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Started This Morning. Warn I Stand I Get Dizzy And
Question: Started this morning. Warn I stand I get dizzy and break out in sweat. I can't walk more than 50 feet without getting winded.
Brief Answer:
heart failure?
Detailed Answer:
Hello,
it sounds like a heart problem. Getting dizzy and sweating when standing usually means a sudden drop in blood pressure (orthostatic hypotension). Getting winded after walking a short distance usually means that the oxygen delivered to your tissues is not enough. Disorders that comprise both symptoms-mechanisms include the following:
- heart failure
- blood loss with severe anemia
- pulmonary embolism
- severe sepsis
- side effects (antihypertensives like beta blockers or others).
Other disorders are also possible including combinations of disorders. For example, a patient with COPD may be in an endless struggle to catch his breath, particularly when engaging in physical activities. Such a patient may present with orthostatic hypotension for many reasons including drug treatment.
Your primary care physician should initiate the investigation. I usually start with a clinical examination to identify signs of various disorders. When the clinical examination is not very helpful, I proceed with lab tests and perhaps with tests targeted to the aforementioned disorders (like a heart echo).
I hope I've answered your question. Please let me know if you need further assistance.
Kind Regards,
Dr Panagiotis Zografakis
Internal Medicine Specialist
heart failure?
Detailed Answer:
Hello,
it sounds like a heart problem. Getting dizzy and sweating when standing usually means a sudden drop in blood pressure (orthostatic hypotension). Getting winded after walking a short distance usually means that the oxygen delivered to your tissues is not enough. Disorders that comprise both symptoms-mechanisms include the following:
- heart failure
- blood loss with severe anemia
- pulmonary embolism
- severe sepsis
- side effects (antihypertensives like beta blockers or others).
Other disorders are also possible including combinations of disorders. For example, a patient with COPD may be in an endless struggle to catch his breath, particularly when engaging in physical activities. Such a patient may present with orthostatic hypotension for many reasons including drug treatment.
Your primary care physician should initiate the investigation. I usually start with a clinical examination to identify signs of various disorders. When the clinical examination is not very helpful, I proceed with lab tests and perhaps with tests targeted to the aforementioned disorders (like a heart echo).
I hope I've answered your question. Please let me know if you need further assistance.
Kind Regards,
Dr Panagiotis Zografakis
Internal Medicine Specialist
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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