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postprandial hypotension
Pathology:
- blood is shunted from the brain to the mesenteric vessels to aid in digestion
Clinical manifestations:
- lightheadedness
- weakness
- symptoms most often 45-60 minutes after a meal
Complications:
- syncope
Management:
- 12 oz of water before meals [2]
- avoid large meals, carboydrate-rich meals
- eat smaller meals at more frequent intervals
- avoid quick positional changes after meals
- midodrine not effective as monotherapy
General
hypotension
References
- Geriatric Review Syllabus, 10th edition (GRS10)
Harper GM, Lyons WL, Potter JF (eds)
American Geriatrics Society, 2019
- Trahair LG, Horowitz M, Jones KL.
Postprandial hypotension: a systematic review.
J Am Med Dir Assoc. 2014 Jun;15(6):394-409.
PMID: 24630686 Review.
- Luciano GL, Brennan MJ, Rothberg MB.
Postprandial hypotension.
Am J Med. 2010 Mar;123(3):281.e1-6.
PMID: 20193838 Review.
- Shibao CA, Biaggioni I.
Management of Orthostatic Hypotension, Postprandial Hypotension, and
Supine Hypertension.
Semin Neurol. 2020 Oct;40(5):515-522.
PMID: 33058087 Review.
- O'Mara G, Lyons D.
Postprandial hypotension.
Clin Geriatr Med. 2002 May;18(2):307-21.
PMID: 12180250 Review.