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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fainting Along With Low Blood Pressure And Dizziness?

family member who is 20 yrs old, passing out,low blood pressure, dizzy all the time. had tilt table done but no answer. may have been exposed to strep b by ex boyfriend. also very tired all the time ,sweaty. looking for answers on who to seek for treatment....cardiologist, neuro, ob-gyn or endocronolgist.
Mon, 20 May 2019
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Ayurveda Specialist,  's  Response
Hello,

1. As already checked with an ENT Doctor [tilt test] thus he must have given due consideration regarding your symptoms, but since I'm unable to examine you directly, thus my approach in your case would be:

i. As the age advances Cervical spondylitis is the commonest cause, even then:
ii. If symptoms are severe or associated with any neurological sign, consult a Neurologist.
iii. Check with blood pressure, neck movements and look for pallor & murmur [Cardiologist opinion], and ask for cochlear symptoms [deafness & tinnitus] & vestibular symptoms [vertigo & nystagmus]
iv. If the symptoms are not promptly controlled, ask for Hb%, X-ray cervical spine [AP & Lateral], ENT & Ophthalmic checkup till then:

- bed rest, avoid movements if symptoms are severe.
- tablet cinnarizine 25 mg [thrice daily] until symptoms are controlled.
- capsules B complex: twice daily.

PS. check baseline investigations like serum electrolytes, thyroid, and cholesterol profile and blood sugar level.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Munish Sood, Ayurveda Specialist
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What Causes Fainting Along With Low Blood Pressure And Dizziness?

Hello, 1. As already checked with an ENT Doctor [tilt test] thus he must have given due consideration regarding your symptoms, but since I m unable to examine you directly, thus my approach in your case would be: i. As the age advances Cervical spondylitis is the commonest cause, even then: ii. If symptoms are severe or associated with any neurological sign, consult a Neurologist. iii. Check with blood pressure, neck movements and look for pallor & murmur [Cardiologist opinion], and ask for cochlear symptoms [deafness & tinnitus] & vestibular symptoms [vertigo & nystagmus] iv. If the symptoms are not promptly controlled, ask for Hb%, X-ray cervical spine [AP & Lateral], ENT & Ophthalmic checkup till then: - bed rest, avoid movements if symptoms are severe. - tablet cinnarizine 25 mg [thrice daily] until symptoms are controlled. - capsules B complex: twice daily. PS. check baseline investigations like serum electrolytes, thyroid, and cholesterol profile and blood sugar level. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Munish Sood, Ayurveda Specialist