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What Can Cause Frequent Dizziness In A 59-year-old Woman?

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Posted on Thu, 22 Jun 2023
Question: when I am up about 1 hr. , I get dizzy to the point I can't stand up, and become pale.
The Dr. says I do not have vertigo.

This dizziness has become more frequent in the last 3 weeks, and I actually fainted 1 time during this time frame.

I fainted and hit my head on Mar. 13- while on a church trip to Israel. Was taken to hospital in Tiberias, Israel. CT scans were run.
(We don't have any results- Report is written in Hebrew.)
doctor
Answered by Dr. Dr. Erion Spaho (4 hours later)
Brief Answer:
Orthostatic hypotension to consider.

Detailed Answer:

Hello,

In my opinion, since you report that the dizziness is triggered by standing up, orthostatic (postural) hypotension, or significant lowering of the blood pressure after standing up, should be considered and evaluated further.

Measuring the blood pressure in laying, sitting and standing position is necessary.

Is necessary also cardiac work up to evaluate any arrhythmias, and tilt table test to evaluate correctly the diagnosis.

In the meantime, translating the CT scan report is necessary also as a complimentary examination.

Discuss with your Doctor about getting evaluated further.

Hope you found the answer helpful.

Let me know if I can assist you further.

Take care.

Regards,
Dr. Erion Spaho, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Erion Spaho (9 hours later)
Thank you for your response.
But, I do not get dizzy immediately after standing up. It is normally after I have been up for about 1 hour that I start getting dizzy. Then I feel like my legs are not going to hold me up, and someone has to catch me before I fall.
Then I lie down for 4 or 5 hours and I am fine.
doctor
Answered by Dr. Dr. Erion Spaho (17 hours later)
Brief Answer:
Further examinations are necessary.

Detailed Answer:

Hi,

Still, a drop in the blood pressure should be considered as a possibility.

Other conditions that may result is such issues include arrhythmias, anemia, cardiac valvular diseases.

Getting evaluated mainly in the direction of heart dysfunction is necessary.

Cardiac ultrasound, Holter monitor, and blood tests are necessary to evaluate correctly your condition.

Discuss with your Doctor about getting evaluated further.

Hope I have answered your query.

Regards,
Dr. Erion Spaho, Neurologist, Surgical
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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What Can Cause Frequent Dizziness In A 59-year-old Woman?

Brief Answer: Orthostatic hypotension to consider. Detailed Answer: Hello, In my opinion, since you report that the dizziness is triggered by standing up, orthostatic (postural) hypotension, or significant lowering of the blood pressure after standing up, should be considered and evaluated further. Measuring the blood pressure in laying, sitting and standing position is necessary. Is necessary also cardiac work up to evaluate any arrhythmias, and tilt table test to evaluate correctly the diagnosis. In the meantime, translating the CT scan report is necessary also as a complimentary examination. Discuss with your Doctor about getting evaluated further. Hope you found the answer helpful. Let me know if I can assist you further. Take care. Regards, Dr. Erion Spaho, Neurologist, Surgical