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What Causes Lightheadedness?

Posted on Fri, 11 Jul 2014

Question: Having problems with lightheadedness for years and now its everyday and put me on disability and house bound for a year now had tons of tests only thing found was low vitamin d and mild pots syndrome i can sleep in a bed have to sleep in a chair now any help please and have had resting heart rate in the 180 laying down only 42 take atenolol 25mg and 3mg ativan for years bp is 100/60 most the time and lightheadedness and fast heart rate gets worst standing up or walking so i stay in a chair most the day

Answered by Dr. Deepashree (1 hour later)

Brief Answer:
physical rehabilitation therapy.

Detailed Answer:
Hi,

Thanks for your query.

In my opinion, these symptoms are related to postural orthostatic hypotension (pots syndrome) where in there is sudden increase in heart rate and decrease in BP on standing.

You are on the right treatment. But if I were your treating doctor, I would have increased the dosage of the beta blocker to 50 mg along with increased fluid intake. Besides that Physical rehabilitation is something that has helped many with similar problems. You should try that.

Hope my answers have helped you.

Regards

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepashree (1 hour later)

I increased salt to 4 grams and add lots of water and at night my hr goes to 50 bpm and my bp is 100/60 to 90/55 so more atenolol willlower bp to much and cause me more problems when standing correct

Answered by Dr. Deepashree (1 hour later)

Brief Answer:
Physical therapy

Detailed Answer:
Hi, thanks for your follow up query.

Medication in this type of illness is mainly to control blood pressure and heart rate. If your BP is dropping down to 90/50 then keep aten at 25 mg only. I suggest you approach your treating doctor and ask about physical rehabilitation. This therapy will allow central compensation to occur which may help to reduce dizziness to some extent.

Hope my answers have helped you. Thanks. Pleased to help you further.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepashree (2 hours later)

Can it be an ear problem when i move move head to much or la flat i get dizzy y

Answered by Dr. Deepashree (24 minutes later)

Brief Answer:
inner ear problems.

Detailed Answer:
Hi, thanks for your follow up query.
Yes, inner ear problems can also cause dizziness.
Dizziness is usually associated with tinnitus, hearing loss, ear fullness and giddiness aggravate on change in head position.
This has to be assessed clinically by specialist.
I would advise you to meet your physician and get yourself evaluated.
Pleased to help you further.

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Deepashree (2 hours later)

Your not being si helpful just agreeing with whatever i say and giving no advise and short answer please opt out of my questions and let a real dr answer

Answered by Dr. Deepashree (18 minutes later)

Brief Answer:
I appreciate your knowledge about the disease.

Detailed Answer:
Hi sir, dizziness is a symptom which is difficult to diagnose without clinical examination.
There are many reasons for dizziness like from simple wax in ear, middle ear infection, inner ear disease, meneires disease ,high BP, postural hypotension, brain infarct, haemorrhage, brain tumour, cerebellar lesions,Vascular lesions, etc etc many more to list out.
All disease have different symptoms and different clinical manifestation.
Based on your symptoms and previous history I have given my opinion.
There is no over the counter drugs for dizziness.
Until analysed, it's difficult to diagnose without examining the patient.
You are free to take second opinion from other doctors . Thanks

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj