23.11.2012 Views

Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 154<br />

Scheme XII-1: The belly and inferior part of the body retain water (in blue) when awake, standing<br />

up or seated down, caused by the gravity force. As bigger is the amount of water drank daily, so bigger<br />

is the amount of water retained when standing up, which is released when laid down. Consequently,<br />

bigger will be the intraocular, cerebrospinal fluid and inner ears' lymphs pressures rising while sleeping.<br />

Meanwhile, when the person goes to sleep at the horizontal position (supine), this retained water suddenly<br />

goes into the blood circulation. This increases the fluids´ pressures in the head when the patient<br />

sleeps. This excessive retained water also increases the urine formation at the initial sleeping hours.<br />

This same water overload in the head occurs in the astronauts just after they get into the microgravity<br />

space: “During a space mission flown in microgravity early changes in intraocular pressure due to the<br />

fluid shift effect in microgravity were analyzed with an automatic self-tonometer. In total, 13 pressure<br />

readings per eye were obtained during the mission. The first pressure readings 16 min after reaching<br />

microgravity revealed a 92% rise in intraocular pressure compared to the daytime-correlated baseline<br />

data on earth followed by an adaptation phase lasting for several hours.” (Draeger J, and others).<br />

2- The venous pressure in the head raises: At the vertical position, with the head above the heart,<br />

there is a negative blood pressure inside the head's veins, which lowers the cranial and intraocular pressures.<br />

At the horizontal position, the pressure inside these veins is around zero, bigger than at the vertical<br />

position, increasing the fluids´ pressures in the head.<br />

These above two pathophysiologies XII f – 1 and 2 were confirmed by comparing the intraocular<br />

pressures of the same eyes when sleeping flat and when sleeping at an 30 degrees head-up position: “<br />

Seventeen eyes of 17 patients with glaucoma with controlled intraocular pressure and new disc hemorrhage...During<br />

the sleep period (midnight to 6 am) the mean intraocular pressure was 3.2 mmHg lower<br />

in the 30-degree head-up position compared with the flat position. Sixteen of 17 patients (94.1%) had<br />

lower intraocular pressure in the 30-degree head-up position. The reduction in intraocular pressure in<br />

the 30-degree head-up position was 20% or more in 35% of patients (6/17). The 30-degree head-up<br />

sleeping position lowers intraocular pressure compared with the flat position. Although this effect varies<br />

between individual patients, mean intraocular pressure was 20% lower in one third of patients in<br />

this series.” (Buys Y M, and others).<br />

In the case of moderate head-down body tilt, the intraocular pressure rises: “One hundred nine subjects<br />

with... no disease other than glaucoma (glaucoma suspects=79, early manifest glaucoma=14, nor-

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!