What are the common causes of lightheadedness and dizziness. How can dehydration lead to feeling woozy. Why do some medications cause lightheadedness as a side effect. When should you seek medical attention for persistent dizziness.

Understanding the Difference Between Lightheadedness and Dizziness

Many people use the terms “lightheaded” and “dizzy” interchangeably, but they actually describe distinct sensations. Lightheadedness refers to feeling faint or woozy, as if you might pass out. Dizziness, on the other hand, is characterized by a spinning sensation known as vertigo. Distinguishing between these symptoms can help healthcare providers determine the underlying cause and appropriate treatment.

Dr. Shamai Grossman, an associate professor of emergency medicine at Harvard Medical School, emphasizes the importance of not ignoring these symptoms: “Even if the lightheadedness does not have a serious cause, it could lead to serious injuries from a fall. And at the worst, the cause may itself be life-threatening.”

Top 5 Causes of Lightheadedness: From Dehydration to Heart Problems

Understanding the potential causes of lightheadedness can help you recognize when to seek medical attention. Here are the top five reasons you might feel woozy:

1. Dehydration
2. Medication side effects
3. Sudden blood pressure drops
4. Low blood sugar
5. Heart disease or stroke

Dehydration: A Common Culprit

Dehydration occurs when your body loses more fluids than it takes in. This can happen due to overheating, inadequate food and drink intake, or illness. When you’re dehydrated, your blood volume decreases, leading to lower blood pressure. This reduction in blood flow to the brain can cause lightheadedness.

Can drinking water alleviate lightheadedness caused by dehydration? While a glass of water may provide relief in mild cases, severe dehydration may require more intensive treatment. Dr. Grossman explains, “If you haven’t been eating or drinking much for days, it will take more than that to rehydrate your body.” In such cases, intravenous fluid infusion and electrolyte replacement may be necessary.

Medication Side Effects: When Treatment Causes Wooziness

Certain medications, particularly those that lower blood pressure or increase urination, can cause lightheadedness as a side effect. Diuretics are especially notorious for this effect. Dr. Grossman notes, “If they work too well, they’ll lower your blood pressure too much and make you lightheaded.”

Is adjusting medication dosage a solution for drug-induced lightheadedness? In many cases, yes. Your healthcare provider may be able to modify your dosage or switch you to a different medication to alleviate this side effect. However, it’s crucial to consult with your doctor before making any changes to your prescribed medication regimen.

Orthostatic Hypotension: When Standing Up Makes You Dizzy

Orthostatic hypotension refers to a sudden drop in blood pressure that occurs when you stand up. This condition becomes more common as we age due to deterioration of the autonomic nervous system, which regulates blood pressure changes.

Are there treatments available for orthostatic hypotension? Yes, medications such as midodrine (ProAmatine) and fludrocortisone (Florinef) can help manage this condition. However, proper diagnosis is essential, so it’s important to consult with a healthcare provider if you experience frequent lightheadedness upon standing.

Low Blood Sugar: When Your Body Lacks Fuel

Low blood sugar, or hypoglycemia, can cause lightheadedness and confusion. Dr. Grossman explains, “When you don’t have enough blood sugar, every system in your body goes on reserve to use as little energy as possible, including your brain, making you feel lightheaded or confused.”

How can you address low blood sugar-induced lightheadedness? While consuming a sugary drink may provide quick relief, it’s important to have your blood sugar levels checked by a healthcare professional. In some cases, you may need glucose administered intravenously or in pill form to stabilize your blood sugar levels effectively.

Heart Attack and Stroke: When Lightheadedness Signals a Medical Emergency

In some cases, lightheadedness can be a symptom of a serious medical condition such as a heart attack or stroke. While these conditions often present with other symptoms like chest pain, shortness of breath, or sudden weakness, lightheadedness may be the only noticeable symptom, especially in older adults.

When should you seek emergency medical care for lightheadedness? If lightheadedness persists for more than 15 minutes or is accompanied by other concerning symptoms, it’s crucial to seek immediate medical attention. As Dr. Grossman emphasizes, “Every second counts” when it comes to treating heart attacks and strokes.

Dizziness vs. Lightheadedness: Understanding the Distinction

While lightheadedness refers to feeling faint or woozy, dizziness (vertigo) is characterized by a sensation of spinning or movement. This distinction is important for healthcare providers to make an accurate diagnosis.

What are some common causes of dizziness? Vertigo can result from various conditions, including:

• Medication side effects
• Inner ear infections or disorders
• Tumors
• Strokes affecting the back of the brain
• Ménière’s disease
• Benign paroxysmal positional vertigo (BPPV)
• Parkinson’s disease

Dr. Grossman warns against ignoring bouts of dizziness, stating, “Vertigo can lead to falls and injury. It’s a real problem, particularly in the elderly, and in many cases, it can be prevented.”

When to Seek Medical Attention for Lightheadedness or Dizziness

While occasional, brief episodes of lightheadedness may not be cause for concern, it’s important to know when to seek medical help. Dr. Grossman recommends lying down and having a drink of water or orange juice if you feel lightheaded. If symptoms persist for more than 15 minutes, it’s time to seek urgent or emergency care.

Should you report brief episodes of lightheadedness to your doctor? Yes, even if symptoms are short-lived and you think you know the cause, it’s important to inform your healthcare provider. They can help determine if further evaluation or treatment is necessary.

Preventive Measures and Lifestyle Changes

While some causes of lightheadedness and dizziness require medical intervention, there are steps you can take to reduce your risk:

• Stay hydrated by drinking plenty of water throughout the day
• Eat regular, balanced meals to maintain stable blood sugar levels
• Stand up slowly, especially after sitting or lying down for extended periods
• Review your medications with your healthcare provider to identify potential side effects
• Engage in regular physical activity to improve circulation and balance
• Manage stress through relaxation techniques or mindfulness practices

By implementing these lifestyle changes and staying vigilant about your symptoms, you can better manage and potentially prevent episodes of lightheadedness and dizziness.

Special Considerations: Dizziness During Pregnancy

Dizziness is a common complaint among pregnant women, particularly during the first trimester. Hormonal changes, increased blood volume, and the growing uterus can all contribute to feelings of lightheadedness or vertigo during pregnancy.

Why is dizziness more common during early pregnancy? During the first trimester, hormonal changes cause blood vessels to dilate, leading to a drop in blood pressure. This can result in reduced blood flow to the brain, causing lightheadedness or dizziness.

Are there safe ways to manage dizziness during pregnancy? Yes, several strategies can help alleviate pregnancy-related dizziness:

• Stay hydrated and drink plenty of water throughout the day
• Eat small, frequent meals to maintain stable blood sugar levels
• Stand up slowly and avoid sudden movements
• Avoid standing for long periods or in hot, crowded spaces
• Wear loose, comfortable clothing
• Get plenty of rest and avoid overexertion

While dizziness during pregnancy is often harmless, it’s essential to report persistent or severe symptoms to your healthcare provider. In some cases, dizziness may indicate underlying conditions that require medical attention, such as anemia or gestational diabetes.

When to Seek Medical Care During Pregnancy

Pregnant women should seek immediate medical attention if dizziness is accompanied by:

• Severe headaches
• Blurred vision
• Abdominal pain
• Vaginal bleeding
• Rapid heartbeat
• Shortness of breath

These symptoms may indicate more serious conditions such as preeclampsia or placental abruption, which require prompt medical intervention.

