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Suggest Treatment For Dizziness And Low BP In An Elderly Person

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Posted on Tue, 8 Sep 2015
Question: I am having low blood pressure with dizziness, I am 82 years old.
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Answered by Dr. Anantharamakrishnan (10 minutes later)
Brief Answer:
You need examination

Detailed Answer:
Hi friend
Welcome to Health Care Magic

You ought to see a doctor!
GET EXAMINED - You may need investigations...

     Dizziness is vague term - unsteadiness. If there is definite sense of rotation, it is called vertigo. If it is from getting up from bed, it may be from postural hypo-tension.. Did you check your BP – standing and lying? / It can be from anaemia – what is your haemoglobin?

     The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. This is particularly important in the presence of tinnitus (ringing in the ears).

     If the ear is excluded, you have to be followed up by a neurologist – to evaluate lower brain. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting.

     If there are no clues, you have to be investigated by a Cardiologist! Low blood pressure may or may not be the cause of dizziness and there are several causes for low pressure… EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary for further assessment and assistance.
     
In the mean time, medicines like betahistine or flunarazine alone or in combination may help
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anantharamakrishnan

Cardiologist

Practicing since :1966

Answered : 4505 Questions

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Suggest Treatment For Dizziness And Low BP In An Elderly Person

Brief Answer: You need examination Detailed Answer: Hi friend Welcome to Health Care Magic You ought to see a doctor! GET EXAMINED - You may need investigations... Dizziness is vague term - unsteadiness. If there is definite sense of rotation, it is called vertigo. If it is from getting up from bed, it may be from postural hypo-tension.. Did you check your BP – standing and lying? / It can be from anaemia – what is your haemoglobin? The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. This is particularly important in the presence of tinnitus (ringing in the ears). If the ear is excluded, you have to be followed up by a neurologist – to evaluate lower brain. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting. If there are no clues, you have to be investigated by a Cardiologist! Low blood pressure may or may not be the cause of dizziness and there are several causes for low pressure… EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary for further assessment and assistance. In the mean time, medicines like betahistine or flunarazine alone or in combination may help The treating doctor may suggest them depending on need, based on his assessment of the situation. Good luck God bless you