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What Causes Head Rush Or Dizzy Spell And Sudden Fall In Blood Pressure While Stretching?
Question: hello doctor,
iam 32 years old male. For the past six months I have this really weird problem. When i stand it feels that something is making me off balance , This does not happen when i walk or run. Also when I sit continously and try to bend my head forward like eating or writing something I feel woozy and feel like passing out.I did blood tests like fasting sugar, TSH , Lipid Profile all of which came normal. My B.P hovers between 115/80 to 130/85. i even had an MRI scan of brain which came normal . underwent CCG. ENG, Balance tests as prescribed by ENT specialist all of which came back normal. Please help as the problem has started to effect my daily work
XXXX
iam 32 years old male. For the past six months I have this really weird problem. When i stand it feels that something is making me off balance , This does not happen when i walk or run. Also when I sit continously and try to bend my head forward like eating or writing something I feel woozy and feel like passing out.I did blood tests like fasting sugar, TSH , Lipid Profile all of which came normal. My B.P hovers between 115/80 to 130/85. i even had an MRI scan of brain which came normal . underwent CCG. ENG, Balance tests as prescribed by ENT specialist all of which came back normal. Please help as the problem has started to effect my daily work
XXXX
Brief Answer:
seems to be Postural hypotension
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having imbalance on standing.
Based on your clinical details, it appears to be orthostatic hypotension.
Orthostatic hypotension is a head rush or dizzy spell, is a form of low blood pressure in which a person's blood pressure falls when suddenly standing up or stretching.
It could be physiological (no cause) or pathological (medications, XXXXXXX disease, diabetes).
I suggest the following measures to overcome your dizzy spells.
1. Drinking enough fluids and water, avoiding walking during hot weather, elevating the head of your bed, and standing up slowly.
2. stretching exercises and regular walking.Get up slowly from sitting to standing posture.
3. Compression stockings and garments or abdominal binders may help reduce the pooling of blood in your legs.
4. medications like fludrocortisone, midodrine, nonsteroidal anti-inflammatory drugs and pyridostigmine can be tried under medical supervision. Kindly discuss with your treating doctor.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
seems to be Postural hypotension
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having imbalance on standing.
Based on your clinical details, it appears to be orthostatic hypotension.
Orthostatic hypotension is a head rush or dizzy spell, is a form of low blood pressure in which a person's blood pressure falls when suddenly standing up or stretching.
It could be physiological (no cause) or pathological (medications, XXXXXXX disease, diabetes).
I suggest the following measures to overcome your dizzy spells.
1. Drinking enough fluids and water, avoiding walking during hot weather, elevating the head of your bed, and standing up slowly.
2. stretching exercises and regular walking.Get up slowly from sitting to standing posture.
3. Compression stockings and garments or abdominal binders may help reduce the pooling of blood in your legs.
4. medications like fludrocortisone, midodrine, nonsteroidal anti-inflammatory drugs and pyridostigmine can be tried under medical supervision. Kindly discuss with your treating doctor.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Thanx doc for your preliminary assessment.
But do tell me does this type of hypotension cause any mild tremors of hand ,body
This is particularly evident during daytime and eases during evening.do i need to have any other tests for this condition
regards
XXXX
But do tell me does this type of hypotension cause any mild tremors of hand ,body
This is particularly evident during daytime and eases during evening.do i need to have any other tests for this condition
regards
XXXX
Brief Answer:
seems to be orthostatic tremors.
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
Yes. These are Orthostatic tremors. They are characterized by rhythmic muscle contractions that occur in the legs and trunk immediately after standing. They can be managed with combination of diazepam and primidone. Kindly discuss with your treating doctor.
Hope, I have answered your query.
Take care.
seems to be orthostatic tremors.
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
Yes. These are Orthostatic tremors. They are characterized by rhythmic muscle contractions that occur in the legs and trunk immediately after standing. They can be managed with combination of diazepam and primidone. Kindly discuss with your treating doctor.
Hope, I have answered your query.
Take care.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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