Diagnostic Approaches for Persistent Lightheadedness and Dizziness

When lightheadedness or dizziness becomes a recurring issue, healthcare providers may employ various diagnostic tools to identify the underlying cause. These may include:

• Physical examination, including blood pressure measurements in different positions
• Blood tests to check for anemia, electrolyte imbalances, or blood sugar abnormalities
• Electrocardiogram (ECG) to assess heart function
• Vestibular function tests to evaluate inner ear problems
• Imaging studies such as CT scans or MRIs to rule out neurological issues
• Tilt table test to diagnose orthostatic hypotension

The specific tests ordered will depend on your symptoms, medical history, and physical examination findings. Your healthcare provider will use this information to develop a comprehensive treatment plan tailored to your individual needs.

Emerging Treatments and Research

As medical understanding of lightheadedness and dizziness continues to evolve, new treatments and diagnostic approaches are being developed. Some areas of ongoing research include:

• Vestibular rehabilitation therapy for chronic dizziness
• Advanced imaging techniques for diagnosing inner ear disorders
• Novel medications for managing orthostatic hypotension
• Virtual reality-based therapies for balance disorders
• Genetic studies to identify predispositions to certain causes of dizziness

While these emerging treatments show promise, it’s important to work closely with your healthcare provider to determine the most appropriate and evidence-based approach for your specific situation.

The Impact of Lifestyle Factors on Lightheadedness and Dizziness

Various lifestyle factors can contribute to or exacerbate feelings of lightheadedness and dizziness. Understanding these factors can help you make informed choices to reduce your risk of experiencing these symptoms.

Diet and Nutrition

What you eat and drink can significantly impact your likelihood of experiencing lightheadedness. Some key considerations include:

• Maintaining stable blood sugar levels through regular, balanced meals
• Avoiding excessive caffeine intake, which can cause dehydration and affect blood pressure
• Limiting alcohol consumption, as it can lead to dehydration and affect balance
• Ensuring adequate intake of essential nutrients, particularly iron and B vitamins, which play a role in preventing anemia-related dizziness

Physical Activity and Exercise

Regular physical activity can improve circulation, balance, and overall health, potentially reducing the frequency of lightheadedness. However, it’s important to exercise safely:

• Start slowly and gradually increase intensity to avoid sudden blood pressure changes
• Stay hydrated before, during, and after exercise
• Be cautious with activities that involve rapid position changes or spinning movements
• Consider working with a physical therapist to develop a safe exercise program if you have chronic dizziness

Sleep and Stress Management

Adequate sleep and effective stress management can play a crucial role in preventing lightheadedness and dizziness:

• Aim for 7-9 hours of quality sleep per night
• Establish a consistent sleep schedule
• Practice stress-reduction techniques such as meditation, deep breathing, or yoga
• Seek support from mental health professionals if stress or anxiety is contributing to your symptoms

By addressing these lifestyle factors, you may be able to reduce the frequency and severity of lightheadedness and dizziness episodes, improving your overall quality of life.

Long-term Management of Chronic Lightheadedness and Dizziness

For some individuals, lightheadedness and dizziness may become chronic conditions that require ongoing management. Developing a comprehensive long-term strategy can help minimize the impact of these symptoms on daily life.

Multidisciplinary Approach

Managing chronic lightheadedness and dizziness often requires a team of healthcare professionals, which may include:

• Primary care physicians
• Neurologists
• Otolaryngologists (ENT specialists)
• Cardiologists
• Physical therapists specializing in vestibular rehabilitation
• Psychologists or psychiatrists for addressing any associated anxiety or depression

Working with a multidisciplinary team ensures that all aspects of your condition are addressed, leading to more comprehensive and effective treatment.

Adaptive Strategies and Assistive Devices

For individuals with persistent symptoms, learning adaptive strategies and using assistive devices can improve safety and independence:

• Using a cane or walker for added stability
• Installing handrails in the home, particularly in bathrooms and stairways
• Removing tripping hazards and improving lighting in living spaces
• Wearing comfortable, low-heeled shoes with good traction
• Using visual anchors or focusing techniques to manage vertigo episodes

Support Groups and Patient Education

Connecting with others who experience similar symptoms can provide valuable emotional support and practical advice. Many organizations offer support groups and educational resources for individuals dealing with chronic lightheadedness and dizziness. These groups can help you:

• Learn coping strategies from others with similar experiences
• Stay informed about new treatment options and research developments
• Find emotional support and understanding
• Access resources for managing your condition more effectively

By combining medical treatment with lifestyle modifications, adaptive strategies, and support systems, many individuals with chronic lightheadedness and dizziness can significantly improve their quality of life and maintain their independence.

Lightheaded? Top 5 reasons you might feel woozy

Causes of lightheadedness may be dehydration, medication side effects, sudden blood pressure drops, low blood sugar, and heart disease or stroke.

Feeling woozy, lightheaded, or a little faint is a common complaint among older adults. Although it’s not usually caused by anything life-threatening, it could be, so you need to be careful.

“Don’t ignore it. Even if the lightheadedness does not have a serious cause, it could lead to serious injuries from a fall. And at the worst, the cause may itself be life-threatening,” says Dr. Shamai Grossman, an associate professor of emergency medicine at Harvard Medical School.

If you feel lightheaded and/or woozy, Dr. Grossman recommends having a drink of water or orange juice and lying down. If symptoms last more than 15 minutes, he says it’s time to seek medical help in an urgent or emergency care setting. Even if symptoms are brief, and even if you think you know the cause, report the lightheadedness to your doctor.

What causes lightheadedness?

Following are the top causes of lightheadedness and common fixes.

Dehydration

You may become dehydrated if you’re overheated, if you aren’t eating or drinking enough, or if you’re sick. Without enough fluids, the volume of your blood goes down, lowering your blood pressure and keeping your brain from getting enough blood, causing lightheadedness. “A glass of water may be enough to make you feel better, but if you haven’t been eating or drinking much for days, it will take more than that to rehydrate your body,” says Dr. Grossman. You may need an intravenous infusion of fluid. A doctor can check to see if you need electrolytes like potassium or salt.

Drug side effects

Sometimes medications make you feel lightheaded, especially those that lower your blood pressure or make you urinate more. “If they work too well, they’ll lower your blood pressure too much and make you lightheaded. Diuretics are notorious for this,” says Dr. Grossman. The fix may be as simple as adjusting the dose or trying a different drug.

Sudden drop in blood pressure

The autonomic nervous system helps the body regulate the shift in blood pressure when we stand up. As we get older, this system may deteriorate, causing a temporary drop in blood pressure when we stand—known as orthostatic hypotension—resulting in lightheadedness. This may be a long-term problem, but there are medications to treat it, such as midodrine (ProAmatine) and fludrocortisone (Florinef), so this too warrants a trip to your doctor.

Low blood sugar

“When you don’t have enough blood sugar, every system in your body goes on reserve to use as little energy as possible, including your brain, making you feel lightheaded or confused,” says Dr. Grossman. It may only take a drink of juice to relieve your symptoms, but it’s best to get your blood sugar levels checked, especially if you need more glucose (sugar) in intravenous or pill form.

Heart attack and stroke

At its most serious, lightheadedness may be a sign of a heart attack or stroke. Other symptoms of a heart attack often accompanying lightheadedness are chest pain, shortness of breath, nausea, arm pain, back pain, or jaw pain. Symptoms suggesting a stroke are the sudden onset of headache, numbness, weakness, visual changes, trouble walking, or slurred speech. “But in older adults, lightheadedness may be the only symptom of a heart attack or a stroke, especially if it doesn’t go away,” says Dr. Grossman. In that case, every second counts, so get to an emergency room for treatment.

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Orthostatic hypotension (postural hypotension) – Symptoms and causes

Overview

Orthostatic hypotension — also called postural hypotension — is a form of low blood pressure that happens when you stand up from sitting or lying down. Orthostatic hypotension can make you feel dizzy or lightheaded, and maybe even cause you to faint.

Orthostatic hypotension may be mild, and episodes can last for less than a few minutes. However, long-lasting orthostatic hypotension can signal more-serious problems, so it’s important to see a doctor if you frequently feel lightheaded when standing up.

