Fever, dizziness. Low temperature and low pressure. Decrease in temperature and blood pressure

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Frequently asked questions about: high temperature and low pressure

2013-03-05 05:01:43

Daria asks:

Good afternoon! please tell me in this situation:
my mother is 75 years old, suffered a stroke 5 years ago, has chronic bronchitis.
3 weeks ago she suffered bilateral pneumonia, was discharged from the hospital within 12 days with a "seemingly" satisfactory condition. Prescribed inhalation of berodual and chest collection.
Within 3 days after discharge, the state of health was normal, but for a week now she had a very low blood pressure 90/70 (her working 130/80) and a high pulse of 102 beats / min, no temperature, very strong weakness, she sleeps a lot. They called the therapist, he believes that the recovery period is underway.
What to do, because the heart works with such a load, and the condition does not improve? Help!

2012-07-01 14:53:03

Irina asks:

Hello, I am 36 years old. I have had EBV for 8 years. After the flu shot, the temperature of 35.5-37.5 began to "jump" during the day, constant sore throats (streptococci, staphylococci were sown), severe weakness. PCR blood serum - pol. + (In 2006). Then I was told that it was normal, they did not treat me.
She was treated in the infectious diseases ward in 2008, when a high level of EBV m-house ELISA was detected in saliva. I controlled saliva for several years (it was neg.), A blood test was not prescribed.
In 2009. within a month the temperature was + 38.0- + 39.0, in the general blood test lymphocytes were increased - 71, plasma cells - 1, the rest of the parameters were normal. Diagnosis: prolonged course of ARVI.
In April 2012. after bronchopneumonia it was revealed by PCR method EBV in blood serum - floor +++. Treated in inf. branch. At the end of June 2012. in the control EBV PCR analysis, scraping from the mucous membrane and blood serum are negative. The state of health is poor: body temperature + 35.1- + 35.5, often low blood pressure, dizziness, chest pain, weight loss of 7 kg in 2 months, lymphocytes in the general blood test are 41 (at a rate of 19-37), they hurt submandibular lymph nodes and salivary glands. Please answer as a physician to a physician, where to start the examination, can you believe the answer of PCR to EBV, what is happening to me?

Answers Markov Artyom Igorevich:

Hello Irina! You have two foci of chronic bacterial infection: Staphylococcus aureus in the nasopharynx and intestinal bacteria in the genitourinary system (primarily in the kidneys). In connection with these bacteria, a syndrome of chronic bacterial intoxication develops with temperature jumps, constant fatigue, etc. (you can read more about this on the website of our clinic). As for the EBV virus. Today it is not correct to determine the presence of a virus by "pluses". A true quantitative PCR method must be used. A priori I can say that temperature "candles" up to 38 C for clinical manifestations this virus is not typical. To verify the diagnosis, it is necessary to pass bacterial cultures of warm urine (three times), bacterial cultures from the nose and throat. To resolve the issue with EBV, I recommend donating blood and saliva for the isolation of virus DNA by PCR. Only after receiving all these tests can a treatment plan be drawn up.

2010-12-07 22:21:37

Dasha asks:

Good afternoon! Thank you in advance for your help.
I am 22 years old, I take OK for honey. indications. Was born from the first birth, caesarean. There was a blood transfusion due to hemolytic disease (I have Rh +, my mother has Rh-). She had a history of 7 head injuries, all of them had concussions. During one of the injuries she lost consciousness, as a result of the other there was a short mild short-term amnesia. In addition, she lost consciousness only in childhood, when she was ill, at a temperature of 39-40. And only once in her life she lost consciousness out of the blue. From childhood to 14-15 years old, there was a diagnosis of hypochromic anemia. All my life there was a stable low blood pressure of 90 to 60, the last 2 years it has become 110 to 70. With a higher one I feel unwell. Meteosensitive enough (I do not tolerate windy weather, low pressure, cloudiness). The lifestyle is sedentary, I spend a lot of time at the computer. I do not abuse alcohol (I can drink 2-3 times a year), I have never used drugs, I smoke (but I am going to quit). For the last 2-3 years, there was severe prolonged stress, she ate very poorly, was constantly overworked (she could not sleep for several days), did not drink vitamins and supportive drugs. I am planning a pregnancy in the near future, so I decided to undergo a full examination and restore my body.
From complaints: I clearly feel that my body wants rest and attention to itself; increased fatigue; periodic, but infrequent headaches (not acute, dull; citramone or ibuprofen tablet helps very quickly); with a long work at the computer and / or fatigue, vision falls, floats a little in the eyes, covers the eyes with a veil, as soon as I put on glasses, it immediately becomes easier.
There are no problems with speech or hearing. Attention is as good as before. The memory has not deteriorated much, we can say that I can forget some unimportant little things (for example, buy toothpicks at home) when my head is very full of information. However, I hardly remember the long-standing events (what happened 5-10-15 years ago), but as soon as someone reminds me, I immediately remember everything in detail. My husband, parents, friends did not notice any changes in my behavior, emotionality and sensuality, cognitive functions.
Survey results:
REG of the carotid basin:
hD \u003d 0.095 Ohm, hS \u003d 0.095 Ohm.
The curve type is dystonic.
Pulse blood filling in the right ICA basin is slightly reduced.
Pulse blood filling in the left ICA basin is slightly reduced.
There is no asymmetry.
The elasticity of the vessels is not changed.
The tone of cerebral vessels of medium, large and small caliber is normal, a slight increase in peripheral vascular resistance on the right.
Venous outflow is significantly difficult.
CSF hypertension is absent.
REG signs of angioedema, pronounced venous plethora on both sides.
REG VBB:
hD \u003d 0.135 ohm, hS \u003d 0.135 ohm.
Pulse blood filling in the right CA basin is slightly increased by 18%.
Pulse blood filling in the left CA basin is slightly increased by 18%.
There is no asymmetry.
The elasticity of blood vessels is not changed.
The vascular tone of large, medium and small caliber ESP is normal. Increased peripheral vascular resistance S\u003e D.
Venous outflow is moderately obstructed.
The dependence of the blood supply on the position of the head is absent on the right, moderately pronounced on the left.
CSF hypertension is absent.
REG signs of angiospasm of the vessels of the precapillary bed are mostly on the left. Moderate venous congestion on both sides.
Dopplerometry of the vessels of the head and neck.
Duplex scanning of the extracranial section of the brachiocephalic vessels.
The distal part of the brachiocephalic trunk, the proximal part of the right subclavian artery, common carotid arteries, extracranial parts of the internal and external carotid arteries, vertebral arteries in the V1 and V2 segments, including the orifice on both sides, were visualized. The rendering quality is satisfactory. Intima-media complexes of common carotid arteries up to 0.5 mm thick (normal up to 1.0 mm), in the bifurcation area up to 0.55 mm (up to 1.1 mm normal), with preserved differentiation into layers, echogenicity is not changed. Internal jugular veins are not dilated, the diameter of the right is 10.9 mm, the diameter of the left is 7.8 mm (the norm is up to 15 mm). There is a high entry into the canal of the transverse processes of the cervical vertebrae at the level of C4 vertebra of the left VA.
Transcranial duplex scanning: the severity of the temporal ultrasound windows is satisfactory. Colored cartograms and spectra of Doppler frequency shifts from PMA, SMA and ZMA were obtained. The blood flow in the symmetrical segments of the middle cerebral arteries is asymmetric in velocity characteristics, with a decrease in the blood flow velocity in the right MCA basin by 20%. Blood flow rates are within the age range.
The blood flow through Rosenthal's vein is monophasic.
The width of the 3rd ventricle is 4.5 mm (the norm is up to 5 mm).
Conclusion:
Considering the presence of a characteristic asymmetry of peak blood flow velocities and indices of peripheral resistance for ICA and MCA, the revealed echographic picture can be interpreted as a manifestation of a migraine pattern. A variant of the development of left VA without the formation of a blood flow deficit at the intracranial level
On appointments with a neuropathologist: horizontal nystagmus was established, tendon and periosteal reflex D \u003d S revived, PNP performed, stable in Romberg's position.
Doctor's diagnosis: disculatory encephalopathy.
My questions:
1) Do you agree with the diagnosis? The fact is that I have read a lot of scientific articles on this topic and am surprised at the diagnosis. I do not see in myself absolutely any symptoms, even mild ones, at least one, but I also understand that this diagnosis is very serious, after all, we are talking about brain lesions.
2) What is your opinion, what is my diagnosis based on the research and my complaints (in principle, standard, as for a hard working woman)? I understand perfectly well that diagnostics on the Internet is a thankless task, but I was generally sure that the maximum that awaits me after visiting a doctor is the VSD, which I was always given before.
Many thanks in advance.

