I Either Gave Bppv Or Hypotension . I Get It

Posted on Thu, 4 Jul 2019

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 4 Jul 2019 Answered on

Last reviewed on

Question : I either gave bppv or hypotension. I get it upon waking and it usually goes away within an hour. today its lasting. My internist is aware and advises me to wait a bit, stay hydrated and be careful not to fall. Any ideas are appreciated.

Answered by Dr. Ilir Sharka (21 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

Regarding your concern , I would explain that your symptoms could be related to orthostatic hypotension.

Do head or neck movements even sitting trigger the dizziness? This could indicate possible BPPV.

Anyway, I recommend having some rest, increase salt and water intake. A coffee can help too.

In the meantime, I would recommend to closely monitor your blood pressure values.

If your situation doesn't improve in the next hours, I would recommend going to the ER for a physical exam and some tests ( brain CT scan, complete blood count, blood electrolytes a resting ECG, kidney and liver function tests, thyroid hormone levels).

Hope you will find this answer helpful!

Kind regards,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Ilir Sharka (5 hours later)

thank you. I actually called and just talked to an oncall dr. at my internist office. she called in meclazine and also advised monitor bp. I have an appt with my nuero next tuesday and she felt like I could wait until then since I wasn%E2%80%99t experiencing severe headache, numbness, weakness etc. as in stroke symptoms. I did eat some salty almonds and i%E2%80%99m feeling slightly better. still off a little

Follow up: Dr. Ilir Sharka (9 minutes later)

do you see her point? do you agree?

Answered by Dr. Ilir Sharka (21 minutes later)

Brief Answer:
My opinion as follows:

Detailed Answer:
Hello again!

Based on your description of the situation it seems to be stable.

So, I agree with her that the situation can wait and nothing serious seems to be going on.

I agree that meclizine can help reduce the vertigo and dizziness.

Hope you will find this answer helpful!

Wishing all the best,
Dr.Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ilir Sharka (13 minutes later)

it is improving btw. just not gone away totally. and its definitely related to mivement. standing up does in no way make me feel light headed.

Follow up: Dr. Ilir Sharka (32 minutes later)

thank you very much.

Answered by Dr. Ilir Sharka (8 hours later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

So, in my opinion it is just BPPV and meclizine will help improve your situation.

You should try to be patient, because this situation may take some days to improve.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Vaishalee Punj