Occasional (acute) orthostatic hypotension is usually caused by something obvious, such as dehydration or lengthy bed rest, and is easily treated. Chronic orthostatic hypotension is usually a sign of another health problem, so treatment varies.

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Symptoms

The most common symptom is lightheadedness or dizziness when you stand up after sitting or lying down. Symptoms usually last less than a few minutes.

Orthostatic hypotension signs and symptoms include:

• Lightheadedness or dizziness upon standing
• Blurry vision
• Weakness
• Fainting (syncope)
• Confusion
• Nausea

When to see a doctor

Occasional dizziness or lightheadedness may be fairly minor — triggered by mild dehydration, low blood sugar or overheating. Dizziness or lightheadedness may also happen when you stand after sitting for a long time. If these symptoms happen only occasionally, there’s likely no cause for concern.

It’s important to see your doctor if you have frequent symptoms of orthostatic hypotension because they can signal serious problems. It’s even more urgent to see a doctor if you lose consciousness, even for just a few seconds.

Keep a record of your symptoms, when they occurred, how long they lasted and what you were doing at the time. If these occur at dangerous times, such as while driving, discuss this with your doctor.

Causes

When you stand up, gravity causes blood to pool in your legs and abdomen. This decreases blood pressure because there’s less blood circulating back to your heart.

Normally, special cells (baroreceptors) near your heart and neck arteries sense this lower blood pressure. The baroreceptors send signals to centers in your brain, which signals your heart to beat faster and pump more blood, which stabilizes blood pressure. These cells also narrow the blood vessels and increase blood pressure.

Orthostatic hypotension occurs when something interrupts the body’s natural process of counteracting low blood pressure. Many conditions can cause orthostatic hypotension, including:

• Dehydration. Fever, vomiting, not drinking enough fluids, severe diarrhea and strenuous exercise with a lot of sweating can all lead to dehydration, which decreases blood volume. Mild dehydration can cause symptoms of orthostatic hypotension, such as weakness, dizziness and fatigue.
• Heart problems. Some heart conditions that can lead to low blood pressure include extremely low heart rate (bradycardia), heart valve problems, heart attack and heart failure. These conditions prevent your body from responding rapidly enough to pump more blood when standing up.
• Endocrine problems. Thyroid conditions, adrenal insufficiency (Addison’s disease) and low blood sugar (hypoglycemia) can cause orthostatic hypotension. So can diabetes — which can damage the nerves that help send signals regulating blood pressure.
• Nervous system disorders. Some nervous system disorders, such as Parkinson’s disease, multiple system atrophy, Lewy body dementia, pure autonomic failure and amyloidosis, can disrupt your body’s normal blood pressure regulation system.
• Eating meals. Some people have low blood pressure after eating meals (postprandial hypotension). This condition is more common in older adults.

Risk factors

The risk factors for orthostatic hypotension include:

• Age. Orthostatic hypotension is common in those who are age 65 and older. Special cells (baroreceptors) near your heart and neck arteries that regulate blood pressure can slow as you age. It also may be harder for an aging heart to speed up and compensate for drops in blood pressure.

• Medications. These include medications used to treat high blood pressure or heart disease, such as diuretics, alpha blockers, beta blockers, calcium channel blockers, angiotensin-converting enzyme (ACE) inhibitors and nitrates.

  Other medications that may increase your risk of orthostatic hypotension include medications used to treat Parkinson’s disease, certain antidepressants, certain antipsychotics, muscle relaxants, medications to treat erectile dysfunction and narcotics.

  Using medications that treat high blood pressure with other prescription and over-the-counter medications may cause low blood pressure.

• Certain diseases. Some heart conditions, such as heart valve problems, heart attack and heart failure; certain nervous system disorders, such as Parkinson’s disease; and diseases that cause nerve damage (neuropathy), such as diabetes, increase the risk of low blood pressure.
• Heat exposure. Being in a hot environment can cause heavy sweating and possibly dehydration, which can lower your blood pressure and trigger orthostatic hypotension.
• Bed rest. If you have to stay in bed a long time because of an illness, you may become weak. When you try to stand up, you may have orthostatic hypotension.
• Pregnancy. Because your circulatory system expands rapidly during pregnancy, blood pressure is likely to drop. This is normal, and blood pressure usually returns to your pre-pregnancy level after you’ve given birth.
• Alcohol. Drinking alcohol can increase your risk of orthostatic hypotension.

Complications

Persistent orthostatic hypotension can cause serious complications, especially in older adults. These include:

• Falls. Falling down as a result of fainting is a common complication in people with orthostatic hypotension.
• Stroke. The swings in blood pressure when you stand and sit as a result of orthostatic hypotension can be a risk factor for stroke due to the reduced blood supply to the brain.
• Cardiovascular diseases. Orthostatic hypotension can be a risk factor for cardiovascular diseases and complications, such as chest pain, heart failure or heart rhythm problems.

Oct. 27, 2020

Causes, Symptoms, Treatments & Risk Factors

Some common causes of dizziness include hunger, fatigue, hypoglycemia (low blood sugar), or anxiety. Dizziness can also be caused by neurologic conditions, such as multiple sclerosis, Parkinson’s disease, and epilepsy.

Vertigo (the perception of moving or your surroundings moving around you) is associated with disturbances in the vestibular system, which governs balance. Because your ears are associated with this system, ear infections and diseases, such as Meniere’s disease, can affect your sense of balance and gait. Benign positional vertigo affects the inner ear and occurs when you change the position of your head. Labyrinthitis usually follows a cold or flu and is often caused by a viral infection of the inner ear.

Serious causes of dizziness can include heart attack, stroke, or shock, all of which are severe, potentially life-threatening conditions that warrant immediate medical care.

Causes of lightheadedness

Dizziness in the sense of lightheadedness may be caused by the following:

• Alcohol or drug use or intoxication

• Decreased levels of breathable oxygen (altitude, carbon monoxide exposure, etc.)

• Hypoglycemia (low blood sugar)

• Infections or illnesses, such as the cold or flu

Vertigo may be caused by the following:

• Alcohol or drug use or intoxication

• Meniere’s disease (inner ear condition affecting balance and hearing)

• Positional vertigo (dizziness that occurs when shifting the position of the head)

Neurologic causes of dizziness

Dizziness can also be caused by neurologic conditions including:

• Infection of the ear or brain

Serious or life-threatening causes of dizziness

In some cases, dizziness may be a symptom of a serious or life-threatening condition that should be immediately evaluated in an emergency setting. These include:

• Transient ischemic attack (temporary stroke-like symptoms that may be a warning sign of an impending stroke)

Questions for diagnosing the cause of dizziness

To diagnose your condition, your doctor or licensed healthcare practitioner will ask you several questions related to your dizziness including:

• How long have you been experiencing dizziness?

• Is your dizziness caused by changing positions?

• Do you have other symptoms in addition to dizziness?

• Did the dizziness occur with or following an illness?

• Does the dizziness stop in certain situations? Does anything remedy the dizziness?

• Have you recently started, changed, substituted, or discontinued any prescription medications?

• Have you ever fainted or passed out because of your dizziness?

• Are you stressed or anxious?

Q&A about the causes of dizziness

Common questions people have about the various dizziness causes include:

• Why am I dizzy after eating? There can be several reasons you feel dizzy after eating. This includes postprandial hypotension (low blood pressure after eating) and reactive hypoglycemia (low blood sugar within four hours of eating). Food sensitivities and alcohol can also cause dizziness after a meal.

• Why am I dizzy after standing up? If you get dizzy after standing up, it’s most likely orthostatic hypotension. Another name for it is postural hypotension. It happens due to your blood pressure dropping when you stand up from a sitting or lying position.

