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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Dizziness In A Patient With Chronic Heart Failure?

I am being treated for chronic heart failure. The past two days, I have been feeling very dizzy and it s starting to frighten me. I was taking 80 mg of valsartan and 10 mg Lasix twice a day. So yesterday I took my meds only once, thinking maybe It was too much medicine.
Fri, 26 Jun 2020
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Internal Medicine Specialist 's  Response
Hi,

There can be various reasons for dizziness. It can be due to anemia, low blood sugar, prolonged fasting or vitamin deficiencies. Even stress and anxiety can also lead to such symptoms.

Besides it can be due to problems related to ear( swelling , infection, benign positional vertigo), neck( cervical disc disease), or muscle strain.

Since you already are on treatment for cardiac ailment it can be drug induced( the medicines you mentioned can cause electrolyte imbalance- abnormal salts in your body) or related to your cardiac disease.

So I feel that first of all focus on your diet.Eat plenty of fruits and vegetable.Maintain proper posture especially while sleeping or working on computer.

Regularly monitor your bp. Also if still your symptoms persist then go for some investigations like complete blood count,FBS,tsh, xray neck,Ecg and Kidney function tests.This will give you a proper diagnosis.

I also feel that you should not reduce the dose of your medicine on your own,without consulting your treating doctor.In Fact if your symptoms persist you should go and discuss with him so that he can plan the treatment(the medicines and their doses) accordingly.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Milinda Gupta
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What Causes Severe Dizziness In A Patient With Chronic Heart Failure?

Hi, There can be various reasons for dizziness. It can be due to anemia, low blood sugar, prolonged fasting or vitamin deficiencies. Even stress and anxiety can also lead to such symptoms. Besides it can be due to problems related to ear( swelling , infection, benign positional vertigo), neck( cervical disc disease), or muscle strain. Since you already are on treatment for cardiac ailment it can be drug induced( the medicines you mentioned can cause electrolyte imbalance- abnormal salts in your body) or related to your cardiac disease. So I feel that first of all focus on your diet.Eat plenty of fruits and vegetable.Maintain proper posture especially while sleeping or working on computer. Regularly monitor your bp. Also if still your symptoms persist then go for some investigations like complete blood count,FBS,tsh, xray neck,Ecg and Kidney function tests.This will give you a proper diagnosis. I also feel that you should not reduce the dose of your medicine on your own,without consulting your treating doctor.In Fact if your symptoms persist you should go and discuss with him so that he can plan the treatment(the medicines and their doses) accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Milinda Gupta