
I Have A Problem With Dizziness Since My Bypass Surgery




High compression graduated stockings will help.
Detailed Answer:
Hi,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.
After reading your detailed history, I am of the impression that you probably have orthostatic intolerance which means that your BP goes down while going up standing from the lying down position. Your treating doctor rightly said that high compression graduated stockings will help. Also, you should maintain adequate hydration. Further, you should stand up gradually and not abruptly from the supine position which may also help in alleviating your symptoms.
Hope that helps. If you have any further questions,I shall be glad to answer them.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

High compression graduated stockings will help.
Detailed Answer:
Hi,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist, here to answer your query.
After reading your detailed history, I am of the impression that you probably have orthostatic intolerance which means that your BP goes down while going up standing from the lying down position. Your treating doctor rightly said that high compression graduated stockings will help. Also, you should maintain adequate hydration. Further, you should stand up gradually and not abruptly from the supine position which may also help in alleviating your symptoms.
Hope that helps. If you have any further questions,I shall be glad to answer them.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)






End of May 2017 I was working at a nursing home in Las Cruces. (I have not been able to work the Roswell nursing homes because I was blacklisted for testifying against them in 1997.) We had to rent a place to live in Las Cruces to work the job. I was moved to a different hall and different pt. while still on orientation, I was under a lot of stress. My boss knew it been seven years since I worked as a nurse and had the promise to be kind but it wasn’t happening. One night I went to the BR I had an H/A and felt stressed out. I happened to look in the mirror and the capillaries were bursting in my right eye. A few nights later I now had a new admit and other issues going on and I really felt overwhelmed. I had an H/A again. I went to the BR. and the capillaries in my left eye where breaking again. I had a tech take my BP and it was in the 170’s. I didn’t feel well and decided I had enough of this job. I didn’t need a stroke. The nurse orientating me took over and I left.
Tonight, July 23, 2017, My throat felt like I had a sore throat but especially on the left side. Tighter than anything. My chest hurt in a way I never hurt before. NO SOB though. I do have GI issues but this was different. I took some cayenne pepper and the feeling went away. If it been indigestion, it wouldn’t have. In fact, the cayenne would have made my indigestion worse.
July 29, 2017 Bypass Surgery

End of May 2017 I was working at a nursing home in Las Cruces. (I have not been able to work the Roswell nursing homes because I was blacklisted for testifying against them in 1997.) We had to rent a place to live in Las Cruces to work the job. I was moved to a different hall and different pt. while still on orientation, I was under a lot of stress. My boss knew it been seven years since I worked as a nurse and had the promise to be kind but it wasn’t happening. One night I went to the BR I had an H/A and felt stressed out. I happened to look in the mirror and the capillaries were bursting in my right eye. A few nights later I now had a new admit and other issues going on and I really felt overwhelmed. I had an H/A again. I went to the BR. and the capillaries in my left eye where breaking again. I had a tech take my BP and it was in the 170’s. I didn’t feel well and decided I had enough of this job. I didn’t need a stroke. The nurse orientating me took over and I left.
Tonight, July 23, 2017, My throat felt like I had a sore throat but especially on the left side. Tighter than anything. My chest hurt in a way I never hurt before. NO SOB though. I do have GI issues but this was different. I took some cayenne pepper and the feeling went away. If it been indigestion, it wouldn’t have. In fact, the cayenne would have made my indigestion worse.
July 29, 2017 Bypass Surgery
Symptoms you mentioned are unlikely to be due to stroke.
Detailed Answer:
Hi,
Thanks for being in follow-up.
Firstly, sorry for a delayed reply as I was busy due to some urgent work. I have gone through your detailed history. The symptoms appear more to be due to mental stress and anxiety, rather than a TIA or stroke. Further, if a clinical TIA is actually a stroke, then only it is seen in MRI; per se, TIA is not seen in MRI if it did not cause any brain ischemia. Though, I think these symptoms are non-specific to be ascribed to TIA. Concerning dizziness, fall in BP after 3 minutes of standing is taken for orthostatic intolerance and not just after immediately standing. Your dizziness symptoms appear to be due to orthostatic intolerance and probably due to that only you were prescribed compression stockings.You should try wearing them, maintaining adequate hydration and doing regular meditation/yoga and hopefully you should do well after that. These appear to be minor things to do, but may do wonders for you.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.
Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)

Symptoms you mentioned are unlikely to be due to stroke.
Detailed Answer:
Hi,
Thanks for being in follow-up.
Firstly, sorry for a delayed reply as I was busy due to some urgent work. I have gone through your detailed history. The symptoms appear more to be due to mental stress and anxiety, rather than a TIA or stroke. Further, if a clinical TIA is actually a stroke, then only it is seen in MRI; per se, TIA is not seen in MRI if it did not cause any brain ischemia. Though, I think these symptoms are non-specific to be ascribed to TIA. Concerning dizziness, fall in BP after 3 minutes of standing is taken for orthostatic intolerance and not just after immediately standing. Your dizziness symptoms appear to be due to orthostatic intolerance and probably due to that only you were prescribed compression stockings.You should try wearing them, maintaining adequate hydration and doing regular meditation/yoga and hopefully you should do well after that. These appear to be minor things to do, but may do wonders for you.
Hope that helps.If you have any further questions,I shall be glad to have you in follow-up.
Regards,
Dr.Ajay Panwar,
MD,DM(Neurology)





Wish you a good health
Detailed Answer:
Hi,
Thanks for being in follow-up.
I see that you apparently considered my opinion irrational; however, my opinion is based on your history. I am not trying to brush your concerns aside but just mentioned my sincere historical impression. Sometimes, physical examination of the patient makes a lot of difference and historical diagnosis may change after the examination of the patient.So, I can't conclusively say that what I opined will be 100% correct. You may get a MRI of brain if your ENT specialist is concerned about stroke and let me know in follow-up.
Hope to see you in follow-up and wish you a good health.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Wish you a good health
Detailed Answer:
Hi,
Thanks for being in follow-up.
I see that you apparently considered my opinion irrational; however, my opinion is based on your history. I am not trying to brush your concerns aside but just mentioned my sincere historical impression. Sometimes, physical examination of the patient makes a lot of difference and historical diagnosis may change after the examination of the patient.So, I can't conclusively say that what I opined will be 100% correct. You may get a MRI of brain if your ENT specialist is concerned about stroke and let me know in follow-up.
Hope to see you in follow-up and wish you a good health.
Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

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