Answers Kachanova Victoria Gennadievna.

Combination of hyperthermia with hypotension is a rare phenomenon. Medical experts believe that this set of symptoms does not have a clear connection. It is most common during development viral diseasessuch as flu or SARS. Often in such a case, the symptoms of the disease are joined by the phenomena of general intoxication of the body, expressed in the presence of nausea, headache, and joint aches.

If the patient does not have infectious diseases, then it is necessary to analyze these manifestations separately. Too low blood pressure numbers are often observed in various states of the body, and a slight rise in temperature (37-38) may indicate a failure in some of its systems. Such a combination of signs should be alarmed when it has been going on for a long time and causes severe discomfort.

Thermometer readings depend on many factors. The immune and vascular systems, endocrine organs, water-salt metabolism, etc. are involved in the regulation of heat exchange. Therefore, with the development of a disease or an unfavorable condition, fever may well appear, accompanied by low A / D rates.

Low blood pressure and a temperature of 37 degrees usually mean that an infection has developed in the body with hypotension, often a viral one.

Other most common causes of this condition are:

• First trimester of pregnancy;
• hormonal disbalance;
• prolonged hard physical work;
• endocrine diseases;
• liver failure;
• diseases of the peripheral nervous system;
• cardiopathology;
• vascular disorders;
• diseases of the hematopoietic organs;
• iron-deficiency anemia;
• chronic fatigue syndrome;
• nervous overstrain.

With these various diseases, such a set of symptoms can be explained by a violation of thermoregulation, a general decrease in the tone of the body, a sharp release of hormones that caused the corresponding dysfunction. All this requires close monitoring of the patient.

In this case, the temperature must be measured at least twice a day and at least three times a day to check the blood pressure indicators. If, after five days, this symptomatology does not disappear, then you need to see a doctor.

Previously, medical science was of the opinion that prolonged subfebrile condition (37.2-38) against the background of severe hypotension may indicate the development of a malignant tumor. But later, this opinion was refuted by numerous studies, during which it was proved that the patient's pressure remains the same as it is always characteristic of him.

Ignoring hypotension is not recommended. In the presence of severe atherosclerosis and elevated temperature with fever, it can lead to the formation or separation of an already formed blood clot. With the blood flow, it is able to enter a vital organ and cause a heart attack or stroke. This is especially dangerous in cases where the pressure is already low, and as a result of hyperthermia, it drops to alarming numbers, which can threaten with collapse.

Such a phenomenon can become even more alarming in hypertensive patients, when, with a sharp drop in A / D indicators, a vessel rupture sometimes occurs.

Decrease in temperature and increase in blood pressure

Consideration should be given to the peculiarities of thermoregulation in various diseases. The immune system causes hyperthermia, and the vasculature reacts with a decrease in A / D. This is due to the fact that the cerebral cortex reacts to the appearance of heat with a decrease in vascular tone due to a sharp rush of blood to the head or lungs.

