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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue And Dizziness While Trying To Reduce Weight?

Hi. I am a 19-year-old girl. I am 5 2 and weight 87 lbs. I have suffered from anorexia/bulimia for 2 years. My eating disorder worst about 4 months ago as I returned from spring vacation, and my weight went up to 90lbs. I panicked and determined to lose few pounds. For 2 months, I kept binging and purging, sometimes for more than 3 times a day. One time I felt like my heart would literally stopped, so I decided to quit the binge/purge circle, yet I started to severely restrict myself after that. I got to my lowest weight, which was 85 lbs. Recently I decided to eat more and recover, but I keep exercising to make myself feel better. I walk about 3 miles almost every day. I ve got bruises badly on my legs and thighs. I am also experiencing blackout if I stand up too fast sometimes. Moreover, I get light fever and headaches. My overall health is getting better as I eat more, yet I feel bloated really bad, constantly get heartburn and gas, and feel hungry all the time. I do not count calories, so I do not know exactly how much calories do I eat a day. I just eat more than before, 3 meals and 3 snacks a day. Nonetheless, I often choose a low-calorie options to eat. I am trying to recovering by myself. Nobody in my family knows about it. Should I tell anybody and go to a doctor to get medical check up or not, because I have absolutely no idea how much I ve messed up my body.
Fri, 3 Feb 2017
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General & Family Physician 's  Response
Hello!
The black out that you experience when you get up fast comes from orthostatic hypotension. Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even faint.

Orthostatic hypotension is often mild, lasting a few seconds to a few minutes after standing. However, long-lasting orthostatic hypotension can be a sign of more-serious problems, so talk to your doctor if you frequently feel lightheaded when standing up. It's even more urgent to see a doctor if you lose consciousness, even momentarily.
Mild orthostatic hypotension often doesn't need treatment. Many people occasionally feel dizzy or lightheaded after standing, and it's usually not cause for concern. The treatment for more-severe cases of orthostatic hypotension depends on the cause.

When you stand up, gravity causes blood to pool in your legs. This decreases blood pressure because there's less blood circulating back to your heart to pump.

Normally, special cells (baroreceptors) near your heart and neck arteries sense this lower blood pressure and send signals to centers in your brain that in turn signal your heart to beat faster and pump more blood, which stabilizes blood pressure. In addition, these cells cause blood vessels to narrow, which increases resistance to blood flow and increases blood pressure.
After eating meals. Some people experience low blood pressure after eating meals (postprandial hypotension). This condition is more common in older adults.You need to eat regularly in moderate amounts. Include more protein in your eating susch as fish, chicken, egg, white egg, cheese, cottage cheese, milk, yogurt, more fruits and vegetables and less carnbohydrates such as pasta, white bread and rice, cookies.
Best regards.
Exercise. Do weight training because it build up muscle and the more muscle you have the more calorie you will burn.


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What Causes Fatigue And Dizziness While Trying To Reduce Weight?

Hello! The black out that you experience when you get up fast comes from orthostatic hypotension. Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even faint. Orthostatic hypotension is often mild, lasting a few seconds to a few minutes after standing. However, long-lasting orthostatic hypotension can be a sign of more-serious problems, so talk to your doctor if you frequently feel lightheaded when standing up. It s even more urgent to see a doctor if you lose consciousness, even momentarily. Mild orthostatic hypotension often doesn t need treatment. Many people occasionally feel dizzy or lightheaded after standing, and it s usually not cause for concern. The treatment for more-severe cases of orthostatic hypotension depends on the cause. When you stand up, gravity causes blood to pool in your legs. This decreases blood pressure because there s less blood circulating back to your heart to pump. Normally, special cells (baroreceptors) near your heart and neck arteries sense this lower blood pressure and send signals to centers in your brain that in turn signal your heart to beat faster and pump more blood, which stabilizes blood pressure. In addition, these cells cause blood vessels to narrow, which increases resistance to blood flow and increases blood pressure. After eating meals. Some people experience low blood pressure after eating meals (postprandial hypotension). This condition is more common in older adults.You need to eat regularly in moderate amounts. Include more protein in your eating susch as fish, chicken, egg, white egg, cheese, cottage cheese, milk, yogurt, more fruits and vegetables and less carnbohydrates such as pasta, white bread and rice, cookies. Best regards. Exercise. Do weight training because it build up muscle and the more muscle you have the more calorie you will burn.