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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness After Standing Or Walking For Long Time?

I often feel dizzy or almost faint after standing or walking for too long. Usually about 10 mins. Also lately i ha e been having issues with my heart? It feels like it skips a beat and I get short of breath for a second then I m fine. sometimes it happens multiple times a day and sometimes not at all for a day or two. I also get the feeling of pressure on my chest randomly and feel like I can t breathe, sometes associated with some minor chest pain. I d assume it s my anxiety but I am worrying now because of these other symptoms. I need help! I do smoke, and I do drink mountain dew daily. I will drink a 2 liter in a 24 hour period and don t drink enough water. I just had blood work done. All was normal ad it is every time. I m lost on what to do or where to start. I always feel like I am not in the health I should be as I am only 19 years old. The majority of all of these weird things started after i had my daughter. But she is 16 months now. And the heart thing just started. The dizziness started last summer. Please help me! Thank you
Mon, 14 Apr 2014
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General & Family Physician 's  Response
Hello dear,

The symptoms as mentioned in your post can be attributed to Cardiovascular etiology. Investigations like ECG & Echocardiography can be carried out to rule out any pathology.

Other causes for the symptoms can be:
1. Any pathology in the vestibular apparatus in inner ear (it is associated with maintenance of body posture & balance)
2. Any fluctuation in blood pressure levels (such as Postural Hypotension)
3. Decrease in blood sugar levels (Hypoglycemia)
4. Deficiency of certain nutrients like Iron, Vitamin B 12, Calcium, etc. which interferes with blood formation & nerve conduction.

Symptomatic relief can be obtained with Vestibular sedatives.
In addition, you can take nervigenic agents (like Vit B6, B12, Folic acid) & Pantoperazole (to be taken 30 minutes before meals).
Investigations like complete blood count, estimation of blood pressure and blood sugar levels and vestibular function tests will be helpful in clinching the diagnosis.

Meanwhile, maintain adequate hydration, take a healthy balanced diet & avoid sudden head movements.

Wishing you a good health.
Take care.
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What Causes Dizziness After Standing Or Walking For Long Time?

Hello dear, The symptoms as mentioned in your post can be attributed to Cardiovascular etiology. Investigations like ECG & Echocardiography can be carried out to rule out any pathology. Other causes for the symptoms can be: 1. Any pathology in the vestibular apparatus in inner ear (it is associated with maintenance of body posture & balance) 2. Any fluctuation in blood pressure levels (such as Postural Hypotension) 3. Decrease in blood sugar levels (Hypoglycemia) 4. Deficiency of certain nutrients like Iron, Vitamin B 12, Calcium, etc. which interferes with blood formation & nerve conduction. Symptomatic relief can be obtained with Vestibular sedatives. In addition, you can take nervigenic agents (like Vit B6, B12, Folic acid) & Pantoperazole (to be taken 30 minutes before meals). Investigations like complete blood count, estimation of blood pressure and blood sugar levels and vestibular function tests will be helpful in clinching the diagnosis. Meanwhile, maintain adequate hydration, take a healthy balanced diet & avoid sudden head movements. Wishing you a good health. Take care.