Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is Dizziness Upon Waking Up A Cause For Concern?
Question: I wake up with dizzyness sometimes even before I sit up. I usually wait to stand up. Somedays it continues especially if I bend over. I often feel light headed. My legs are also weak and shakey when arising even on some days when I am not dizzy. Somedays I am dizzy/lightheaded, weak and shakey all over with an increased heart rate. Usual days things get better by mid afternoon.
I tend to have lower blood pressure (95/65) with heartbeat around 70 and normal sugar range about 85-95. Low triglycerides and great HDL with borderline high LDL. No known heart conditions. Do have hypothyroidism taking .125 synthroid.
I have secondary progressive MS; recent brain MRI with my neurologist did not show any additional leisions/shadows that would indicate MS issues.
I suspect possible low blood pressure but doubt that would cause shakey, weak legs, etc.without dizzyness. Not sure where to start.
I take 40 mg 0f omeprazole each day. My neuroligist has determined it is not related to my MS
Possible drop in blood pressure - yes that is what I have guessed
No middle ear problems per a neurotologist couple of years ago--
Not sure of cervical spondylitis, however I can move my neck without pain
However regarding the 3 possibles above ---- would either of these give me weak shakey legs even on days I don''t experience dizzyness?
Would I sometimes be shakey weak all over with increased heart rate?
Thanks,
XXXX 69 year 7mo female overweight:5'6" 200lbs
I tend to have lower blood pressure (95/65) with heartbeat around 70 and normal sugar range about 85-95. Low triglycerides and great HDL with borderline high LDL. No known heart conditions. Do have hypothyroidism taking .125 synthroid.
I have secondary progressive MS; recent brain MRI with my neurologist did not show any additional leisions/shadows that would indicate MS issues.
I suspect possible low blood pressure but doubt that would cause shakey, weak legs, etc.without dizzyness. Not sure where to start.
I take 40 mg 0f omeprazole each day. My neuroligist has determined it is not related to my MS
Possible drop in blood pressure - yes that is what I have guessed
No middle ear problems per a neurotologist couple of years ago--
Not sure of cervical spondylitis, however I can move my neck without pain
However regarding the 3 possibles above ---- would either of these give me weak shakey legs even on days I don''t experience dizzyness?
Would I sometimes be shakey weak all over with increased heart rate?
Thanks,
XXXX 69 year 7mo female overweight:5'6" 200lbs
Brief Answer:
I would explain as follows:
Detailed Answer:
Dear XXXX,
I passed carefully through your question and would explain that your symptoms seem to be related to orthostatic hypotension.
This is a disorder, affecting the autonomic nervous system, causing a drop in your blood pressure values when standing up from sitting or lying position.
Orthostatic hypotension (and autonomic nervous system dysfunction), could be related to an autoimmune disorder (like MS and hypothyreosis).
The shaky legs could be explained by this drop in blood pressure values while standing up and also from the spasticity related to chronic central nervous system damage, caused by MS.
Coming to this point, I would recommend performing a Head Up Tilt test to rule in/out orthostatic hypotension and also some blood lab tests to exclude other possible causes which could contribute in this clinical scenario:
- complete blood count for anemia
- thyroid hormone levels (considering the fact that you are taking synthroid it is necessary check these hormones levels in order to make the proper adjustements to its dose)
- blood electrolytes for possible imbalance.
Increasing salt intake can help improve your situation.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
If you have any other questions, I would be happy to answer to them!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Dear XXXX,
I passed carefully through your question and would explain that your symptoms seem to be related to orthostatic hypotension.
This is a disorder, affecting the autonomic nervous system, causing a drop in your blood pressure values when standing up from sitting or lying position.
Orthostatic hypotension (and autonomic nervous system dysfunction), could be related to an autoimmune disorder (like MS and hypothyreosis).
The shaky legs could be explained by this drop in blood pressure values while standing up and also from the spasticity related to chronic central nervous system damage, caused by MS.
Coming to this point, I would recommend performing a Head Up Tilt test to rule in/out orthostatic hypotension and also some blood lab tests to exclude other possible causes which could contribute in this clinical scenario:
- complete blood count for anemia
- thyroid hormone levels (considering the fact that you are taking synthroid it is necessary check these hormones levels in order to make the proper adjustements to its dose)
- blood electrolytes for possible imbalance.
Increasing salt intake can help improve your situation.
You should discuss with your doctor on the above issues.
Hope you will find this answer helpful!
If you have any other questions, I would be happy to answer to them!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
