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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness When Getting Up Quickly?

Hi I have been getting very dizzy when I get up quickly or laying down from bed. Then it makes me feel like my head is spinning, I get really sick to my stomack but don t throw up. I do have low blood pressure. I am 56 years old and in good health. I was told about 5 years ago when this happened & I went to the Dr. that it was a virus and they gave me anti nauseau pills. Could you help me?
Mon, 22 Jun 2015
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

Regarding your concern, your symptoms seem to be related to low blood pressure or orthostatic hypotension. This means that your blood pressure decreases when changing body position from sitting or lying to standing up.

I would recommend you to perform a routine blood test for anemia (which can also mimic this clinical scenario), measure your blood pressure regularly in sitting position and standing up position. If it decreases more than 20mm Hg in standing up position comparing with the sitting position, it is very probable to be orthostatic hypotension.

A Head Up Tilt test would be helpful to establish this diagnose.

Hope to have been helpful!

Greetings! Dr. Iliri
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What Causes Dizziness When Getting Up Quickly?

Hello! Thank you for asking on HCM! Regarding your concern, your symptoms seem to be related to low blood pressure or orthostatic hypotension. This means that your blood pressure decreases when changing body position from sitting or lying to standing up. I would recommend you to perform a routine blood test for anemia (which can also mimic this clinical scenario), measure your blood pressure regularly in sitting position and standing up position. If it decreases more than 20mm Hg in standing up position comparing with the sitting position, it is very probable to be orthostatic hypotension. A Head Up Tilt test would be helpful to establish this diagnose. Hope to have been helpful! Greetings! Dr. Iliri