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What Causes Dizziness When I Stand Up?

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Posted on Mon, 2 Feb 2015
Question: Hi there: I seem to be having several problems that may be related. I can be fine while sitting down, but when I stand up and start to walk I get dizzy and have to stop and lean over for a few seconds and than as I start walking the dizziness goes away. When I go outside in the daylight I look at the grass and it has a blue blurry look that lasts for several minutes.
I am a 72 year old white male and have not had any health problems.
Any advice would be appreciated.
XXXXXX
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
Possibly orthostatic hypotension to rule out

Detailed Answer:
Hi XXXXXXX

I am sorry for the situation you are in. .

1. Having dizziness when standing up is indicative for orthostatic hypotension. If I was your caring doctor would advise to run further cardiac tests to evaluate the current status of your heart and bloid vessels :
- echocardiogram
- ECG
- stress test

2. Biochemistry blood tests are also advised :
- complete blood count to rule out anemia
- lipid profile

3. Further examination by ophthalmologist and ENT specialist is advised to rule out eyes and inner ear problems.

I am happy that you have been healthy during the 73 years of your life. However, your body is giving some signals that should be taken seriously to understand the cause.

Hope it was of help!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr.Albana Sejdini (11 hours later)
One other thing, my weight has been between 250lbs and 275lbs for the last 40 years and over 300lbs a few times. I'm 6ft4in.
In July I decided to lose weight and have dropped from 260lbs to current 234lbs and I wonder if the weight loss would cause the problem since the dizziness and eye problems have started during this time.
Thanks
XXXXXX
doctor
Answered by Dr. Dr.Albana Sejdini (1 hour later)
Brief Answer:
Not advised to follow strict losing weight diets...

Detailed Answer:
Hi back XXXXXXX

Thank you for providing additional data.

If I was your caring doctor and taking into account your age, the above mentioned tests are the first to advise.

Taking into account that you have been trying to lose weight recently, and if you are following a strict diet, then, this might explain your dizziness spells too.

The cause could be the lack of glucose supplying your brain and reduction in blood pressure. I advise not to follow a strict diet to lose weight. You should consume your meals regularly, do not miss any. You should eat often, small portions and non high calories meals.

However, if I was your caring doctor, I want to make sure that these problems are really related to your diet reduction programme and not to any serious health problem.


All the best!
Dr.Albana
If no more queries, please do not forget to close this discussion!
Note: For further follow up on related General & Family Physician Click here.

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

General & Family Physician

Practicing since :2006

Answered : 7309 Questions

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What Causes Dizziness When I Stand Up?

Brief Answer: Possibly orthostatic hypotension to rule out Detailed Answer: Hi XXXXXXX I am sorry for the situation you are in. . 1. Having dizziness when standing up is indicative for orthostatic hypotension. If I was your caring doctor would advise to run further cardiac tests to evaluate the current status of your heart and bloid vessels : - echocardiogram - ECG - stress test 2. Biochemistry blood tests are also advised : - complete blood count to rule out anemia - lipid profile 3. Further examination by ophthalmologist and ENT specialist is advised to rule out eyes and inner ear problems. I am happy that you have been healthy during the 73 years of your life. However, your body is giving some signals that should be taken seriously to understand the cause. Hope it was of help! Dr.Albana