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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dizziness And Lightheadedness

when I come in out of the Florida heat... usually in the 90 s, and then climb 2 flights of stairs, sometimes I get a little dizzy or lightheaded. Today it was intense and I had to stop for about a minute and my umbrella fell out of my hand. I then was ok and carried on as usual. Last night I was out very late and only slept 2 hours, so I attributed most of today s incident to that. I work out 3 days a week, 2 hours at a time, doing both cardio and weights. Do I need to worry about heart problems?
Thu, 20 Aug 2015
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General & Family Physician 's  Response
Hi,
Welcome to health care magic,

Dizziness or lightheadness while getting up or standing from a lying down position or a condition is known as syncope or a presyncope.

It means it follows dizziness,lightheadnes and temporary semi consciousnesses for a while without actual becoming unconscious.

Here,I would like to ask you some questions regarding your medical history of

1) previous disease apart from hypertension (for which you are taking these cardiac medications),
2) any recent or past surgery,
3) any past history of head injury (like in accident)or
4) is there any other symptoms like chest pain,palpitations,fatigue, blurring vision etc.

We will have to rule out causes of syncope from cardiac and non cardiac for which you will require detailed history, thoroughly clinical examination for heart like ECG,blood pressure measurements in different positions like supine,sitting and immediately after standing, echo cardiography of heart etc specially in persons who is above 60 years of age.

The underlying cause could be vasovagal, orthostatic hypotension or postural tachycardia or due to anxiety etc.

You will have to consult your physician first for thoroughly clinical assessment to detect the underlying cause.

Treatment will depend on the underlying cause.

Meanwhile you can do this things,

1) Maintain proper hydration and electrolyte balance by taking proper fluid intake throughout the day.

2) Positioning on the grounds immediately whenever there is fainting spells and leg elevation, will cause pooling of blood in the upper part of body mainly in brain.

Hope i have explained it in a easy way to understand it.

Regards,
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Suggest Treatment For Dizziness And Lightheadedness

Hi, Welcome to health care magic, Dizziness or lightheadness while getting up or standing from a lying down position or a condition is known as syncope or a presyncope. It means it follows dizziness,lightheadnes and temporary semi consciousnesses for a while without actual becoming unconscious. Here,I would like to ask you some questions regarding your medical history of 1) previous disease apart from hypertension (for which you are taking these cardiac medications), 2) any recent or past surgery, 3) any past history of head injury (like in accident)or 4) is there any other symptoms like chest pain,palpitations,fatigue, blurring vision etc. We will have to rule out causes of syncope from cardiac and non cardiac for which you will require detailed history, thoroughly clinical examination for heart like ECG,blood pressure measurements in different positions like supine,sitting and immediately after standing, echo cardiography of heart etc specially in persons who is above 60 years of age. The underlying cause could be vasovagal, orthostatic hypotension or postural tachycardia or due to anxiety etc. You will have to consult your physician first for thoroughly clinical assessment to detect the underlying cause. Treatment will depend on the underlying cause. Meanwhile you can do this things, 1) Maintain proper hydration and electrolyte balance by taking proper fluid intake throughout the day. 2) Positioning on the grounds immediately whenever there is fainting spells and leg elevation, will cause pooling of blood in the upper part of body mainly in brain. Hope i have explained it in a easy way to understand it. Regards,