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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness Along With Confusion And Leg Aches?

I am the health proxy for my aged sister. She has been experiencing confusion, dizziness, unsteadiness, achy legs, and bloated stomach. She is insistent that one of her morning medications is causing this. I have a call into her doctor, but in the meantime I checked on the drug interactions of the medicines she s taking. The only two that were listed as having a cautionary interaction were Atenolol and Spironolactone. The website said they may cause potassium levels in the blood to rise. I also noticed that each of these drugs alone may cause a number of the side effects my sister is experiencing. Should I ask her doctor to look into this or suggest she be taken off one of these medications or suggest they not be taken at the same time of day? Can either one of these drugs be taken at night?
Thu, 28 Jun 2018
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General Surgeon 's  Response
Hello and welcome to HealthcareMagic.

Feeling lightheaded and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests.

One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness.

Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.
Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.
If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.
The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones.
So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG.

I remain at your disposal for other questions.
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What Causes Dizziness Along With Confusion And Leg Aches?

Hello and welcome to HealthcareMagic. Feeling lightheaded and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests. One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms. Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well. If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration. The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones. So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG. I remain at your disposal for other questions.