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Why do I get nausea and dizziness in a lying position with arms raised upwards ?

Good morning. I m a 63 yr. old aircraft mechanic still working and I have on occasions noticed that when I work in a lying position and my arms raised working upword that I get suddenly nausea and light headed. The only relief is to sit up or stand up. In a minute the problem clears and I m fine. On some occasions I have checked my blood pressure and found it temporaryly low until I feel clear headed, then it s back to normal. I do have neck pain and grinding . Also Have had left ear pain and inner ear blockage. ENT have not found anything conclusive. Any thoughts?
Asked On : Mon, 26 Mar 2012
Answers:  1 Views:  402
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ENT Specialist 's  Response

Thank you for your query.

1. The following conditions are associated with such symptoms:
a. Cervical Spondylosis.
b. Acid Reflux.
c. Thoracic outlet Syndrome.
d. Ear related problems.

2. The corresponding investigations and consultations are:
a. X-ray Cervical Spine and a Orthopedic opinion.
b. A Gastroenterologist's opinion
c. A Neurologist's opinion
d. A PTA (Pure Tone Audiometry), Impedance Audiometry and Positional tests for dizziness and vertigo.

3. Additional tests are:
a. Neck Vessel Color Doppler Study.
b. Abdominal Ultrasound to rule out a Hiatus (Sliding) Hernia.
c. MRI or MRA Scan of the Neck and upper Chest .

4. This is probably a nerve or blood vessel compression syndrome either in the neck (neck pain and grinding) or chest (low blood pressure).

5. Further treatment will depend on your test results.

Answered: Tue, 27 Mar 2012
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