• Why do I get dizzy when lying down? If you get dizzy when lying down, it’s most likely related to your vestibular system. Specifically, it could be BPPV (benign paroxysmal positional vertigo).

Only your doctor can tell you for certain what is causing your dizziness. If you have any of these questions, see your doctor for a thorough evaluation.

Why You Get Dizzy or Lightheaded When You Stand Up

If you exercise often and are in good shape, you might occasionally experience dizziness and lightheadedness when you stand up quickly. This is generally nothing serious. Here are five common reasons for dizziness and signs that your dizziness may be due to a more serious issue.

Post-Exercise Dizziness

Cardiovascular exercise makes your heart stronger, and a stronger heart has a larger stroke volume. That is, the amount of blood pumped out during each beat is greater, so the heart doesn’t have to beat as often. A slow pulse rate is an indication of a strong, healthy heart.

However, a slow heart rate can sometimes lead to dizziness when you change position. You may dizzy after exercise as your heart slows down drastically. A longer cool-down period and a slow and steady walk should get you back on track as the dizziness dissipates.

Dizziness After Skipping Meals

Low blood sugar can also cause dizziness. If you skip meals, low blood sugar can lower your mood and energy and result in lightheadedness. Keep your blood sugar balanced by eating meals and snacks regularly, usually every three hours, to stave off dizziness due to skipping meals.

If you are eating regularly and not skipping meals yet still experiencing signs of low blood sugar, a more serious condition associated with low blood sugar, such as diabetes or hypoglycemia, could be a possibility.

Low Blood Pressure

When you stand up quickly, gravity pulls blood from your brain towards your feet, and blood doesn’t return to the brain until the next heartbeat. With a slow pulse, this takes a second or two, and that is enough time to feel the lack of oxygen in the symptom of lightheadedness or dizziness.

It is also related to something called postural hypotension, which is more common in older adults. This results from a decrease in blood flow to the brain due to a drop in blood pressure upon standing up.

If you have a slow pulse (50 or less) and experience dizziness when standing up, try getting up more slowly and see if that solves the problem.

Dehydration and Overheating

Dehydration is another common cause of dizziness.  Insufficient water in the body can cause blood flow to slow down. Dehydration undermines the body’s ability to process normal functions, and because blood is 80 percent water, blood pressure is lower if you’re dehydrated.

If your urine is dark yellow, has a pinkish tint like chardonnay, or is orange, you may be dehydrated. Stop exercising and drink water or a sports drink.

Overheating (hyperthermia) due to exercise, hot weather, or medications can also cause dizziness. Overheating can come on suddenly or develop over a longer time period.

Either way, if you sweat profusely, or feel like you have a fever not associated with cold or flu symptoms, get help immediately. Stop exercise, move to a cooler environment, and use cold compresses on your neck. If due to hot temperatures, you may be developing heat exhaustion or heat stroke.

Vertigo and Dizziness Due to Inner Ear Issues

If the room seems to be spinning or you seem to be moving while standing still, you may have an inner ear issue. Called vertigo, this is a serious condition that needs medical attention to correct. Inner ear changes due to age, ear infection, or sudden changes in ear fluid are the major causes of vertigo.

When to See a Doctor

As long as your dizziness occurs only occasionally, you don’t really need to worry. However, if you have constant and severe dizziness with changing your position, you should see a doctor who can rule out an underlying condition such as an irregular heartbeat, anemia, ulcers, anxiety, or other medical conditions.

A Woman with Diabetes and Recurrent Vertigo

A 57-year-old female with a past medical history of diabetes mellitus type 2 presented with a chief complaint of dizziness, nausea, and vomiting. Her symptoms began 5 days prior to presentation and were gradual in onset. The symptoms were paroxysmal in nature, consisting of 2 to 3 daily episodes that would last for roughly 2 hours. 

The patient denied any aggravating or relieving factors. On the day of presentation, she had a severe episode—described as a feeling that “the room was spinning” and associated with nausea and vomiting—that lasted 4 hours and did not relent until the patient received meclizine. 

She denied any recent upper respiratory infections, tinnitus, decreased hearing, headache, chest pain, or palpitations. The patient had a similar episode 5 years prior that resolved with meclizine and no underlying etiology was determined at that time. 

Physical examination. A horizontal nystagmus was present. Tympanic membranes were normal and no hearing loss was appreciated. The patient had a negative Dix-Hallpike maneuver. Her strength and sensation were symmetric and within normal limits bilaterally. She performed the finger-nose-finger test without difficulty. The remainder of the physical examination including vital signs was normal. 

Laboratory testing. All tests were unremarkable. An MRI of the brain, with and without contrast, showed an enhancing mass lesion within the right cerebellar pontine angle extending into the right internal auditory canal consistent with an acoustic neuroma (Figure).  

Treatment. A multitude of options are available for the treatment of an acoustic neuroma, and the selection is frequently based on the patient’s symptom burden and tumor size. Treatments can range from surveillance with MRI to radiation therapy or surgery. Conservative treatment with symptom control and MRI is more suitable for patients with small to medium sized tumors, especially in the elderly. 

As some patients can present with hearing loss, hearing status is an important factor to help decide whether to observe or take more aggressive measures. If observation is selected, tumor growth that is measurable on MRI usually correlates well with future growth, encouraging more aggressive measures. It is recommended that a follow-up MRI should be conducted within a year from initial presentation to establish the rate of growth.¹ 

This was the treatment option that was selected for our patient. Her main symptoms were vertigo, nausea, and vomiting—all of which were well-controlled with meclizine. The patient exhibited no hearing loss and her tumor size was approximately 1 cm with no hydrocephalus or obstruction. 

Monitored patients should receive annual scans during the first 3 to 5 years after diagnosis, and thereafter can be followed every 2 years until 10 years after presentation. After this, it is recommended that scans be repeated every 5 years, although there is no documented standard of care. It is reported that approximately half of patients who are observed will have some form of hearing loss during this period of observation, and treatment should be chosen based on each patient’s clinical picture.¹

There are many sequelae of acoustic neuroma, some of which were not present in our patient. Sudden hearing loss can be present in up to 26% of patients. Tinnitus can be present in 53% to 70% of patients, and is most commonly ipsilateral. Vertigo has been found in up to 58% of patients, can occur early in the disease process, and has the possibility of spontaneous resolution. Other possible sequelae that have been documented are dysequilibum, trigeminal nerve dysfunction, headache, facial nerve dysfunction, hoarseness, dysphagia, and dysarthria.²

Outcome of the case. The patient’s symptoms responded well to meclizine. Neurosurgical consultation was obtained, and no acute intervention was pursued. Close clinical follow-up and repeat MRI brain were scheduled.

References:

1. Meyer S, Post K. Acoustic neuroma. In: Winn HR. Youmans Neurologic Surgery. 6th ed. Philadelphia, PA: Elsevier Saunders Inc; 2011:1460-1475. 
2. Stucken E, Brown K, Selesnick S. Clinical and diagnostic evaluation of acoustic neuromas. Otolaryngol Clin North Am. 2012;
3. 45(2):269-284.

Dizziness

Is this your child’s symptom?

• Sensation of light-headedness or feeling faint

Causes of Dizziness

• Main Cause. Usually due to reduced blood flow to the brain for a short time. It can be triggered by many normal events:
• Standing too long in one place. Reason: This causes pooling of blood in the legs.
• Standing up suddenly. Reason: This causes sudden drop in blood pressure.
• Dehydration. This can be from losing fluids and/or from not drinking enough fluid.
• Low Oxygen (such as when running and out of breath). Reason: Lower than normal oxygen levels can’t meet body’s needs for a short time.
• Too Much Sun or Hot Tub Use. Reason: Increased sweating causes fluid loss.
• Sweating from Sports or Hard Work. Reason: Sweating causes fluid loss.
• Fasting. Skipping a meal causes low blood sugar.
• Fever
• Motion Sickness. Main symptoms are dizziness and nausea.
• Viral Syndrome. Patients with viral illnesses (e.g., colds, flu) often say they are a bit dizzy. This is never the only symptom. It may relate to weakness from being sick.
• Vertigo (Serious). In addition to dizziness, the child complains that the room is spinning. They can’t walk if they have vertigo. True vertigo is very rare in children. It’s usually caused by middle ear disease.

