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Copyright by Michael Jones, Bill Elkus, Jim Lyles, and Lisa Lewis 1998 - All rights reserved worldwide.

Disclaimer

 
This file contains postings made by the following professionals:
 
Joseph Murray, M.D.--a gastroenterologist at the Mayo Clinic in Minnesota,
   USA.

<<Disclaimer: Verify this information before applying it to your situation.>>



Date:         Sun, 6 Dec 1998 21:43:28 -0400
From:          Debbie Resch <dresch178@EARTHLINK.NET>
Subject:       Low Blood Pressure

ListMembers,

This was Dr. Murray's response to a personal message I had sent to him
regarding a recent incident with low blood pressure:

Debra Resch
New Jersey
-----------------------------------------------------------------

This is not medical advice.

The blood pressure may drop following the gluten ingestion in a treated
celiac for any one of several reasons.  The most likely is third spacing of
fluids.  This a common happening in patients who develop a gastroenteritis
or inflammation of the gut.   Greatly increased amoints of fluid are lost
into the gut lumen leading to loss of fluid from the blood and tissues.
This leads to a drop in blood pressure and effective dehydration.
Acute diarrhea may occur with the loss of fluids into the toilet and
consequent dehydration.

Other possible mechanisms could include the direct effects of inflammatory
messengers on the blood vessels leading to dilation of the blood vessels and
pooling of blood again with a drop in blood pressure.  Other possible causes
could include the effect of pain on blood pressure, the inability to eat due
to gut symtoms leading to dehydration.

This is not medical advice
Joseph Murray MD

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This fact sheet has been designed to be a general information resource. However, it is not intended for use in diagnosis, treatment, or any other medical application. Questions should be directed to your personal physician. This information is not warranted and no liability is assumed by the author or any group for the recommendations, information, dietary suggestions, menus, and recipes promulgated. Based upon accepted practices in supplying the source documents, this fact sheet is accurate and complete. Products mentioned or omitted do not constitute endorsement.