Consult ENT / Have a Holter
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Light headedness is vague term; unsteadiness... If there is definite sense of rotation, it is vertigo. 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?
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. particularly so with tinnitus
If the ear is excluded, you have to be followed up by a neurologist
. / MRI of brain and neck (spine) may be needed. MRA (MRI angiography
) shows blood vessels and is generally done at the same sitting.
If there are no clues, you have to be investigated by a Cardiologist! It is reassuring to know that Stress test
is normal...it excludes reduced blood supply as the cause. HOLTER - 24 to 48 hour ambulatory monitoring – for arrhythmia
may be necessary for further assessment and assistance. Undiagnosed arrhythmia could cause vertigo
For control of pressure, the dose of Ramipril
may have to be increased…
A second drug (even a third) may be added, later on…
You are taking two antidepressants…they also could be contributing to light headedness…
Discuss with your doctor / the number or dose can be reduced / changed?
Wishing all well