light headedness, signs of passing out.  That's why I posted. Am I suppose to faint while driving before I get all the possibilities looked at?

Little irritated myself.

I have low blood pressure too I think.   I was told by my Dr's nurse that if my top number drops below 80 I need to get it checked.    I am typically between 83 and 105 for the top number and 58 to 70 for the bottom number.

I think that my issue is sometimes a positional blood pressure issue.  I have noticed that if I don't drink enough liquid it can get really bad.  I passed out a couple times and hit my head really good once.  I now get up slowly and sit back down when I am dizzy. 

When I drink what I am supposed to I feel MUCH better and haven't passed out since I have made my liquids a priority.  I am by no means an expert, but I would say 90/60 is actually pretty good as long as your not feeling light headed.

I have been having a hard time getting in all my liquids.  Im not terribly dehydrated but I do need to bring my totals above 40 oz.  So maybe this has something to do with the low blood pressure.  Thank you for your input.

You HAVE to get more than 40 oz!      I think you may have more issues than just your BP if you don't get your liquids in.   40 oz is low. You need to get at LEAT 64 oz per day.  I know it is really hard since you are only a few weeks out, but you really need to focus on drinking.  You should have a drink in your hand all day at this point.  Sorry.  Don't mean to lecture, but I have never heard of anyone having such a low goal for liquids after surgery.  Now get up and go fix yourself a crystal light

I'm 17 mos out and my blood pressure is usually 90 - 95 / 50 - 55.  That is low.  When I stand up from lying down or sitting, I have to wait a few seconds to be steady.  If I'm in a warm bathtub, I have to take it very slow to safely get out of the tub.  That is called, I think, positional hypotension (low blood pressure).  I've been feeling fatigued of late and was relating that to my low BP, but physician said I have the BP of a teenager. So we're looking elsewhere for root cause of fatigue.   I remember when I was a teenager (40+ years ago), I was always dizzy when getting up too quickly.  So in general, it is a good thing.

Another doc told me I was going to live to be at least 100 with that blood pressure.

Yes, it can go too low -  I would say if you only really have symptoms upon changing positions that likely there is nothing to worry about.  At least that is how I am proceeding!

I began having bp issues around 8 months post op, after 100 pound wt loss.  First it was just some dizzy spells, where I had to hold onto something if I was standing up. BUT, after I passed out a couple of times, I made repeated trips to my PCP.  Several tests later and several weeks later, I got a referral to a cardio doc.  One more Holter Monitor test, and we had the issue at hand. My bp was low, and that was ok by itself. BUT, on the return down from a temorarily elevated bp, there was sometimes a dip, where my bp was even lower than it's normal low.  This is why I had fainted and had severe dizzy spells. A pacemaker was inplanted about 4 days later, and no more issues.  My experience. I had documented pulse rates of 45 and 38 on two trips to the doctor to get fitted for Event and Holter Monitor tests.  My issue ended up more than just a minor dizzy issue, and the pacemaker was the answer to my situation. DAVE

I have had issues with my blood pressure as well-mine was down to 80/40 at one point which I never expected since I was borderline hypertensive pre op. I have discussed with my PCP and the 1st thing is to make sure you are getting plenty of fluids--I aim for over 100ozs a day. I also make sure to stand up slowly and pause once I stand up to combat the dizzy/faint/room going black feeling. And I did add more salt to my diet---but that really needs to be discussed with your NUT and MD before you do it. These changes and time have helped me to adapt and I don't feel faint everytime I stand up anymore but I never know when it's going to happen so I try and always be careful. My Md's feel my body will at some point adapt on it's own.

I was taken off my high blood pressure medicine the day I had surgery and have had low blood pressure ever since.  I average around 100/62.  I was told the same thing,.....it's too low if you pass out, check it often and let your regular physician know what is going on.

It may also not stay this low.  as time goes by and your body adjusts it may start to normalize and even get high again.