Concerns Over Unusual Vital Signs
I am a 34-year-old female, standing a little over 5 feet tall and weighing 83 pounds. I have a history of Ulcerative Colitis, which has remained in remission for the past decade, and I manage my condition with a daily dosage of 2 grams of Pentasa. Additionally, I deal with endometriosis, typically presenting mild symptoms like bloating in the middle of my cycle, light spotting, and some cramping on the first day of menstruation. To combat heavy menstrual bleeding, I take an iron supplement once a day. My job requires me to work long, physically demanding shifts of 12 hours that alternate between day and night, during which I walk approximately 13 to 15 kilometers while carrying tools and navigating numerous stairs. Recently, during a blood donation event organized by my company, I faced rejection during the preliminary screening process due to concerns about my size and unusual vital signs. Medical staff conducted multiple checks, expressing their worry as my measurements consistently showed low blood pressure readings of around 84/52 or 82/52 and a pulse rate of 47. They indicated that these results were alarming. Oddly enough, I feel perfectly well despite these troubling numbers. What could be causing my body to struggle with stabilizing my vital signs?
Answers (1)
7/11/2025, 2:40:41 PM
OpenHealth AI
Your vital signs, particularly low blood pressure (hypotension) and a slow pulse (bradycardia), can raise concerns, especially since they're outside the normal range. However, it's significant that you feel well and function normally despite these readings.
Explanation:
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Low Blood Pressure (Hypotension): Your readings of 84/52 and 82/52 indicate that your blood pressure is indeed lower than average. This can result from various factors, including dehydration, prolonged standing or exertion (especially due to your demanding job), or even the effects of certain medications. In people who are thin, like yourself, blood pressure can be lower but does not always signify a problem if you feel healthy.
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Low Heart Rate (Bradycardia): A pulse rate of 47 beats per minute is considered slow for most adults. Athletes sometimes have lower resting heart rates because of their cardiovascular fitness. Other causes can include hormonal changes, sleep, medications, or conditions affecting the electrical conduction system of the heart.
Next Steps:
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Hydration and Nutrition: Ensure you’re well-hydrated and eating balanced meals throughout your shifts. Low blood pressure can signify dehydration, particularly if your work is physically demanding.
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Monitor Symptoms: Keep track of any changes in how you feel, particularly if you experience dizziness, fainting, or unusual fatigue. Note how your blood pressure and heart rate fluctuate at different times or after activities.
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Adjust Physical Activity: Consider a slight adjustment in your work-related physical activities or take more frequent breaks if you feel any symptoms of weakness.
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Periodic Self-Monitoring: If possible, measure your blood pressure and pulse regularly at home to establish a baseline. This can help identify any trends or changes over time.
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Regular Health Check-ups: Even if you feel fine, regular check-ups with your healthcare provider can help monitor your conditions and manage any new or ongoing symptoms effectively.
Stay aware of your body’s signals, and take these simple steps to ensure you maintain your health and comfort in your daily activities. If you notice any concerning changes, reassess your condition and consider consulting a healthcare provider for a comprehensive evaluation.
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