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What Causes Heaviness In The Head While Standing While Treating Sinusitis?
Question: for the past week i have had this feelign of heaviness in my head specially when i stand from sitting in a position for a while. Its almost as if i am blacking out. i am currently on steriods 15mg for temporal arteries and have had a artery biposy at the top of my left temple which dosent seen to be healing.. Still scabby and feels raw since XXXXXXX ... i am hypertensive and do take meds that control the Bp pretty well. when i have these episodes i check my pressure right away and it is fine. so not BP causing it. I do also suffer from Sinusitis.. currently doing nasal rinse and using nasanex.. not helpign with condiiton either..
woudl appreciate if you coudl provide guidance on the matter.
can
woudl appreciate if you coudl provide guidance on the matter.
can
Brief Answer:
Orthostatic hypotension; carotid arteries
Detailed Answer:
Greetings, madame! Welcome to Health Care Magic and thank you for your question. I am Dr. Meriton and I carefully read your query.
I would more like to give some opinions and recommendation about further looking into the situation. Now, although when you measure your blood pressure and it results fine, after these episodes, it still can be due to drop in blood pressure. This situation, called orthostatic hypotension, comes from the total fluid redistribuition that happens every time every human stands up. While most of the organisms compensate, there are cases that this compensation is little delayed and this brisk drop of more than 30 mmHg in blood pressure results in clinical symptoms such as dizziness, blurry vision, vision darkening, weakness, even near-fainting. These episodes can be easily avoided by gradually switching positions. I recommend you to go from lying position first to sitting position, and stay that way for two minutes, then really slowly getting up. This can be also confirming or excluding this diagnosis. Although, if not convinced, you can be put on a 24-hour blood pressure monitor, to see if there is a drop of blood pressure figures, should this phenomenon happen. An other possibility is that there may be a narrowing in your carotid arteries, in form of an atherosclerotic plaque that may be so significant that impedes brain from getting enough blood supply, especially when standing up, the moment where blood and fluids tendency is to remain in the lower "floors" due to simple gravity. For this, I would recommend you an Echo Doppler of the carotid arteries. Based on the results, appropriate measures to treat and relieve symptoms should be undertaken. If these two origins are excluded, then we can move on in seeking other diagnoses. However, my opinion is that this is more likely to be orthostatic hypotension.
I hope I was helpful with my answer. Take care and wish you a good health.
If you have further questions, I would be happy to help.
If you do not, please close the discussion and rate the answer.
Best regards,
Dr. Meriton
Orthostatic hypotension; carotid arteries
Detailed Answer:
Greetings, madame! Welcome to Health Care Magic and thank you for your question. I am Dr. Meriton and I carefully read your query.
I would more like to give some opinions and recommendation about further looking into the situation. Now, although when you measure your blood pressure and it results fine, after these episodes, it still can be due to drop in blood pressure. This situation, called orthostatic hypotension, comes from the total fluid redistribuition that happens every time every human stands up. While most of the organisms compensate, there are cases that this compensation is little delayed and this brisk drop of more than 30 mmHg in blood pressure results in clinical symptoms such as dizziness, blurry vision, vision darkening, weakness, even near-fainting. These episodes can be easily avoided by gradually switching positions. I recommend you to go from lying position first to sitting position, and stay that way for two minutes, then really slowly getting up. This can be also confirming or excluding this diagnosis. Although, if not convinced, you can be put on a 24-hour blood pressure monitor, to see if there is a drop of blood pressure figures, should this phenomenon happen. An other possibility is that there may be a narrowing in your carotid arteries, in form of an atherosclerotic plaque that may be so significant that impedes brain from getting enough blood supply, especially when standing up, the moment where blood and fluids tendency is to remain in the lower "floors" due to simple gravity. For this, I would recommend you an Echo Doppler of the carotid arteries. Based on the results, appropriate measures to treat and relieve symptoms should be undertaken. If these two origins are excluded, then we can move on in seeking other diagnoses. However, my opinion is that this is more likely to be orthostatic hypotension.
I hope I was helpful with my answer. Take care and wish you a good health.
If you have further questions, I would be happy to help.
If you do not, please close the discussion and rate the answer.
Best regards,
Dr. Meriton
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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