In this case, the number of heartbeats decreases, which slows down the intensity of blood circulation in the small circle and, thereby, facilitates the general condition of a person.

Low pressure and temperature create severe discomfort in the patient's body. If they are caused by development viral infection, which most often causes this, then the patient experiences:

• Chills;
• fever;
• muscle pain;
• weakness;
• migraine;
• dizziness;
• darkening in the eyes;
• tachycardia;
• difficulty breathing;
• cough.

He has a strong pallor of the skin, profuse sweat, a rare pulse. These symptoms are associated with hyperthermia, toxic effects on the body of the products of the activity of viruses, the development of respiratory symptoms and vascular insufficiency.

The pressure can drop very low and be around 80/50. Hypotension increases the patient's weakness and malaise in cases where his normal values \u200b\u200bcorrespond to the norm, that is, they are 120/80.

In some people, when they develop influenza or SARS, their blood pressure can drop significantly. This is due to the compensatory response to hyperthermia. The vascular system responds by lowering its tone in order to avoid unnecessary stress on the heart and brain.

With flu or ARVI, a combination of subfebrile condition and reduced pressure is not too dangerous complex. Thus, the body facilitates the general condition of a person, preventing the development of complications. It will be much worse if the A / D numbers creep up.

Lack of hemoglobin

Another main reason for a drop in blood pressure in the presence of a temperature reading of 37-37.5 degrees can be iron deficiency anemia. It develops with a lack of such an element as hemoglobin in red blood cells. This usually becomes the result of severe blood loss, vitamin deficiency or treatment with certain drugs.

The pressure drops due to a lack of blood volume in the vascular bed. The disease is accompanied by the following symptoms:

• Great weakness;
• weak filling of the pulse;
• arrhythmia;
• dizziness;
• lack of appetite, etc.

All of these symptoms reflect a combination of a drop in pressure and elevated temperature. In this case, if the disease is severely neglected, medical attention is required. Only a specialist, after conducting laboratory tests, can accurately diagnose it. In the course of treatment, the doctor will find a way to deal with all manifestations of the disease at the same time.

If a sharp drop in hemoglobin is a temporary factor characteristic of young girls, women of menopause, people who have suffered severe injuries or dehydration, then special treatment is not required. The body itself will restore all the necessary indicators.

Treatment of hypothermia and low blood pressure

If the pressure drops very low to 90/60, urgent medical attention is needed. To begin with, the doctor needs to establish an accurate diagnosis. To do this, he needs to examine the patient, collect a detailed history, measure all indicators.

In order to find out why a person has low blood pressure and high temperature, the reasons can be found through laboratory research. A clinical and biochemical blood test should be prescribed, general analysis urine, swab from the nose and throat.

A number of instrumental studies are also required. To do this, you need to undergo fluorography, radiography, ultrasound scanning, electroencephalogram, ECG, computed and magnetic resonance imaging.

To stop the pathological condition, drugs are needed to treat the underlying disease. May also apply:

• Antipyretic drugs;
• caffeine;
• cardiac glycosides;
• iron preparations;
• vitamins;
• antiviral substances;
• beta blockers;
• anti-inflammatory medicines, etc.

They will make it possible to bring down high body temperature readings, get rid of infection, and slightly increase blood pressure. When the thermometer indicators stabilize, the pulse will return to normal.

The destruction of the infection will eliminate the symptoms of intoxication, which means it will stop headache, fever and excessive sweating will disappear. Vascular agents and glycosides will help normalize cardiac activity.

Thus, there are many reasons why there may be a low pressure and temperature of 38 degrees. Be sure to take into account the regular figures of their measurement.

If a person is naturally hypotonic, then hyperthermia will not affect the activity of his vascular system in the absence of complications. In such a situation, the doctor focuses on the readings of the thermometer and begins to treat the underlying disease that caused the fever.

May 3, 2017 Julia Astafieva