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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Difficulty In Urinating And Low Blood Pressure Levels?

HI I just had open Heart bypass surgery 4 wks ago my blood pressure from a sitting to a standing position drops 30 points on both. When I walk and come back its even worse it will run70/50 or worse. They had me stop all beta blocker meds. But did not realize I was still taking tamsulisin for my prostrate I stop taking it for a few days and my symptoms improved. But after 4 days I could not urinate without extreme effort and took a pill and got light headed when standing again and my pressure dropped again . need answers
posted on Fri, 3 Nov 2017
Twitter Thu, 5 Jul 2018 Answered on
Twitter Mon, 9 Jul 2018 Last reviewed on
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General Surgeon,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options.

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What Causes Difficulty In Urinating And Low Blood Pressure Levels?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. These symptoms indicate in most cases prostate issues such as prostatitis or hypertrophy and rarely it may be sign of STD infection. You should avoid intercourse for till symptoms persist and drink plenty of fluids. If symptoms persist it would be good to do prostate ultrasound and check your PSA levels to rule out prostate tumor or hypertrophy and further treatment depends on these findings. In most cases it can be controlled with medications but sometimes, in case of tumor, open surgery is required. And severe benign hypertrophy may be managed endoscopically so you should consult urologist about appropriate options. Hope I have answered your query. Let me know if I can assist you further.