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What Causes Dizziness After Waking Up?
Question: its for my wife, she is dizzy some mornings on getting out of bed, she is 80 with taking blood pressure pills, but it s under control. nothing seems to help, with dizziness pills and it goes better after a few hours during the day?
Brief Answer:
I recommend performing the following tests to establish the diagnosis
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would like to explain that there are different causes of dizziness when getting up in the morning:
- Cervical spondylarthrosis can cause dizziness from the change of position. It is typically more severe in the morning and gets better through the day. I would recommend performing a cervical column x ray for the diagnosis.
- Another cause would be an orthostatic hypotension, which means a decrease in the blood pressure when standing up from sitting or lying position.
Have you measured her blood pressure in the morning?
I recommend measuring her blood pressure in sitting and standing position. A decrease in the blood pressure more than 20mm Hg when standing up is very indicative for this diagnosis. A head up tilt test would be necessary to exclude this disorder.
- Hypoglycemia can cause dizziness typically in the morning, because you have not eaten for hours during night sleeping. A fasting glucose test would be necessary to exclude this disorder.
-Low blood oxygen levels upon waking is may be seen with blood abnormalities as well as airway, lung and heart diseases. Chronic anemia and sleep apnea can also cause low blood oxygen levels during the morning. A routine blood test and blood oxygen levels monitoring is important for these diagnosis.
-The inner ear problems. As with other conditions, the dizziness may not be specifically only in the morning. However, these organs have to be functioning optimally when standing or walking in order to maintain balance, failure of which may lead to dizziness and even falls. I recommend consulting with the ENT specialist and performing labyrinthic tests to exclude these disorders.
- Thyroid dysfunction. It can cause dizziness during all day, but I recommend performing thyroid hormone levels for this diagnosis.
Other causes of dizziness mainly in the morning include insomnia, dehydration, infections etc.
I also recommend performing blood electrolytes, an ECG and a cardiac ultrasound to examine your cardiac function.
I hope to have been helpful!
Feel free to ask any other questions whenever you need!
Greetings! Dr. Iliri
I recommend performing the following tests to establish the diagnosis
Detailed Answer:
Hello!
Thank you for asking on HCM!
Regarding your concern, I would like to explain that there are different causes of dizziness when getting up in the morning:
- Cervical spondylarthrosis can cause dizziness from the change of position. It is typically more severe in the morning and gets better through the day. I would recommend performing a cervical column x ray for the diagnosis.
- Another cause would be an orthostatic hypotension, which means a decrease in the blood pressure when standing up from sitting or lying position.
Have you measured her blood pressure in the morning?
I recommend measuring her blood pressure in sitting and standing position. A decrease in the blood pressure more than 20mm Hg when standing up is very indicative for this diagnosis. A head up tilt test would be necessary to exclude this disorder.
- Hypoglycemia can cause dizziness typically in the morning, because you have not eaten for hours during night sleeping. A fasting glucose test would be necessary to exclude this disorder.
-Low blood oxygen levels upon waking is may be seen with blood abnormalities as well as airway, lung and heart diseases. Chronic anemia and sleep apnea can also cause low blood oxygen levels during the morning. A routine blood test and blood oxygen levels monitoring is important for these diagnosis.
-The inner ear problems. As with other conditions, the dizziness may not be specifically only in the morning. However, these organs have to be functioning optimally when standing or walking in order to maintain balance, failure of which may lead to dizziness and even falls. I recommend consulting with the ENT specialist and performing labyrinthic tests to exclude these disorders.
- Thyroid dysfunction. It can cause dizziness during all day, but I recommend performing thyroid hormone levels for this diagnosis.
Other causes of dizziness mainly in the morning include insomnia, dehydration, infections etc.
I also recommend performing blood electrolytes, an ECG and a cardiac ultrasound to examine your cardiac function.
I hope to have been helpful!
Feel free to ask any other questions whenever you need!
Greetings! Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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