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What Causes Dizziness Following Hard And Prolonged Cough?

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Posted on Thu, 19 Nov 2015
Question: I'm 51 overweight asthmatic female with sinus issues. sometimes I cough so hard the world spins. a few moments ago I was sitting in a chair talking with my kids and I coughed really hard. the next thing I knew my kids were still talking to me but my phone was in my lap and I had obviously missed a moment or two of time. what happened?
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Answered by Dr. Dr. Meriton Siqeca (34 minutes later)
Brief Answer:
Consult with a pulmonologist

Detailed Answer:
Hello, madame! Thank you for your question and welcome to HCM. I understand your concern.

It may happen and, if this the first episode of near-fainting, then it sometimes accompanies hard coughing. During hard and prolonged cough, there is a certain congestion that happens to the blood supply to the brain and deoxygenated (venous) blood emptying. Therefore, less oxygen goes to the brain and it can produce, however shortly, dizziness, blurry or dark vision, even clear-cut fainting sometimes. I would recommend you to lose weight and consult a pulmonologist, to accentuate your anti-astmathic medicine. Also, a chest X-ray would be in order. Obesity is often accompanied with sleep apnea, therefore, a sleep study for episodes of apnea is recommended. Just to be sure and safe, I would also recommend an echocardiogram (ultrasonography of the heart) to assess valvular and other heart structures, which could, however with low probability in your case, cause this near-fainting episode.

I hope I was helpful with my answer. I would be happy to help, if you have follow-up questions. Please rate my answer, if you do not.

Best regards,
Dr. Meriton
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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Dizziness Following Hard And Prolonged Cough?

Brief Answer: Consult with a pulmonologist Detailed Answer: Hello, madame! Thank you for your question and welcome to HCM. I understand your concern. It may happen and, if this the first episode of near-fainting, then it sometimes accompanies hard coughing. During hard and prolonged cough, there is a certain congestion that happens to the blood supply to the brain and deoxygenated (venous) blood emptying. Therefore, less oxygen goes to the brain and it can produce, however shortly, dizziness, blurry or dark vision, even clear-cut fainting sometimes. I would recommend you to lose weight and consult a pulmonologist, to accentuate your anti-astmathic medicine. Also, a chest X-ray would be in order. Obesity is often accompanied with sleep apnea, therefore, a sleep study for episodes of apnea is recommended. Just to be sure and safe, I would also recommend an echocardiogram (ultrasonography of the heart) to assess valvular and other heart structures, which could, however with low probability in your case, cause this near-fainting episode. I hope I was helpful with my answer. I would be happy to help, if you have follow-up questions. Please rate my answer, if you do not. Best regards, Dr. Meriton