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What Does Persistent Lightheadedness Indicate Post Exercises Or Activity?

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Posted on Mon, 6 Nov 2017
Question: Hello!
Among other symptoms, I have one bothersome one. For example today, I was laying new floor in my house. That means I have to sit, and get up several times. Ordinarily I do get ortostatic hypotention by standing from sitting position, but this makes me LIGHTHEADED , and more lightheaded the more times I squat and get back up- understand? Not like the couple seconds I get dizzy from mort.hypo. The lightheadedness still remains several hours after I am finsished doing the exercise or work. What can this be? It feels like my brain is not getting enough blood. I get like this also from working out etc.
doctor
Answered by Dr. Ivo Ditah (10 minutes later)
Brief Answer:
Get rested, drink much water and take tylenol!

Detailed Answer:
Hi,

This is unlikely to be related to orthostatic hypotension. I will like that you monitor your blood pressure and report the values to me. In addition, get bed rest and drink much water for rehydration to make sure you do have enough fluid in the system. On another note, do you take medications for any disease condition?

Your headaches could just be headaches and not necessarily related to your issue of orthostatic hypotension. I will suggest 1000mg of tylenol in addition to the above measures of rest, increased fluid intake and blood pressure monitoring. Unless this headache persists, there is no immediate need to be seen by a doctor at this time for further evaluation.

I hope this guides, helps and reassures. I await your updates and wish you well in the interim. Feel free to follow up with me for more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (6 minutes later)
Hi doc.

I dont know what you mean With "head aches"? I did not Write that I have headaches or pain. I am lightheaded, as in a form of dizzyness that is not rotatoric or nautic - just lightheaded. And its very bothersome, so that I need to just stop working out or/and working. It gets worse everytime I sit Down and get up in a row.
Example: if I sit Down and get up 1 time - its a little lightheaded (1)
If I sit Down and get up 3 times it is 3 times as bad / much
If i sit Down and get up 5 times, its 5 times as much.
No I dont take any medications.
doctor
Answered by Dr. Ivo Ditah (1 hour later)
Brief Answer:
Let's get this right!!!

Detailed Answer:
Hi and thanks for this specification.

1. Are you able to measure your blood pressure? If yes, can you control that while seated and then in an upright position? This will help me establish if there is a significant drop in blood pressure to cause this.

2. For how long has this been going on? Would this equally happen if you get to transition from the sitting position to the upright position?

3. Does rest or sleep make a difference to you?

Waiting to here from you...
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (15 hours later)
1: I have measured it before. I do have relatively low bloodpressure always. It sometimes is very low, like 100/60. I do get ortostatic hypo when getting up. But normally thats just the ones that pass in a couple Seconds. This time it feels diffrent. I get lightheaded, and it lasts long. Even today (after to days) am still lightheaded, and gets worse by beeing active.

2: Sometimes I can work until I get sweaty and not have trouble. But sometimes, I get this. It feels like there is clogged arteries in the neck or head. Just a woozy/lightheaded feeling that percists for very long, and gets worse the more active I am.

3: Not really. I woke today and felt okay, and then just walked downstairs, outside short walk, and started to gradually become lightheaded again.

Oh, and I have had this before. As far back as 2012 I had the same, and many times after that. I also get a numbness in my forehead, on top of my head, and some in face.
doctor
Answered by Dr. Ivo Ditah (13 hours later)
Brief Answer:
I recommend you get evaluated!

Detailed Answer:
Hi and thanks for responding to my questions.

Your symptoms and surrounding circumstances are not typical. I will like to see a more objective assessment by a cardiologist. It will be great to see how the heart adapts when you move from a sitting to an upright position and equally assess the patency of the blood vessels suppling the brain. This way, We will put all the reasonable possibilities to rest and pursue a unique objective diagnosis. based on these, a treatment plan would be established.

I wish you well and await your updates.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ivo Ditah (11 hours later)
Hi
Thank you
When you say "assess the patency of the blood vessels suppling the brain. How is that done? Ultrasound of the vessels in the neck?
Can this be a stroke coming or anything dangerous?
doctor
Answered by Dr. Ivo Ditah (47 minutes later)
Brief Answer:
Not stroke!!!

Detailed Answer:
Hi,

This is certainly not stroke.

Assessment is done by listening to blood flow through these vessels and also doing a doppler ultrasound of the blood vessels of the neck (Carotid arteries). However, there are more chances that all would be fine and these symptoms would represent transient incidental findings than an extant pathology.

I hope this sheds more light. Feel free to keep me posted with the findings.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ivo Ditah

Internal Medicine Specialist

Practicing since :2002

Answered : 3993 Questions

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What Does Persistent Lightheadedness Indicate Post Exercises Or Activity?

Brief Answer: Get rested, drink much water and take tylenol! Detailed Answer: Hi, This is unlikely to be related to orthostatic hypotension. I will like that you monitor your blood pressure and report the values to me. In addition, get bed rest and drink much water for rehydration to make sure you do have enough fluid in the system. On another note, do you take medications for any disease condition? Your headaches could just be headaches and not necessarily related to your issue of orthostatic hypotension. I will suggest 1000mg of tylenol in addition to the above measures of rest, increased fluid intake and blood pressure monitoring. Unless this headache persists, there is no immediate need to be seen by a doctor at this time for further evaluation. I hope this guides, helps and reassures. I await your updates and wish you well in the interim. Feel free to follow up with me for more information and clarifications if need be.