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Suggest Treatment For Lightheadedness And Fainting Feeling

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Posted on Tue, 4 Aug 2015
Question: Hi my husband is a 53 year old male in good shape. He is 5'11" and 200lbs. He takes a blood pressure medication....Lisonpril 10mg. Only the last month or so....he has experienced light-headedness and almost fainting on 2 occasions. It passes and then for the most part is fine the rest of the day...feeling even better towards the evening. He had an EKG done and it showed no abnormalities but his doctor wanted him to wear a heart monitor for a month to what other possibilties would be causing this light-headedness in the mornings. Any suggestions what the problem could be. Thank you
doctor
Answered by Dr. Noble Zachariah (19 minutes later)
Brief Answer:
Likely to be due to transient reduction in brain blood flow.

Detailed Answer:
Hello,

Welcome and thanks for your query.
I understand your concern.
The light headedness is likely to be due to transient decrease in blood flow to certain parts of the brain.
He is wearing the heart monitor to know if there is any abnormal heart rhythm causing a reduction in the blood flow.
Another possible cause, especially if the light headedness is related to him getting up from a lying or siting posture can be due to a drop in the blood pressure at this time of changed posture. It may also be related to persistent decrease in blood pressure during certain times of the day. If that were the reason, it may be picked up by an ambulatory blood pressure monitoring. He can trigger an additional BP measurement when he has the symptom, to record the BP at that particular moment.
Cervical spondylosis with decrease in the blood flow through the vertebrobasilar system is another common cause of dizziness.
If you can upload the result of his heart monitoring, I shall be happy to interpret it and give my opinion as to whether that is the cause.
Best wishes,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Noble Zachariah (6 minutes later)
Thank you!
doctor
Answered by Dr. Noble Zachariah (3 minutes later)
Brief Answer:
Welcome

Detailed Answer:
Do get back to me if you have more queries.
Wish you and your husband a good day and good health

Dr Noble Zachariah
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Noble Zachariah

Internal Medicine Specialist

Practicing since :1974

Answered : 2319 Questions

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Suggest Treatment For Lightheadedness And Fainting Feeling

Brief Answer: Likely to be due to transient reduction in brain blood flow. Detailed Answer: Hello, Welcome and thanks for your query. I understand your concern. The light headedness is likely to be due to transient decrease in blood flow to certain parts of the brain. He is wearing the heart monitor to know if there is any abnormal heart rhythm causing a reduction in the blood flow. Another possible cause, especially if the light headedness is related to him getting up from a lying or siting posture can be due to a drop in the blood pressure at this time of changed posture. It may also be related to persistent decrease in blood pressure during certain times of the day. If that were the reason, it may be picked up by an ambulatory blood pressure monitoring. He can trigger an additional BP measurement when he has the symptom, to record the BP at that particular moment. Cervical spondylosis with decrease in the blood flow through the vertebrobasilar system is another common cause of dizziness. If you can upload the result of his heart monitoring, I shall be happy to interpret it and give my opinion as to whether that is the cause. Best wishes,