Diabetes, high BP. On diapride. Why does she have dizziness? - Online Doctor Chats
How can I help you?
How are you?
need your opinion regarding my mother. 66 years old
I shall help you with your concern.
Proceed with your query.
undergoing following medications:
1. Diapride Forte 1-0-1 and 2) envass 10 mg 1-0-0
she is feeling dizzy on and off
would you relate it to diabeties and sugar levels
she has a glucometer and fasting sugar for past week is in the range of 150 to 170
blood pressure is usally in the range of normal
I would be able to understand the problem better and give you better suggestions if you can answer few of my questions relevant in this context.
Since how long has she been having diabetes and blood pressure?
Have you been following up with her doctors regularly?
mid of dec
a test to see the trend of blood sugar level of past 3 months
Since when is she having these dizzy episodes?
For how long does she have this dizziness and approximately how many episodes in a day?
1 to 2 episodes a day almost everyday and she feels very discomfortable after the episode
this started about 2 weeks back
Is there any factor that precipitates the attacks
such as change in the posture,
from sitting to standing posture?
just a sec doc.. i ask her
it happens while walking or while lying sleeping
Is she running fever?
Does she have any problem with hearing?
Does she complain of imbalance / Is she able to walk properly?
yes she walks propoerly
vomitting sensation comes along with dizziness
Does she have any heart problems?
Let me brief you.
doctor 1 more thing
as you asked about imbalance,she does not have control over her steppings for a fraction of sec when the dizziness happens
That clarifies few things.
I shall brief you now.
Dizziness is caused by multiple conditions related to ear, brain and heart.
In the background of long standing (8 years) diabetes and high blood pressure, there is a possibility
that she may be having autonomic disturbances.
In simple words, anyone who has long standing diabetes and high blood pressure
can be subjected to blood pressure fluctuations.
And these fluctuations usually happen with change of posture such as when some one stands suddenly from sitting or lying down posture.
You can confirm with your mother if she feels dizzy and feels like falling when she stands suddenly from sitting or lying down posture.
If yes, then you can get her blood pressure recorded at her doctors office in lying down, sitting and standing posture.
This will confirm this possibility.
Are you following?
no the pattern usually is not while changing the postures
but comes suddenly while walking or lying down
If there is no relation with change in posture, then it might not be postural hypotension.
can record the BP in all the 3 postures though to see if there is variation
Yes, you can do that and confirm it.
If postural hypotension is ruled out,
then the next common cause is benign vertigo
A condition which is related to some minor disturbance with ear.
The third possibility is metabolic disturbances - low sodium levels
which is associated with blood pressure medications.
The following are my advise to you
Na level were normal in december
1. You would need to report to her physician for physical examination and some relevant tests
2. She would need her blood pressures checked as described earlier.
3. Few relevant investigations such as blood sugars, repeat serum sodium levels, other metabolic work up and ECG may be needed.
4. If all the test are normal, then your doctor can
These medications taken for 2-4 weeks will solve her problems.
5. In the meantime as you make arrangements to consult your doctor,
yes i will
make sure your mother does not go alone to places such as higher than ground levels, does not get up abruptly.
I don't think we are dealing with a serious problem but proper blood sugar and blood pressure maintenance is essential.
Have you followed ?
Is there any other query?
yes doctor ..
1. you said higher than ground level..she stays on 14th floor..can that be related
2.for the benign vertigo does she require some ear investigations
I suggested her not to go to higher level alone to avoid any falls following dizziness.
Staying at a higher level is not related to the dizziness.
yes that we are taking care
we do not let her go alone for walks these days
2. Benign vertigo is usually related to minor ear disturbances.
If an ear examination reveals any pathology, she may be advised to get some relevant test such as audiometry.
I would encourage you to consult her physician.
since she is at our home town,i thought of taking your opinion
Her doctor will streamline the tests.
will make arrangements to see the physician
thank you much
You are welcome.
Thanks for consulting me.
Bye for now.
thank you .bye
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