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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are dizziness and nausea a sign of orthostatic hypotension?

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Dr. Suresh Heijebu

General & Family Physician

Practicing since :2010

Answered : 3579 Questions

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Posted on Fri, 3 Aug 2018 in Ear, Nose and Throat Problems
Question: Tuesday night went to bed & got up about 30 minutes later and immediately got very dizzy. The dizziness has continued along with nausea on and off. Have an appointment Monday with an ENT doctor to have ears looked at. Have had an issue with right ear on and off last two months. Sounds like bubble pack in my right ear.
Or is this something else I should have looked at sooner?
Some stomach issues with what I eat goes right thru me.
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Answered by Dr. Suresh Heijebu 3 hours later
Brief Answer:
Possible orthostatic hypotension

Detailed Answer:
Hello Madam

I can certainly understand your concern

I have worked through your attached query in detail.

As per your symptoms of dizziness 30 min after waking up from sleep suggests postural drop in blood pressure causing dizziness. This could be related to autonomic system dysfunction.

The possibility of ear disease responsible for your symptoms is less likely.

Postural hypotension should be carefully searched for a cardiac disease. For this I advise you to get a 24 HOLTER ambulatory ECG recording and a 2 D ECHOCARDIOGRAM.

Simultaneously ear disease has to be thoroughly evaluated.

Maintain adequate hydration by taking 2 liters of water a day.

Review with reports to determine further course of action

Post your further queries if any
Thank you




Above answer was peer-reviewed by : Dr. Raju A.T
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