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Low low blood pressure with Lyme!!
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by Robyn072, Oct 14, 2012
Does anyone get really low blood pressure with Lyme and Co?  Mine has been really low the last few days and this morning it was 72/43 with a pulse of 55. I have had back pain central on the right hand side for the last nine days that is worse in the middle of the night while I am sleeping (at least trying to).

I am so used to just chucking everything into the Lyme basket now that I guess I am concerned that I am becoming a bit  to laid back with my weird health symptoms.  My GP doesn't really know anything about Lyme and my LLMD is 2200km away.  Any suggestions????
Member Comments (37)
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by JackieCalifornia, Oct 14, 2012
Hi -- I just searched for

                   lyme hypotension

and got a ton of hits.  So I'd say yes, it happens.

My BP is always on the low side, always has been, so it was hard for me tell if Lyme affected me that way.  Sitting here at the computer,  my BP is currently 72/47, tho my heart rate is currently elevated due to a ton of carbs I just ate.  

My heart rate is usually in the 70/80s, so you're definitely lower there compared to me.

Do you have a sense of what your stats were pre-Lyme?  When I would get concerned, I would take my BP every 5 or 10 minutes and record it, just so I would have a record to show my doc if it didn't get back to normal fairly fast.  It also gave me some distance from the event so it wasn't so alarming while it was going on.

You could try lying down with your feet up if you feel faint, just so you don't pass out and hit your head.  

Take care, let us know how you do, okay?  And of course see a doc if you are still concerned.  J.
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by Stargazer_Lilies, Oct 14, 2012
I do. My blood pressure tends to be around 90/70 or below, around 80/60, and occassionally in 70/50 range.  My pulse is like an athlete--being in 50's or low 60's.

The key is to watch out for is fainting-like upon standing up, or dizziness, and so on.  

Sometimes it is normal for person to have hypotension as long as she/he does not experience any adverse symptoms. I  had natural hypotension (90/70ish) in my childhood and into early adulthood but without severe effects.

By the way my LLMD says it is very common for lyme patients to experience neurally mediated hypotension (suddenly drop in the blood pressure) or syncope (actual fainting).

My neurally mediated syncope & bradycardia  has stopped when I started the treatment. In the past I had to take florinef/atenolol to control it for about ten years prior to proper diagnosis.

If you do feel fainting-like upon standing up often then try to increase the salt intake.

If you experience a fainting-like episode and feeling weak afterward then drink gatorate right away or heat and drink chicken broth as if you were drinking the tea. Those are what I did for myself and it helped.
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by Robyn072, Oct 14, 2012
Thanks for the reply.  My blood pressure is normally around 100/60 with a pulse of 55-60.  I don't know what it was pre lyme and would probably be irrelevant because I was only 10.  Just seems to coincide with the pain in my back. Probably just a coincidence. Thanks, will do.
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by freefallin, Oct 14, 2012
Sorry to butt in here. I have the opposite problem in terms of heart rate. Mine tends to be very fast. It's very rare for me to get a reading under 100 BPM. When I did a stress test, my cardiologist stopped the test early on because my heart shot up to 200 bpm. Is this an indicator that I *don't* have Lyme?
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by Robyn072, Oct 14, 2012
Thanks, I'll try those suggestions. So sounds like it is normal with Lyme.
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by Stargazer_Lilies, Oct 14, 2012
It doesn't mean you don't have lyme, and heart palpitations, including fast heartbeats (tachycardia)  as yours  also can occurs with lyme patients.

Neurally mediated syncope can occurs with tachycardia or bradycardia.
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by freefallin, Oct 14, 2012
Ah, thanks for letting me know. Just seemed like everyone in this thread had low BP and a low pulse. My BP can get lowish, but not nearly as low as others have reported in this thread. It's typically around 110/60.
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by JackieCalifornia, Oct 14, 2012
For years, my BP was 110/70, and my doc was always very happy with that.  I think anything in that neighborhood is considered quite good.
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by Ricobord, Oct 14, 2012
I have had elevated BP and tachycardia with Lyme. Before I got diagnosed, my PCP put me on a beta blocker which brought my systolic down from 155 back to my normal 120.  I was running a minimum of 100 bpm at rest. I hit a high of 155 once in the middle of the night when my heart was pounding so hard, it felt like it was shaking the bed. That was scary.

Nearly a year later, I am down to 1/2 my original dose of the beta blocker (metoprolol succinate) and my BP is usually about 100/78 and my resting HR is about 85. I am on a small dose of provigil which adds 7-10 bpm.

When I cut out my magnesium supplements to try to help my kidneys, I had three episodes of tachycardia again where it went up just over 100 while I was just sitting. All three times I was about an hour overdue for my next dose of metoprolol. I added magnesium back in and I haven't had any since. I suspect the magnesium is helping my heart in addition to my nerves.

I look forward to the day when I am back to a normal HR and BP.