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What Causes Dizzy Spells And Light Headedness Inspite Of Normal BP?

Posted on Sat, 29 Mar 2014

Question: Hi, I am 60 years old have neck injuries from previous car accidents I have been having dizzy spells first last night so I sat on my bed till it passed however I fell onto the floor & today I am still having them one this pm & again I sat until it passed but I feel very lightheaded every time I stand up any suggestion as to what I can do my blood pressure is normal 123/72 87 bpm

Answered by Dr. Anantharamakrishnan (2 hours later)

Brief Answer: Need Physical examination & Investigations Detailed Answer: Dear friend, Welcome to Health Care Magic You ought to see a doctor! You need examination / and investigation... If it is from getting up from bed, it may be from postural hypo-tension.. Did you check your BP – standing and lying? / It can be from anaemia – what is your haemoglobin? / It could be from the drugs -especially, if there is change of the drug or the dose... The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. If the ear is excluded, you have to be followed up by a neurologist. / MRI of the head and neck spine is needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting…this will also detect compression of the nerve root causing numbness in the fingers… / especially important - because you has syncope (fell down / transient loss of consciousness) If there are no clues, you have to be investigated by a Cardiologist! EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Wishing all well God bless

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (38 minutes later)

Have had CAT on lower spine a month ago, just confirmed I have severe degeneration of discs blood work normal I have had no change in meds in a while I have taken blood pressure before eating the latest was 10 min ago it read 111/67 96 BPM going for nerve conduction study on left arm end of month DR thinks Ulnar nerve I think it is coming from neck sorry I had cardiologist workup last summer no findings were abnormal I was seen due to fainting

Answered by Dr. Anantharamakrishnan (3 hours later)

Brief Answer: Tests reassuring / Go for ENT; Follow Neuro Detailed Answer: Hi Great – blood work and heart are normal Nerve Conduction study and EMG (Electromyography) will clinch the peripheral nerve problem… Entrapment may benefit from decompression… Follow up with Neurologist Consultation by Ear specialist is still a need Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar