Idiopathic Orthostatic Hypotension

Idiopathic orthostatic hypotension is a condition that shows a drop in blood pressure when a person stands up. There is low blood pressure-formed due to failure of blood vessel constriction when the body remains in an upright position. The common symptoms are lightheadedness, dizziness, fainting. It is managed by doing lifestyle changes. Drinking plenty of water, avoiding alcohol, overheating, and elevating head at bed help manage idiopathic orthostatic hypotension.

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Why does my heart pounds when I stand up?

Query: Hi doctor, I am a 26 year old healthy male. My height is 5'8" feet and weight is 160 pounds. I do exercise regularly and I am healthy too. I have recently visited a cardiologist and done a cycloergometric test (Bruce stage 4 protocol). During the test my blood pressure remained normal but my heart ...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have worked through your query and understand your health issues. I assure you not to worry as you have consulted the appropriate expert physician who will take care all of your medical concerns. Your body mass index looks normal for this age. Thanks for attaching you...  Read Full »

I have visual disturbances when I move my head. Kindly help.

Query: Hello doctor, I have been having transient visual disturbances (looks like moving or static bubbles) around the periphery of my vision in my right eye that lasts a few seconds every time. The vision also sometimes grays out then comes back seconds later. This happens dozens of times a day, every day...  Read Full »

Dr. Aida Abaz Quka

Answer: Hello, Welcome to Regarding your concern, I would explain that your symptoms could be related to optic nerve damage or low blood pressure. As standing up triggers these symptoms, orthostatic hypotension cannot be excluded. Coming to this point, I would recommend measuring your blood pr...  Read Full »

Please explain the echocardiogram taken for a couple of near syncopal episodes.

Query: Hello doctor, The patient is a 17-year-old male with 6'1" in height and 185 pounds weight. The primary doctor ordered an ECG and an echocardiogram because of a couple of episodes of near syncope recently. The episodes occur after sudden standing, and we were told it might be due to dehydration and ...  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to 1) Hypertrophic cardiomyopathy (HCM) is a condition in which there is asymmetrical septal hypertrophy. LVOT (left ventricular outflow velocity) velocity is 1.97m/s, so there is no LVOT obstruction. For the long term, we need to do a follow-up echo to see for any incr...  Read Full »

I am 12 years old, and my eye vision becomes blurry black for a second and returns to normal while waking up. What is the reason?

Query: Hi doctor,I am 18 years old and my eye vision become blurry black for a second and returns back to normal while waking up. It happens since when I was 7 years old. Now, it did not happen for two and a half months.  Read Full »

Dr. M. Anjali Shelbi

Answer: Hello, Welcome to You have occasional transient vision loss due to migraine. It is commonly present in your age group. Orthostatic hypotension can cause brief episodes of bilateral vision loss or blurring if you stand suddenly. Consult an ophthalmologist for review.  Read Full »

Do my mother's symptoms indicate stroke?

Query: Hi doctor, My 58 years old mother is under treatment for hypothyroidism, hypertension, osteoarthritis of knee joints, and mild anemia. Her hemoglobin is 10.5 to 11.0 g/dL. She is currently on the following medicines, Eltroxin 50 mcg, Olmezest 20 mg, Gemcal D3, Uprise XT, and Folvite. Six months back...  Read Full »

Dr. Shivam Om Mittal

Answer: Hi, Welcome to Thank you for your question. You have described your mother's symptoms very well. The "reeling in the head and shaking" with change is position or posture is a typical symptom of orthostatic hypotension. There is an easy bedside test that you could also perfo...  Read Full »

Are my increased heart rate and blood pooling in the lower limb because of dysautonomia?

Query: Hi doctor, I am suspected of having mild dysautonomia after my COVID infection. I have increased heart rate and blood pooling in the lower limb on standing. I am taking tablet Escitalopram currently. A recent blood test showed an MCV of 101.8 fL and a red cell count of 4.41 million/mm³. Shou...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to Following is my opinion for your asked question. The only significant finding in the attached report is a high B12 due to vitamin B supplement intake (attachments removed to protect the patient’s identity). It is a water-soluble vitamin, and it will be excrete...  Read Full »

Why does the left side of my head hurt, and I cannot sleep properly?

Query: Hi doctor, I am not able to sleep properly for the past two days and it seems like a migraine headache. I also have pain on the left side of the head and my left eye hurts a lot. When I get up fast, everything becomes dark for 3 to 5 seconds in front of my eyes.   Read Full »

Dr. Gursimran Singh

Answer: Hi, Welcome to You are correct about migraines. I need to know some more details about your headache. Please mention the duration of having a headache and how long it stays. Please mention whether you have vomiting along with it. Please mention whether it seems to be a throbbing type....  Read Full »

What causes increased head pressure, vision backout and dizziness while bending down?

Query: Hello doctor,I have increased head pressure when lying down, vision blackout when bending over, intense pressure when prone, and raising elbows. It is so bad I feel like I will pass out. My vision has gotten worse in the last year. This is more of a chronic issue. No headaches but some TMJ pain. I c...  Read Full »

Dr. Gursimran Singh

Answer: Hello, Welcome to Sorry to hear about your symptoms. Please answer the below questions, and then I can help you in a better way. Do you get a ringing sound in your ears (tinnitus)? What is vision loss like? Is it the same for both eyes? Is there a peripheral constriction of vision?...  Read Full »

Can dehydration result in dizzy feel and lightheadedness?

Query: Hi doctor, I am 23 years old. For about four weeks, I have been experiencing lightheadedness. It happens a few times each week. I never pass out, but I get very hot and feel like I might pass out. I have also not had an appetite. I have lost about 5 pounds from not being hungry. I went to the doctor...  Read Full »

Dr. Sadaf Mustafa

Answer: Hello, Welcome to You are too young to have high blood pressure. There could be many reasons for dizziness. The most important one is being orthostatic hypotension if you are on a blood pressure (BP) medication. Others could be thyroid disorder, anemia, vitamin B12 deficiency an...  Read Full »

Why do I feel dizzy when I get up suddenly?

Query: Hello doctor,Almost everytime I suddenly get up from sitting or laying, I feel very dizzy for about five to 10 seconds. I am better the longer I stand, it is just initially I am dizzy. I recently had a CBC, blood glucose, thyroid, and kidney function test that came back normal and during my physical...  Read Full »

Dr. Vandana Andrews

Answer: Hello, Welcome to It is very common to feel this way when one suddenly changes his/her position from lying down to standing very abruptly. One should not abruptly stand up from lying position. It happens due to the sudden flow down extremities from above. So, due to a sudden change i...  Read Full »

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