Postural hypotension is a decrease in blood pressure on standing up from a sitting or lying position. Dehydration, heart problems, endocrine disorders, fasting, etc., contribute to postural hypotension. Treatment includes having plenty of water, taking frequent meals, changing position slowly, etc.
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How do orthostatic hypotension and REM sleep disorder relate to Parkinson's disease?
Query: Hi doctor, What are orthostatic hypotension and REM sleep disorder, and how is it related to Parkinson's disease. How common do a combination of the two results in Parkinson's disease? I have afib. I also had an ablation a month ago. I have low blood pressure on standing and after running upstairs.... Read Full »
Answer: Hello,Welcome to icliniq.com.I understand your concern.Orthostatic hypotension is a common complication of the advanced stage of Parkinson's disease. The drop in blood pressure while standing up is suggestive of orthostatic hypotension.REM sleep disorder is another common complication of Parkinson'... Read Full »
What causes dizziness when you stand up from sitting?
Query: Hello doctor, This question is regarding my mother, who is 57 years old. She is getting episodes of dizziness from the last one and a half or two years. Most of the time, they are mild, and they occur for few seconds when she gets up or sits down. Sometimes, they stay long and are associated with n... Read Full »
Answer: Hello, Welcome to icliniq.com. No, it is not something to worry about. Her symptoms and response to Vertin (Betahistine), although incomplete, suggests that these are originating from the internal ear, which is the most common cause of dizziness in old age.This occurs due to age-related changes lead... Read Full »
My mom has been suffering from head spinning. Why?
Query: Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having hi... Read Full »
Answer: Hi, Welcome to icliniq.com. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second po... Read Full »
What could present as body tremors with dizzy spells?
Query: Hi doctor, I am 48 years old. I have two problems which I believe are related. One of the symptoms would be internal tremors/vibrations, which started as a slight twitch in my left foot and progressed to the whole body and has recently started down the right leg. It is very annoying. I spent a bit ... Read Full »
Answer: Hello,Welcome to icliniq.com.Do you have any investigations or an MRI brain with you? Do you suffer from any rigidity, athetosis, and tremors in the hands? Are there any bladder or micturition problems? Do you take any pills for hypertension or diabetes?Without examination and investigations, it is ... Read Full »
When I stand from my bed suddenly, I feel dizzy for a minute. What causes it?
Query: Hi doctor, When I stand from my bed suddenly I feel dizzy for a minute. What causes this? My ECG and echo are normal. When walking, feel floating, and imbalance. Currently, I am taking Xynal, Avas 10 mg, Vertin OD, and Febuget 40 mg. Read Full »
Answer: Hello, Welcome to icliniq.com. So, this is suggestive of postural hypotension, meaning when you suddenly get blood supply to brain goes down and you get symptoms till body adjusts it. This is most of the time benign and not worrisome and goes away with lifestyle changes. However, we should rule ou... Read Full »
Why do I have shortness of breath while exercising?
Query: Hi doctor, My problem started three years back for the first time when I started taking dumbbells for exercise. As I did not know from how much weight should I start, I took 20 kg (10 kg in each hands). Within a week of exercise I felt shortness of breath and so I stopped doing it and visited a doct... Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for consulting me at this platform. I have thoroughly gone through your case and can well understand your genuine health concerns. I think you need to carry out taking the same medication as this is a mandatory medication. Exercise induced asthma may also cause s... Read Full »
Are presyncope episodes for long-duration suggestive of tumor or MS (multiple sclerosis)?
Query: Hi doctor, Over the past three years, I have random and progressively worsening presyncope episode, and I just feel lightheaded in general. I have had a normal EEG and a normal 14 day Holter monitor. An electrophysiologist said I have dysautonomia. Is it possible to have missed a tumor or MS? Pleas... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern and would explain that it is less likely that your symptoms are caused by MS (multiple sclerosis) or a tumor. I agree with what your doctor said. Low blood pressure or orthostatic hypotension can cause such a clinical situation. For this rea... Read Full »
I have giddiness while standing and walking. What can be the cause?
Query: Hi doctor, I am a 56 year old male. I am on BP medicine Cresar 40 since a month. Prior to that, I was on Aten 50. Now, my BP is around 130/100 mmHg and before it was 160/106 mmHg. When I take my walk or I am standing I feel giddy, probably for less than a second. It is more prevalent when I turn my... Read Full »
Answer: Hi, Welcome to icliniq.com. This is called postural hypotension. It is very common in hypertensive patients. I suggest you Telma H (Telmisartan and Hydrochlorothiazide) once daily. Consult your specialist doctor, discuss with him or her and take the medicine with consent. Take normal salt ... Read Full »
For a BPH patient, what are the side effects of stopping Veltam plus?
Query: Hello doctor,My father, 74 years of age, has BPH. He had UTI four years ago and was diagnosed with BPH. PSA was 60 and last three years was on Urimax and past few months on Veltamplus. His PSA is 0.9 prostate size 45 cc and PVR is 70 ml. His symptoms have been the urinary frequency of every two hour... Read Full »
Answer: Hello, Welcome to icliniq.com. I would suggest you continue medicines as at present his flow (which is good) and postvoid (which is less, it should be less only) are because of medicines. I think if he stops the medicines then his urinary symptoms may get worse or postvoid may also increase. Ther... Read Full »
Based on the attached reports, is angiography the right course of action?
Query: Hi doctor, Twelve years back, my mother-in-law's pulse had drastically fallen, and she was admitted to a hospital. Subsequently, a pacemaker was inserted. It was replaced four years back. Today we had gone for a routine checkup, as she was complaining of upper back pain and blackouts yesterday. The ... Read Full »
Answer: Hello, Welcome to the icliniq.com. Could you please describe her symptoms in detail, including back pain and blackouts? Did she experience interruption while getting up from sleep or while sitting? Is she experiencing back pain recently or for a long time? Any worsening of pain from movements... Read Full »