question-icon

What Causes Dizziness When Diagnosed With Low BP In An Elderly Person?

default
Posted on Fri, 3 Nov 2017
Question: My sister is 57 years old and is having episodes with very low blood pressure, fainting, and feeling like she is moving in quicksand. She is generally a healthy person with no chronic disease or issues.
What could be her problem?
doctor
Answered by Dr. Lekshmi Rita Venugopal (50 minutes later)
Brief Answer:
Please follow up with additional details

Detailed Answer:
Hello,
Thank you for trusting HealthcareMagic for your health concern

I habe gone through your question.
It will be helpful if you could provide the following details, so that I can provide a detailed answer

-How often does she experience fainting spells?
-Does she notice any heart palpitations or skipped beats?
-Is your sister on any medications? If so,please provide the list
-Does she experience any ringing in ear, vertigo while having these episodes?
-Does she complain about constant head ache or vision changes recently?
-Was any other investigation other than EKG done to evaluate cardiac status?
-Any other associated concerning symptoms?

Awaiting
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Lekshmi Rita Venugopal (2 hours later)
This just started in the last 3 1/2 weeks. She had a UTI, and was treated for that with antibiotics- but it was one she had taken before with no problems. She is not noticing any heart problems or issues. No vision changes. No other meds. She does get headaches, and her speech gets slurred when this happens, along with the feeling of being in quicksand, and extremely tired. She fainted for about 5 min. the last time in the ER. They have run labs and tests, but haven't given her any answers yet. Today she felt fine, and monitored her BP during spin class at the gym and it was normal.
doctor
Answered by Dr. Lekshmi Rita Venugopal (5 hours later)
Brief Answer:
Follow up answer

Detailed Answer:
Hello again,

There are two important concerns here with your sister's history: cardiac issues or cerebrovascular disease.
Cardiac issues like cardiac arrhythmias can cause hypotension and fainting. However, it will not be picked up in an EKG always. 24-hour Holter monitoring test is required to assess cardiac electrical activity.
Since she is also complaining of slurred speech, it is also important to assess for possible cerebrovascular disease like Transient Ischemic attack, where blood supply to the brain is temporarily affected. Carotid doppler study and CT brain is recommended to rule out TIA and stroke.

In short, I recommend that she undergo 24-hour Holter monitoring testing, carotid artery Doppler studies and CT brain as next step in evaluation. She can follow up with her primary provider to get the necessary evaluations done.

Hope I was able to help you
Please let me know if you need further clarifications
Regards
Dr.Lekshmi

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. Lekshmi Rita Venugopal

General & Family Physician

Practicing since :2012

Answered : 3816 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

152 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Dizziness When Diagnosed With Low BP In An Elderly Person?

Brief Answer: Please follow up with additional details Detailed Answer: Hello, Thank you for trusting HealthcareMagic for your health concern I habe gone through your question. It will be helpful if you could provide the following details, so that I can provide a detailed answer -How often does she experience fainting spells? -Does she notice any heart palpitations or skipped beats? -Is your sister on any medications? If so,please provide the list -Does she experience any ringing in ear, vertigo while having these episodes? -Does she complain about constant head ache or vision changes recently? -Was any other investigation other than EKG done to evaluate cardiac status? -Any other associated concerning symptoms? Awaiting Dr.Lekshmi