Difference between hypotension and hypertension

Sunday June 2 2019


I suffer from hypotension. How can I control it?


Dear Tony
Hypotension (or low blood pressure) is when your blood pressure is less than normal ( say below 90/60mmhg). Many times, this may be caused by another condition such as overdosing with hypertension drugs or nutritional condition but in some people this may happen without any other problem and may be harmless.

Hypotension may be a blessing since this kind of pressure does not put a strain on the heart hence reducing the likelihood of heart disease, a major cause of death in humans.

High blood pressure or hypertension is when one’s pressure is higher than normal (greater than 130/85 mmhg) and is a major cause of death due to its complications on the heart leading to heart failure or on blood vessels leading to stroke, among many others.

Sometimes hypotension may be discovered by accident in normal people or when one is having symptoms of dizziness, headaches, light headedness, palpitations, general weakness, digestive disturbances, shortness of breath or failure to concentrate which usually accompany low blood pressure.


If in such cases there is no found association such as heart failure, anaemia, dehydration or nutritional disturbances, it should be taken as a blessing likely to increase ones’ lifespan and in this case, no treatment is needed.

If it occurs because of another condition or disease, then correcting the condition will make one feel better.
Many people with hypotension have been advised to take caffeine to increase their blood pressure. However, high blood pressure can lead to poor health and death.

My sister has eye floaters which she calls black insects flying in her eyes. I took her for an eye checkup but was told the eyes are normal although she was found to have high blood pressure. So, what is the problem if it is not the eyes? Davies

Dear Davies,
The eyeball is an organ of sight and is mainly composed of an anterior liquid chamber (aqueous humor) and the posterior one having thicker jelly like transparent water, called the vitreous humor. What is happening to you is called eye floaters which are usually age-related changes that occur to the vitreous humor making it more liquid and less transparent, the reason eye floaters are rare in children less than 16 years old.

The floaters may also happen if there is inflammation or injury in the back of the eye, releasing blood or debris which may not be transparent. Retina problems due to diabetes can also cause eye floaters. High blood pressure can also cause eye damage with a likelihood of eye floaters though more often floaters usually happen when hypertension coexists with diabetes and old age.

Some people with migraine headaches may see black spots, usually before they get migraine attacks and when their eyes are checked, they may be found normal. Sometimes, a doctor may check the eyes and not find a problem, requiring that you visit an eye specialist for more help.

My girlfriend has a hairy bum which I have been told is a sign of bad luck. How do I politely tell her to shave? Emanzi

Dear Emanzi,
Humans, just like the animals they evolved from had hair all over their bodies. Today, hair has remained in a few skin areas because there was no evolutionary reason to lose such hair.

Hair may serve to disperse odour for sexual attraction and hair in some areas including the anus, pubis and armpits serves to prevent friction between mobile apposing parts.

So, whereas you think women who have anal hair, have or cause their spouses bad luck, almost all humans have such hair although it is usually hidden from prying eyes. When one reaches puberty, they develop hair in various places including the face (beards) for boys, pubic, anal and armpit hair in both boys and girls.

So, it is normal for both men and women to have hair around their anus but like the beard, some people may have very little and therefore, not easily noticeable, while others may have much more noticeable anal hair.

Much as you want your girlfriend’s anal hair removed, there are no health benefits of removing the hair which, if done, may risk bumps, irritation, and infection with boils and hard to heal anal fistulae.

I live in the US and when vaccinating for cancer of the cervix, even boys are vaccinated. Why? Also, if I am vaccinated now at 33, do I need to check for cancer of the cervix again? Betty
Dear Betty
Cancer of the mouth of the womb is called cervical cancer and up to 90 per cent of cervical cancer cases are blamed on the Human papillomavirus (HPV) virus. There are more than 100 types of HPV, of which at least 14 are cancer-causing (also known as high risk type).

HPV types 16 and 18 cause 70 per cent of cancers of the cervix and in Uganda, these are the ones vaccinated against meaning that even with vaccination, a woman still has to check for cancer of the cervix through routine PAP smears.

HPV viruses that cause cancer of the cervix are also implicated in causing cancer of the throat (in both men and women who engage in unprotected oral sex). This is why men should also be vaccinated against the virus. Vaccination in men will also prevent cancer of the cervix in women and anus or penis in homosexual men.

Ideally HPV vaccination should be done before one has had sex, (nine to 13 years in Uganda) and at 33 years PAP smears should be done to screen for the virus. Pap smear screening is recommended starting around 21 years of age or at least three years after being intimate for the first time, then carry on every five years (as long as results are normal) until the age of 65 when it is deemed unnecessary to continue.