Suggest Treatment For Lightheadedness And Elevated BP

Posted on Tue, 13 Dec 2016

Question: I have had these symptoms for 5 months and they are now getting worse. I had been limited by extreme lightheadedness, attributed ti diabetes. The Lightheadeness has now turned to be Likke a "pressur" feeling in my head. When I walk from My kitchen to my chair and sit, I have the pressure feeling and also an extreme weakness feeling in my chest all down my upper body. It is so extreme that I have sometimes urinated in my pants. Also when I try to walk, (say into a store), I have a tired feeling in my lower back and as I continue walking I must lower and lower my body. When I walk with a cart It is o'k. My BP is 160/80 and trmp 97.6. My AIC 5.6

Answered by Dr. Suresh Heijebu (6 hours later)

Brief Answer:
Need to rule out cardiac issues first

Detailed Answer:
Hello Sir.

As per your symptoms, the possibility of autonomic dysfunction is high.

At this point since you have an elevated blood pressure, a complete cardiac evaluation is mandatory.

For this, advise you to take a 24 Holter ECG and a 2D echo of your heart.

Based on your test results, further management can be planned out.

Thank you.

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Above answer was peer-reviewed by : Dr. Nagamani Ng