Symptoms of Dizziness

• Feeling dizzy or light headed
• Feeling unsteady with slight loss of balance
• Feeling “woozy” or not thinking clearly
• May also have brief blurring of vision

Dizziness Scale

• Mild: walks normal
• Moderate: interferes with normal activities such as playing, school or sports
• Severe: can’t stand, needs support to walk, feels like passing out now

When to Call for Dizziness

Call 911 Now

• You think your child has a life-threatening emergency

Call Doctor or Seek Care Now

• Dehydration suspected. No urine in more than 8 hours, dark urine, very dry mouth and no tears.
• Dizziness caused by heat exposure, prolonged standing, or poor fluid intake. It’s not gone after 2 hours of rest and fluids.
• Your child looks or acts very sick
• You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

• Passed out (fainted) and caused by sudden or prolonged standing
• Moderate dizziness (interferes with normal activities) present now. Exception: dizziness caused by heat exposure, prolonged standing, or poor fluid intake.
• Fever lasts more than 3 days
• Ear pain or congestion
• You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

• Mild dizziness (normal walking) lasts more than 3 days
• Dizziness is a frequent problem
• You have other questions or concerns

Self Care at Home

• Sudden or prolonged standing caused the dizziness
• Poor fluid intake caused the dizziness
• Mild dizziness from unknown cause present less than 3 days

Seattle Children’s Urgent Care Locations

If your child’s illness or injury is life-threatening, call 911.

Care Advice

Dizziness from Sudden or Prolonged Standing

1. What You Should Know:
   • Standing up quickly is the most common cause of dizziness. This type of dizziness only lasts a short time. Getting out of bed is when it usually happens.
   • Prolonged standing in one place is another common cause.
   • Not drinking enough fluids or eating enough salt always makes it worse.
   • Here is some care advice that should help.
2. Standing – Pump Legs:
   • In the mornings, sit up for a few minutes before you stand up.
   • This will help your blood flow stay steady and adjust before you stand up.
   • With prolonged standing, contract and relax your leg muscles. Reason: This helps pump the blood back to the heart.
   • Sit down or lie down if you feel dizzy.
3. Salt – Increase Intake:
   • Most people with this type of dizziness (due to standing) don’t get enough salt.
   • Try to eat some salty foods (potato chips or pretzels) every day.
4. Fluids – Drink More:
   • Drink several glasses of fruit juice, other clear fluids or water.
   • This will improve your child’s fluid status and blood sugar.
   • If the weather is hot, make sure the fluids are cold.
5. Lie Down:
   • Lie down with feet up for 1 hour.
   • Reason: This will increase blood flow to the brain.
6. Prevention:
   • Extra water and salty foods during sports or hot weather
   • Regular mealtimes and snacks
   • Enough sleep and rest
7. What to Expect:
   • With treatment, the dizziness usually goes away in 1 to 2 hours.
8. Call Your Doctor If:
   • After 2 hours of rest and fluids, still feels dizzy
   • Your child passes out (faints)
   • You think your child needs to be seen
   • Your child becomes worse

Dizziness from Poor Fluid Intake

1. What You Should Know:
   • Not drinking enough fluids and being a little dehydrated probably caused the dizziness.
   • It should go away with drinking fluids and resting in a cool place.
   • This is always made worse during hot weather. Too much sun exposure can also increase the body’s need for fluid.
   • Here is some care advice that should help.
2. Fluids – Drink More:
   • Drink several glasses of fruit juice, other clear fluids or water.
   • This will improve your child’s fluid status and blood sugar.
   • If the weather is hot, make sure the fluids are cold.
3. Cool Off:
   • If the weather is hot, use a cold pack or washcloth to the forehead.
   • Taking a cool shower or bath will help even more.
4. Lie Down:
   • Lie down with feet up for 1 hour.
   • Reason: This will increase blood flow to the brain.
5. Prevention:
   • Extra water and salty foods during sports or hot weather
   • Regular mealtimes and snacks
   • Enough sleep and rest
6. What to Expect:
   • With treatment, the dizziness usually goes away in 1 to 2 hours.
7. Call Your Doctor If:
   • After 2 hours of rest and fluids, still feels dizzy
   • Your child passes out (faints)
   • You think your child needs to be seen
   • Your child becomes worse

Dizziness from Unknown Cause

1. What You Should Know:
   • Dizziness that goes away is a harmless symptom.
   • It’s usually due to not drinking enough water during sports or hot weather.
   • It can also be caused by skipping a meal or too much sun.
   • Sometimes, it’s part of a viral illness.
   • Here is some care advice that should help.
2. Lie Down:
   • Lie down with feet up for 1 hour.
   • Reason: This will increase blood flow to the brain.
3. Fluids – Drink More:
   • Drink several glasses of fruit juice, other clear fluids or water.
   • This will improve your child’s fluid status and blood sugar.
   • If the weather is hot, make sure the fluids are cold.
4. Cool Off:
   • If the weather is hot, use a cold pack or washcloth to the forehead.
   • Taking a cool shower or bath will help even more.
5. Prevention:
   • Extra water and salty foods during sports or hot weather
   • Regular mealtimes and snacks
   • Enough sleep and rest
6. What to Expect:
   • With treatment, the dizziness usually goes away in 1 to 2 hours.
   • Mild dizziness with a viral illness may last 1 or 2 days.
7. Call Your Doctor If:
   • After 2 hours of rest and fluids, still feeling dizzy
   • Mild dizziness lasts over 3 days
   • Your child passes out (faints)
   • You think your child needs to be seen
   • Your child becomes worse

And remember, contact your doctor if your child develops any of the ‘Call Your Doctor’ symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Last Reviewed: 05/30/2021

Last Revised: 03/11/2021

Copyright 2000-2021. Schmitt Pediatric Guidelines LLC.

Causes of Nicotine Withdrawal Dizziness

Some people report feeling dizzy or lightheaded when they quit smoking. There are a few things that can contribute to these symptoms, and some may be related to nicotine withdrawal. You should discuss any ongoing dizziness with your doctor as it could be a sign of an underlying condition rather than being related to your smoking cessation.

Quit Aids and Dizziness

Some quit aids may cause dizziness for users. The nicotine patch, a form of nicotine replacement therapy (NRT) that looks like a tan or clear bandage, lists dizziness as a common side effect. However, all NRTs contain nicotine, and a nicotine overdose can cause dizziness. 

If you’re using nicotine replacement therapy to help you stop smoking, it is important that you follow the manufacturer’s directions for use carefully. Be sure to match the initial dosage level to how much you were smoking. You don’t want to take in more nicotine than you were used to getting as a smoker. Also, be sure to wean off of NRTs in the time suggested, as there is a risk of dependence.

Zyban (bupropion), a non-nicotine quit aid, has a side effect of dizziness for some people. Zyban was originally marketed and prescribed under the name Wellbutrin as an anti-depressant. Then it was discovered that smokers using it lost interest in smoking.

Chantix (varenicline) is a non-nicotine quit aid specifically developed for smoking cessation. It can also cause dizzy feelings for those using it.

If you experience prolonged or severe dizziness while using any quit aid, consult your doctor.

