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What Causes Dizziness While Lying Down With Nausea?
Posted on
Wed, 11 Nov 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 11 Nov 2015
Answered on
Tue, 8 Dec 2015
Last reviewed on
Question : I am dizzy when I lay down and a little when I stand which of course makes me nauseous what's up with that
Brief Answer:
I recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that a careful differential diagnosis of different causes of dizziness should be done:
- inner ear disorder, which could cause a peripheral vertigo
- vertebral artery stenosis, which could be aggravated by cervical spondylarthrosis
- low blood pressure or orthostatic hypotension
Are your symptoms aggravated by the head movements?
What are your blood pressure values?
I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests:
-complete blood count
-blood electrolytes
-PCR, sedimentation rate (inflammation).
You should carefully monitor your blood pressure in sitting and standing up position.
A head up tilt test may be needed to exclude possible orthostatic hypotension.
An ENT specialist consult and labyrinthine tests are necessary if suspicions of a peripheral vertigo are raised.
If all the above tests result normal, I recommend performing a Doppler ultrasound of the cervical arteries and a cervical spine X ray to exclude possible stenosis of the arteries, which may lead to insufficient blood supply to the posterior part of the brain, leading to dizziness.
Hope to have been helpful!
Best regards!
Dr. Iliri
I recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that a careful differential diagnosis of different causes of dizziness should be done:
- inner ear disorder, which could cause a peripheral vertigo
- vertebral artery stenosis, which could be aggravated by cervical spondylarthrosis
- low blood pressure or orthostatic hypotension
Are your symptoms aggravated by the head movements?
What are your blood pressure values?
I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests:
-complete blood count
-blood electrolytes
-PCR, sedimentation rate (inflammation).
You should carefully monitor your blood pressure in sitting and standing up position.
A head up tilt test may be needed to exclude possible orthostatic hypotension.
An ENT specialist consult and labyrinthine tests are necessary if suspicions of a peripheral vertigo are raised.
If all the above tests result normal, I recommend performing a Doppler ultrasound of the cervical arteries and a cervical spine X ray to exclude possible stenosis of the arteries, which may lead to insufficient blood supply to the posterior part of the brain, leading to dizziness.
Hope to have been helpful!
Best regards!
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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