Neurally Mediated Hypotension, Fibromyalgia and Chronic Fatigue Syndrome

Neurally mediated hypotension is a miscommunication between the brain and the heart. When a person does something where their blood pressure should go up, the brain tells the heart to lower the blood pressure. This is part of a slightly larger group of blood pressure problems which is called Chronic Orthostatic Intolerance. There is a lot of confusion about how these two are organized. If you have NMH you have Chronic Orthostatic Intolerance.

You may be asking as to what this has to do with Fibromyaglia and CFIDs. The answer is it is commonly associated with them. There is no known explanation as to why it is, but it is.

Some symptoms of Neurally Mediated Hypotension are: Post-excertional malaise, dizzieness, fainting, weakness, blurred vision, naseua, and fatigue (it worsens CFIDS and Fibro), light headedness, and muscle aches. These symptoms most oftenly occur when you are: excersizing, being warm, having upright posture, after eating, and during stressful situations.

Chronic Orthostatic Intolerance (including NMH) is diagnosed by a tilt table test. This is where you are forced to stand still for a certain amount of time. If you faint then you have NMH/Chronic Orthostatic Intolerance.

The treatment is to increase salt intake and drugs that regulate your blood pressure.