Nicotine as a Stimulant

Nicotine is a stimulant, meaning it speeds up some of the body’s functions. When you smoke, nicotine is absorbed into the bloodstream through the lining of the lungs. It reaches the brain within seven to 10 seconds. Once there, it causes a chemical reaction that releases adrenaline, the “fight or flight” hormone. Adrenaline speeds the heart up, constricts blood vessels, and raises blood pressure.

Additionally, carbon monoxide from cigarette smoke reduces the amount of oxygen in the blood. Both factors work to diminish blood flow (and oxygen) to the brain.

When you stop smoking, nicotine is no longer triggering adrenaline to constrict blood flow. In the absence of inhaled carbon monoxide, there is more oxygen in the blood. Some people believe this could cause dizziness for the newly ex-smoker. However, there have been no conclusive studies that show this to be the case.

Nicotine and Blood Sugar

In addition to the stimulant effects, nicotine also slows the release of insulin from the pancreas. Insulin is a hormone that removes excess sugar from the blood. It is instrumental in helping the body keep blood sugar in balance. This imbalance leaves smokers slightly hyperglycemic, with more sugar in their blood than they should have.

Hunger is a symptom of nicotine withdrawal and of hypoglycemia (low blood sugar). Moderate hypoglycemia can produce feelings of dizziness. Research has not shown a direct correlation between nicotine and low blood sugar when quitting tobacco.

Coping Tips

• Eat regular meals to minimize the risk of low blood sugar.
• Eat a piece of fruit or drink a small glass of fruit juice to quickly raise blood sugar if you feel shaky or light-headed.
• Avoid eating processed sugar, which can trigger smoking urges and contribute to unwanted weight gain.

Anxiety

Smoking cessation is stressful for most new ex-smokers. It’s a big change to your habits. You may be at a loss with how to deal with emotions, good or bad, without the crutch of your smokes. This can cause an uncomfortable level of anxiety, which in turn can trigger physical responses including dizziness. 

If you experience cessation-related anxiety when you stop smoking, try using deep breathing or meditation to calm your mind and body. These anxious feelings will fade away as you become more comfortable as a non-smoker.

Dehydration

A lot of people tend to not drink enough water, and suffer from dehydration occasionally. Dehydration can cause serious dizziness, so make sure you’re getting enough fluids on a daily basis. Drinking a tall glass of water is also a great craving-buster, and good hydration helps you feel better overall.

Important Safety Precaution

When you’re feeling lightheaded, use care when getting up from a lying or sitting position. Rather than jumping up, sit and stand up slowly to let your body adjust to the change of blood pressure that happens naturally when you change positions.

A Word From Verywell

Nicotine withdrawal, while intense, is a temporary phase of smoking cessation. It is important to remember that and to understand that it can involve a multitude of physical symptoms, not to mention some that affect your mental state as well. ​ Be patient and remember that better days are ahead once you clear the toxins out and your body goes back to functioning as it is meant to.

90,000 Dizziness in patients with diabetes mellitus

“Partner” No. 9 (204) 2014

People with diabetes often suffer from sudden or persistent dizziness. This symptom is a sign of low blood sugar or high blood pressure. Diseases of the cardiovascular system, as a consequence of diabetes, often begin exactly from dizziness.

Impaired consciousness, nausea and weakness can be caused by high blood sugar levels. Symptoms of low blood sugar include dizziness and imbalance.

Incessant dizziness and disturbances of consciousness, accompanied by headache, can also be a sign of high blood pressure. Damage to nerve cells, or neuropathy, as a result of diabetes mellitus, causes a violation of the vestibular apparatus.

It has been proved that the manifestation of impaired consciousness occurs more often in diabetic patients than in those who do not have diabetes. The reasons for this can be very different.

Hypoglycemia – low blood sugar

Acute dizziness and dizziness occurs with a low blood sugar concentration. These signs of hypoglycemia are far from the only ones. It is important to keep in mind: hypoglycemia never comes without symptoms!

The first signs of a decrease in blood sugar levels in each patient appear with varying degrees of intensity.If they are not recognized in time, a severe attack may occur, characterized by a lack of glucose supply to the brain, which, in turn, causes clouding of consciousness with a pronounced disorientation, often in combination with visual impairment, such as blinking of the eyes, as well as trembling of the whole body. At this moment, it is necessary to provide the patient with immediate assistance!

As soon as the primary symptoms become evident, the patient should immediately eat something and then measure the sugar level. Readings below 60 mg / dL should be avoided!

With the onset of hypoglycemia, the patient becomes dangerous both for himself and for others, for example, if he is at home, at the workplace or driving a car. Starting at 30 mg / dL, he may faint. 60% of hypoglycemic episodes occur at night. at this time of day, the need for insulin decreases.

How to help yourself?

A patient with diabetes mellitus should always and everywhere have glucose with him in tablets or in small tubes in liquid form.Depending on the degree of hypoglycemia, it is recommended to eat 1-2 slices of bread to prevent a subsequent drop in blood sugar levels. Sweets saturated with fat, such as chocolate, are not suitable for fast supply of glucose to the body, because fat interferes with the absorption of sugar into the bloodstream.

Patients who often suffer from hypoglycemia are advised to carry a diabetic passport with them. In the event of a loss of consciousness, this greatly simplifies the rapid and effective provision of first aid to the patient.

Causes hypoglycemia

Knowing the causes of hypoglycemia, you can prevent the extreme degree of its manifestation. The most common causes of a drop in blood sugar levels include:

• skipping meals or too low number of bread units in a portion of food, for example, before prolonged physical activity;
• insulin administration without a subsequent meal or a long break between injection and meal;
• high dose of insulin injection;
• increased dosage of tableted antihyperglycemic agents, in particular such as glibenclamide;
• side effects of other medicines, for example, acetylsalicylic acid, some antibiotics, phenylbutazone, coumarin derivatives.Non-selective beta-blockers, for example, propranolol, mask the signs of hypoglycemia, slow down the normalization of blood sugar after insulin injection, thus prolonging its action. Glucocorticoids and oral contraceptives weaken the hypoglycemic effect of insulin and diabetes pills;
• Excessive alcohol consumption without additional carbohydrate-rich food intake is especially dangerous, since hypoglycemia can occur several hours after drinking alcohol, in particular, in the early morning or in the morning of the next day.

Hyperglycemia – high blood sugar

Unlike hypoglycemia, hyperglycemia manifests itself less noticeably and, as a rule, with a slight increase in blood sugar (up to 200 mg / dl), it often goes away unnoticed. The main signs of hyperglycemia are strong urge to urinate, thirst, and dry mouth. Often, after the excretion of sugar in the urine, symptoms of dehydration appear, which are characterized by confusion and dizziness.If these symptoms are ignored for several days or several weeks, then due to a lack of minerals, a coma may develop – a consequence of dehydration of the body! Chronic or recurrent attacks of dizziness, varying in intensity and duration, especially when combined with headache, are the main signs of high blood pressure! In this case, the headache manifests itself most often in the morning in the back of the head. Clouding of consciousness in such cases is accompanied by ringing in the ears.

High blood pressure in diabetic patients is of great importance for the development of subsequent diseases. Therefore, if you, having measured the pressure twice on different days and at different times of the day, got indicators higher than 135/85 mm Hg. Art., you urgently need to see a doctor.

In conclusion, it must be said: dizziness in diabetic patients is never without reason. Therefore, be attentive to yourself! Your doctor will advise you on the cause of your dizziness and dizziness and give you the help you need.Remember, too, that dizziness and diabetes do not have to happen at the same time.

Hypoglycemia – Kirov Clinical Diagnostic Center (former Kirov Clinical Hospital No. 8)

Tuesday,
eighteen
November
2014

Hypoglycemia –

is a condition in which blood glucose (sugar) levels are below normal.

