How to manage low blood pressure in the elderly

Generally, low blood pressure in the elderly may be caused by orthostatic hypotension, postprandial hypotension, hypothyroidism, valvular heart disease, chronic heart failure, or other reasons. If any of the above conditions occur, it is recommended to visit a正规 hospital and seek treatment under a doctor's guidance through general management, medication, and other approaches. Specific analyses are as follows:

1. Orthostatic Hypotension

Due to reduced vascular elasticity in the elderly, when standing up quickly from a lying or sitting position, blood cannot rapidly return to the heart, leading to a sudden drop in blood pressure. Daily measures include changing positions slowly, enhancing physical exercise to improve vascular elasticity, and moderately increasing salt and fluid intake.

2. Postprandial Hypotension

After eating, blood is redistributed to the gastrointestinal tract, resulting in insufficient blood supply to vital organs such as the heart and brain, causing a drop in blood pressure. It is advisable to eat smaller, more frequent meals, avoid high-carbohydrate diets, and drink an appropriate amount of water before meals.

3. Hypothyroidism

Hypothyroidism may result from irregular lifestyle habits or poor diet, potentially affecting cardiovascular function and leading to low blood pressure. Symptoms often include significant mood swings and decreased sleep quality. Patients should follow medical advice and use medications such as Xiaoyao Pills, Levothyroxine Sodium Tablets, or Guizhi Fuling Pills for treatment.

4. Valvular Heart Disease

Valvular heart disease may be caused by aging, genetics, and other factors. When the aortic valve becomes narrowed, cardiac output may decrease, leading to low blood pressure, possibly accompanied by symptoms such as chest pain, fainting, and heart failure. Patients may take medications such as Furosemide Injection, Digoxin Tablets, or Nitroglycerin Tablets under a doctor’s recommendation to alleviate symptoms.

5. Chronic Heart Failure

Chronic heart failure may be triggered by infections, anemia, or other conditions, resulting in reduced cardiac pumping function, inadequate circulating blood volume, and lowered blood pressure. Symptoms may include shortness of breath, edema, and fatigue. Under medical guidance, patients may use medications such as Hydrochlorothiazide Tablets, Captopril Tablets, or Perindopril Tert-butylamine Tablets for treatment.

In daily life, individuals should avoid sudden changes in posture, maintain a balanced diet, regularly monitor blood pressure, and take medications appropriately under a doctor's supervision.