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Conditions and Diseases > Low Blood Pressure and Hypotension Forum > Orthostatic Hypotension After Shoulder Surgery?
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Q: Orthostatic Hypotension After Shoulder Surgery?
asked by: ptmccain on June 11th, 2009
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My 14 year old daughter underwent arthroscopic shoulder surgery to correct a tear in her rotater cuff, etc.. About two weeks after the surgery she began experiencing symptoms that appear to be OH...upon standing up, she experiences tunnel vision and dizzy and "tingly all over." She reports it is now happening less often during the day, but for lasts longer. She is a very vigorous athlete and after vigorous exercise she experiences no such problems for several hours after her intense workout. She has no other symptoms or any other problems, just this odd OH type condition.

Here is our challenge.

We went to the general family doctor. Ordered full round of CBC, Chem 7 blood work. All is normal. No issues appear from the blood tests. He referred her out to a neurologist, who, of course, is "booked" and we can't get our daughter in right away for a consult. She is scheduled now to go see a neurologist in another nine days.

She has no other symptoms and at this point I'm frustrated that we can't seem to get any expert advice or opinion. We called the neurologists office, spoke to some assistant, who said "Go to the emergency room and get brain scans and we'll have that when she come in."

Huh?

I'm frustrated and would like to know if there is anything in medical literature that would indicate that there is such a thing as onset of HO in a post-surgical patient. My daughter had a complete shoulder block and was under general anethesia and apparently had a hard time being knocked out and coming out of it.

It strikes me as more than coincidental that she has experienced an onset of OH two weeks after her surgery, and it was about two weeks after surgery that she was completely off any/all pain relieving meds.

Any thoughts?
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ptmccain
replied on June 20th, 2009
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Does anyone read these posts?
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hygienist999
replied on October 13th, 2009
New User
orthostatic Intolerance
I have never been diagnosed for OI, but a doctor at Emory in Atlanta told me he thought my problems are from a disfunction of my autonomic nervous system. After looking this up on the internet, I agree. I have Orthostatic Intolerance.

Mine began 17 years ago after the birth of my son. I never had any problems until a few weeks after he was born. I had an epidural. I think this is what started it.

The summer months are worst for me. I live in GA, therefore it is hot. I may have a couple episodes a day. I love cold weather, I may go the entire winter without an episode. Also, when out in the heat, I become very weak. I started exercising about 4 years ago. Walking a min. of 4 miles a day on treadmill at a fast pace has really improved the fatigue I feel.

My episode will happen mostly when I get out of the car after driving. I will take a few steps and then I feel the sensations begin. It is so hard to describe. It begins at my feet and will travel up my body until my sight goes black. There will be a rushing sound in my ears. My legs will be very hard to pick up. Heavy. They will also tingle and feel very hot. Then it will move back down my body, like it exits my feet and I'll be fine.

My episodes are always the same. It will happen after I have been laying down in a lounge chair by the pool. Everytime I stand to walk to the pool, I'll have an episode.

No one has been able to diagnose me. Years I went from doctor to doctor. Each one telling me I was ok. My family doctor started giving me MRI's every 2 years, just to rule out MS. But, a couple months ago, the doc at Emory said this is an autonomic nervouse system problem. Told me that as long as I could live with it and it didn't get worse, then just deal with it. So, that's what I'm doing. dealing with it.

I do have major gastrointestinal problem. Take 2 nexium a day, along with an irrital bowel syndrom medicine.

The worst for me is the heat. I absolutely hate to be out in hot temps. My poor family has a hard time with this as we have a lake house and they want me to stay with them on the boat.

Good luck with your daughter, but she will probably have this for life.
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welshje1
replied on October 14th, 2009
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Hypotension
One of our doctors swears by Alka Seltzer for the stomach. It has no aspirin and has the salt you need when you have hypotension. My daughter is on salt tabs for her hypotension. I hope you have found those for your condition. She also drinks plenty of gatorade with salt added and lots of water. You need 2 liters a day at least.
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