This condition occurs during the treatment of diabetes mellitus with hypoglycemic drugs (tablets or insulin).

Measures for the relief of hypoglycemia in patients with diabetes mellitus receiving antihyperglycemic therapy should be started when the plasma glucose level is <3.9 mmol / l.

Biochemical definition of hypoglycemia: This is a plasma glucose level <2.8 mmol / L, accompanied by clinical symptoms or <2.2 mmol / L regardless of symptoms.

Mild hypoglycemia is considered without impairment of consciousness, which can be stopped by the patient on his own. Severe hypoglycemia is manifested by loss of consciousness.

Causes of hypoglycemia:

1. Gross errors in insulin delivery (e.g. double dose)
2. obvious overdose (incorrectly prescribed dose) of insulin or tablet preparations
3. insulin administration (or taking a pill sugar-lowering drug) followed by skipping the next meal
4. alcohol intake (alcohol temporarily blocks hepatic glucose production)
5. physical activity (a sufficiently long and intense exercise requires a reduction in the dose of antihyperglycemic drugs before and after it)
6. non-relief of mild hypoglycemia (for example, the patient does not have carbohydrates with him)

Symptoms of hypoglycemia:

1. Rapid heartbeat

2. Skin pallor

3. Chills, sweating and dampness of the palms

4. Visual impairment (blurred, the appearance of “flies” in the eyes)

5. Weakness, gait instability, impaired coordination of movements

6. Feeling of hunger

7. Trembling in the body

8. Nausea

9. Difficulty thinking, inability to concentrate

10.Tingling in the mouth, numbness of the lips and tongue

11. Headache, dizziness

12. Anxiety, restlessness, aggressiveness, irritability

13. Difficulty speaking, impaired concentration

14. Headache in the morning upon waking may mean hypoglycemia at night!

Nocturnal hypoglycemia can be caused by:

1.high dose of prolonged insulin at night

2.exercise in the afternoon or evening without reducing the dose of insulin before bedtime

3. alcohol consumption (the risk of development persists for 24 hours after alcohol consumption).

Signs of hypoglycemia in a patient with diabetes mellitus:

1.sudden pallor

2. “glazed” or frozen gaze

3. Slurred speech

4.strange behavior

5.unusual agitation, aggressiveness, or tearfulness

6.inability to concentrate

7.convulsions

8. loss of consciousness / coma

A decrease in blood sugar can occur very quickly, therefore, if symptoms of hypoglycemia occur, immediately:

1.determine the blood glucose level

2.Quickly accept one of the following products:

1 glass (200 ml) fruit (grape or apple) juice

1 glass of sweet drink (containing sugar, but no sweetener)

4 teaspoons of sugar in half a cup of water

1-1.5 tablespoons of honey, jam

4-5 large glucose tablets (15 g) or 3-5 lumps of sugar

3-5 candies (not chocolates, i.e.because chocolate raises blood glucose very slowly (25-30 min), so it should not be used to stop hypoglycemia),

3. Re-measure the blood glucose level

4.If the condition has not improved after 5-10 minutes or the blood sugar remains too low, take another portion of the products listed above

5. if after 5 minutes the condition has improved and within 30 minutes after the episode of hypoglycemia, a normal meal is not expected, you need to have a snack (you should eat foods containing slow-digesting carbohydrates, such as bread, fruit, cookies, bun or cereal bar, sandwich)

6.if a person has lost consciousness, in no case should you put or pour something into your mouth, and

you must immediately call an ambulance!

7. Driving: If a state of hypoglycemia develops, wait approximately 45 minutes after you feel better before driving. Do not drive while your blood glucose is less than 5.0 mmol / L. If you have to travel long distances, you should stop every 60-90 minutes and check your blood glucose level.If the glucose level is less than 5.0 mmol / L, take sugar, candy or sweet drink.

8. it is necessary to inform family members and relatives about the presence of diabetes mellitus, about the place of storage of funds for the relief of hypoglycemia; always have a special card (bracelet or pendant) with you, which says that you have diabetes.

Asymptomatic hypoglycemia is the development of hypoglycemia without feeling characteristic symptoms. This condition can be caused by diabetic damage to the peripheral nervous system, a large number of missed hypoglycemias and can only be recognized by measuring blood glucose using a glucometer.Therefore, it is very important for diabetic patients to regularly monitor their blood sugar levels. If the state of hypoglycemia develops asymptomatically, then blood glucose values ​​below 5.0 mmol / L should be avoided.

How to prevent hypoglycemia:

1. Observe the regularity of the main meals and snacks.

2. Regularly adhere to the prescribed diabetes treatment regimen, taking antihyperglycemic drugs, observe the technique of administering insulin and the order of alternating places for its administration.

3. Regularly measure blood glucose levels using a glucometer (self-monitoring of glycemia), additionally – before and after exercise.

4. Take additional food before and during unplanned or prolonged physical activity.

90,000 a diabetic patient’s sugar has dropped what to do

a diabetic patient’s sugar has dropped what to do

The multicomponent composition of Diafast capsules from diabetes eliminates the symptoms of diabetes, as well as normalizes blood pressure, cleans blood vessels, increases their strength and elasticity.The tool has a positive effect on the work of internal organs and systems. Taking the medication minimizes the complications of diabetes: decreased vision, heart and vascular disease, kidney and stomach pathology. The manufacturer of the diabetes drug Diafast assures that the drug removes harmful substances from the body, lowers blood sugar to normal levels.

