What's wrong with unstable blood pressure

Patient's question:

My best friend's father has a history of hypertension. Recently, his legs have swelled, and after taking hydrochlorothiazide tablets and spironolactone tablets, his blood pressure dropped to 90-70. He often feels dizzy. Yesterday, while doing household chores, he fainted and fell to the ground, sustaining a head injury with bleeding. He had to go to the hospital to get several stitches. What should he do in the future?

Doctor's answer:

For dizziness, it is recommended that you monitor your blood pressure regularly, as both high blood pressure and low blood pressure can cause dizziness. If your blood pressure is low, it is advisable to increase the dosage of your antihypertensive medication. Spironolactone and hydrochlorothiazide have the effect of lowering blood pressure. Fainting may be related to low blood pressure. Additionally, it is important to rule out the possibility of orthostatic hypotension in such cases. Rest regularly.

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