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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Nausea On Waking Up?

For a month or so, I ve had times of being dizzy w/nausea. Today I had it again. I woke at 7 a.m., changed clock for 9 a.m. When the clock alarmed, I raised up and immediately I was so dizzy I tried to get out of bed but realized that I shouldn t - was too dizzy. So I just sat there maybe 10/15 min before I finally rose up to walk. I said well, I need to walk slow because I might faint. I drank coffee & ate a banana. Then about an hour later I took 2 medications Lyrica and Lexapro 10 min. After about 30 min. I started to feel better. I m wondering if I might have any one of problems that I ve heard starts w/my symtoms? Is there a charge for answers. I m not willing to pay online. I have an internal med. dr. that I can see in a few days.
Mon, 7 Jul 2014
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General & Family Physician 's  Response
Hello dear,

The queries answered in this forum are not charged. Feel free to utilize this facility.
In you post, you have not mentioned about any past history of Diabetes, Hypertension, Thyroid disorders, etc.
Under such circumstances, the symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthitis or Benign Paroxysmal Positional Vertigo.

Though symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Cinnarizine preparations (to be taken only under the guidance of a Physician), the underlying cause needs to be treated.

If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done.
Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms.

There is no need to worry, you will be fine.
Till then, maintain adequate hydration & proper nutrition status and avoid stress.
And also take precautions of getting up from bed slowly & avoid sudden head movements.

Wishing a Good Health.
Take care.
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What Causes Dizziness And Nausea On Waking Up?

Hello dear, The queries answered in this forum are not charged. Feel free to utilize this facility. In you post, you have not mentioned about any past history of Diabetes, Hypertension, Thyroid disorders, etc. Under such circumstances, the symptoms as mentioned in your post can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthitis or Benign Paroxysmal Positional Vertigo. Though symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Cinnarizine preparations (to be taken only under the guidance of a Physician), the underlying cause needs to be treated. If it still persists, then you need to consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate hydration & proper nutrition status and avoid stress. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing a Good Health. Take care.