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Blood sugar dropped sharply: symptoms, what to do and what is the danger.The reasons why I fell. The reasons why sugar drops with existing diabetes may lie in exceeding the permissible dose of insulin or hypoglycemic drugs. Low blood sugar can lead to the development of a coma, which is extremely difficult to get out of. All signs are pronounced and cause serious inconvenience to the patient – it is impossible to miss or leave them unattended. To restore normal glucose levels, you need to eat a small piece of sugar or a high-carbohydrate food with a high glycemic index (fruits, sweets, juices are fine).Diabetics are taught to keep a diary of glucose control at home, to identify factors (autonomic, neurological, psychological) that influence the development of seizures, and to apply this knowledge in daily life. Conclusions. Hypoglycemia is not only an acute, life-threatening complication, but also a risk factor for long-term complications, mainly in the field of cardiovascular diseases. Intensive blood glucose control and vascular outcomes in patients with type 2 diabetes. N Engl J Med 2008, 358: 2560-2572 doi: 10.1056 / NEJMoa0802987. ACCORD Study Group, Gerstein H.C., Miller M.E., Genuth S. i wsp. The vast majority of patients with diabetes mellitus do not need my advice, but still I will set out general recommendations. So: Patients prone to the development of a hypoglycemic state should eat 6 times a day. It is recommended to have a snack before bed to prevent hypoglycemia at night. If your blood sugar is less than 3.3 mmol / L, consume 10 g of glucose, for example in the form of 100 ml of orange juice and several crackers.In general, each patient should have a piece of sugar or candy hidden in his bosom and a document certifying that the owner has diabetes. Symptoms of hypoglycemia should be known both to diabetics themselves and to their loved ones, in order to take timely measures to relieve the condition. People with diabetes have different sensitivity to hypoglycemia, and sometimes people do not feel this condition at all. When measuring blood sugar, it is important that the meter being used is accurate in the low blood glucose range in order to timely detect a hypoglycemic condition.Let’s look at the example of the Contour Plus system how the accuracy of the glucometer affects decision-making at low blood glucose values. Suppose a person with type 1 diabetes gets up in the morning and takes a blood glucose test. Explains why blood sugar drops in pregnant women and diabetics. The minimum acceptable blood glucose value is 3.3 mmol / L. With decompensated diabetes, symptoms of a drop in blood sugar in a person appear already at 4.5 mmol / l. In the most severe cases, hypoglycemia can occur at 6-7 mmol / L.Clinical signs of a decrease in glucose levels. Glucose is the main source of energy, and insulin helps cells absorb and use it. Normal blood sugar: glucose, insulin, and other hormones that affect carbohydrate metabolism. Decreased blood sugar – hypoglycemia. Causes of hypoglycemia: the role of diabetes and other pathological conditions and diseases. Symptoms of hypoglycemia, depending on its severity, signs of complications that require attention. Read more in Stoletnik. When glucose levels drop too low, the body does not have enough energy to function properly.This condition is called hypoglycemia. This condition is more common in people with diabetes, but it can happen for other reasons. A healthy person has 2 defense mechanisms against hypoglycemia: when the level of glucose in the blood decreases (for example, during exercise), the production of its own insulin immediately stops, and glucose begins to flow from the liver into the blood – the level of glucose in the blood rises, and hypoglycemia does not develop. Hypoglycemia: causes, manifestations and symptoms, what to do if it occurs and how to prevent it, nocturnal and asymptomatic hypoglycemia.The sensitivity to hypoglycemia in people with diabetes is different and depends on what kind of sugars the person has recently. If high, then the body begins to think that an absolutely normal sugar level is hypoglycemia. And if they are low, then the situation is the opposite – the feeling of hypoglycemia can be smoothed out or completely lost. Therefore, you should always check your feelings and measure blood sugar with a glucometer! Symptoms (manifestations) of hypoglycemia. Related article. 8 myths about diabetes.Who is not allowed to eat candy, but who can eat carbohydrates? People with diabetes may experience a sharp deterioration in well-being – due to a strong decrease or increase in sugar. High blood sugar – hyperglycemia: accompanied by thirst, weakness, headache. How to help? With an increase in sugar, the patient needs to urgently inject insulin, no more than 2 units of insulin at a time. After 2-3 hours, it is worth measuring the sugar, if it has not changed or has dropped slightly, then you can prick more. Low blood sugar – hypoglycemia: manifested by tremors and tremors of the hands, dizziness, weakness, and sometimes loss of vision. Low blood sugar (hypoglycemia) occurs when the concentration of sugar (glucose) in the blood falls below the level at which the body can function normally. Taking some medications can lead to its development. Taking too many antidiabetic pills in one day, not eating enough food, or doing too much physical activity can also cause your blood sugar to drop below a safe level. If your blood sugar is low and you don’t eat anything, it can drop to very low levels.What to do with asymptomatic hypoglycemia. The danger of asymptomatic hypo is that it can rapidly develop into severe hypoglycemia. Nothing foreshadows trouble, suddenly bam: the head is spinning, the legs give way, the person loses consciousness and falls. What should a diabetic do to protect himself from severe hypoglycemia? Have an identification mark I have diabetes. It can be a bracelet, badge, keychain, smartphone case, tattoo, etc. Preferably in a conspicuous place. Many smartphones are equipped with the Medical card function. A sharp drop in blood sugar is dangerous, as a person can be lost in literally 30 minutes. Among diabetics, there is a phrase: insulin is a medicine for the smart. So, people with the first type of disease are forced to inject themselves with insulin so that it is enough to process exactly that amount of glucose (in XE – bread units) that is obtained from food. In patients with diabetes mellitus, hypoglycemia can occur due to alcohol consumption or missed meals, therefore it is necessary to constantly follow a balanced diet, take antidiabetic medications on time, avoid heavy physical exertion and stressful conditions.What to do with low blood sugar. If your blood sugar is below 70 milligrams per deciliter (mg / dl) and you are awake and alert, follow the 15/15 rule: Eat 15 grams of sugar; wait 15 minutes and then measure your blood sugar again. Eat 15 grams of sugar. Talk with your healthcare provider about your diabetes management plan. To come back to the beginning. Share your opinion. Share your opinion. Signs of low blood sugar.What to do with low blood sugar. Eat 15 grams of sugar. Wait 15 minutes and then measure your blood sugar again. Glucose is an essential component of human metabolic processes. As a source of energy for the vital activity of cells and, in particular, brain cells, it performs plastic functions in the body. During starvation and depletion of glycogen stores, gluconeogenesis becomes a source of glucose in the blood (the formation of glucose from non-carbohydrate substrates: lactate, pyruvate, glycerol, alanine).Most of the dietary carbohydrates are polysaccharides and consist mainly of starches; the smaller part contains lactose (milk sugar) and sucrose.

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To buy a drug means to get into the networks of scammers and divorce! This statement is partly true if it applies to products that are sold in unofficial pharmacies. This is where useless and dangerous counterfeits are sold. The original certified product is bought only from the direct manufacturer on its official website. Here they buy Diafast for type 2 diabetes mellitus, the price of which is affordable for all categories of buyers, even age. Type 2 diabetes mellitus occurs in people of different ages, and even children suffer from this systemic disease. The disease slowly kills a person and leads to terrible results, like non-healing trophic ulcers, atherosclerosis, obesity of internal organs, blindness, and so on.Diabetics often become disabled and the consequences of the pathology are irreversible. Therefore, you need to purchase an effective remedy that allows you to keep blood sugar levels within the normal range without the risk of addiction and stress on other body systems. Diafast is a unique treatment for type 2 diabetes in people of all ages. It allows you to maintain normal blood sugar levels, creates a reliable basis for the restoration of all organs and systems that have suffered from the effects of excess glucose. The difficulty in diagnosing diabetes lies in the fact that the disease is asymptomatic, and it is detected accidentally during a routine examination by a doctor. This often happens when the disease has passed into a chronic stage and there are serious pathologies and lesions of the diabetic’s organs.

90,000 Low hemoglobin – what to do?

Hemoglobin is one of the most important elements of the blood; it carries out the function of transferring oxygen to the tissues and cells of the body, taking carbon dioxide from them. Changes in hemoglobin parameters may be the result of any disease.

Factors influencing the development of anemia:

• Destruction of red blood cells faster than normal.
• Decrease in the volume of erythrocytes produced.
• Loss of large amounts of blood.
• Violation of the hematopoietic organs.
• Presence of infectious diseases.
• Deficiency of vitamins and minerals. (especially the amount of iron in the body affects)
• Unfavorable ecological situation.

What are the levels of hemoglobin?

The hemoglobin level in the blood can be determined using a blood test, which is prescribed by your attending hematologist.

Mild hemoglobin deficiency – determined by the level of hemoglobin in the blood up to 90 g / l. As a rule, with a mild degree of anemia, patients do not feel any deterioration in the state of the body. Feeling of weakness and fatigue is possible.

The average degree of hemoglobin deficiency is determined by the hemoglobin level in the range from 70 to 90 g / l. Common signs of such anemia are headache, dizziness, dryness and roughness of the skin, and disturbances in the functioning of the digestive system.

Severe hemoglobin deficiency – determined by hemoglobin levels below 70 g / l. Fatigue, loss of consciousness and headaches are often observed. Women experience disruptions in the menstrual cycle, up to the absence of menstruation. The skin turns pale, the condition of the hair and nails deteriorates, and they become brittle. There is a sensation of cold hands and feet.

Low hemoglobin levels affect the functioning of all organs, this condition is life-threatening.

If you experience symptoms of anemia, you feel a deterioration in your health, be sure to consult a doctor.The hematologist of the MC “SANAS” will conduct an examination and prescribe the necessary examination, according to the results of which he will prescribe the correct treatment.

Only a specialized hematologist can prescribe the correct treatment, prescribe a diet to increase the level of iron in the blood.

The addition of red meat, seafood, buckwheat and fruits with a high content of vitamin C to the diet may be recommended, as well as prescribe medications necessary for the patient. The usual course of treatment lasts from several weeks to a month.

.