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What Causes Dizziness Upon Sitting Or Standing Along With Nausea?

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Posted on Tue, 29 Sep 2015
Question: what could be causing dizziness upon sitting or standing, nausea, clammy - sweating, upset stomach with bloating and gas?
doctor
Answered by Dr. Dr.Albana Sejdini (29 minutes later)
Brief Answer:
Following suggestions and further info are needed...

Detailed Answer:
Hi,

I have gone through your medical history carefully and understood your concerns.

1. Dizziness upon sitting or standing in your case might be related to:

- oscillations in blood pressure (bp); I advise to measure your bp, record the results for further evaluation by your doctor. If low bp will be noticed then, should revise the dosage of telmisartan (which is an anti-hypertensive drug).

- problems with circulation of blood in your blood vessels (including legs and upper extremities); a further cardiac echocardiogram together with Doppler ultrasound of the blood vessels in your legs and carotids is advised to determine the right diagnosis.

2. Nausea, clammy, sweating, upset stomach with bloating and gas are suggestive for possible GI problems. First, I need to know :
- when did these symptoms appear?
- do you have them all the time? Or just appearing after eating any special food or all the foods?
- do you have fever? diarrhea? constipation? too?
- for how long have you started to take atovarstatin?

Possible reasons could be:
- if symptoms have appeared recently, then, acute gastroenteritis is suspected and should be properly cured.
- if not recently, then, gastritis/GERD/gallbladder or bowel infection should be consider.

Looking forward to have the requested information in for a more specific opinion!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (6 minutes later)
the dizziness upon sitting up and standing is more of the room spinning. I can't stop the spinning unless I lie down and close my eyes. when the room is spinning, it makes me nauseas and it stops if I lie down and close my eyes.
I took my BP and its not low but high, at 150/95 even with my medication.
What else could be causing the room spinning upon sitting up or standing?
doctor
Answered by Dr. Dr.Albana Sejdini (2 hours later)
Brief Answer:
Inner ear issues to rule out after evaluating cardio-vascular system...

Detailed Answer:
Hi back my dear,

Thank you for providing the requested information.

1. Revising your medical data, I can say that such problems are related to oscillations in bp.
Further cardiac consultation and tests are advised to run to rule out cardio-vascular problems.

2. Problems with inner ear should be ruled out after a thorough consultation with ENT specialist.

For the moment, I advise to:
- take antihypertensive medications as recommended by your doctor
- take betahistine (to reduce dizziness) and Prochlorperazine (to ease nausea issues). Can discuss it further with your doctor.

Hope it answered to your queries!
Dr.Albana
Note: For further follow up on digestive issues share your reports here and Click here.

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

General & Family Physician

Practicing since :2006

Answered : 7309 Questions

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What Causes Dizziness Upon Sitting Or Standing Along With Nausea?

Brief Answer: Following suggestions and further info are needed... Detailed Answer: Hi, I have gone through your medical history carefully and understood your concerns. 1. Dizziness upon sitting or standing in your case might be related to: - oscillations in blood pressure (bp); I advise to measure your bp, record the results for further evaluation by your doctor. If low bp will be noticed then, should revise the dosage of telmisartan (which is an anti-hypertensive drug). - problems with circulation of blood in your blood vessels (including legs and upper extremities); a further cardiac echocardiogram together with Doppler ultrasound of the blood vessels in your legs and carotids is advised to determine the right diagnosis. 2. Nausea, clammy, sweating, upset stomach with bloating and gas are suggestive for possible GI problems. First, I need to know : - when did these symptoms appear? - do you have them all the time? Or just appearing after eating any special food or all the foods? - do you have fever? diarrhea? constipation? too? - for how long have you started to take atovarstatin? Possible reasons could be: - if symptoms have appeared recently, then, acute gastroenteritis is suspected and should be properly cured. - if not recently, then, gastritis/GERD/gallbladder or bowel infection should be consider. Looking forward to have the requested information in for a more specific opinion! Dr.Albana