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What Causes Dizziness While Standing, Decreased BP And Small Strokes?
Posted on
Mon, 1 Jun 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Mon, 1 Jun 2015
Answered on
Mon, 22 Jun 2015
Last reviewed on
Question : 98 year old mother
Dizziness when she stands, blood pressure drops
A couple of times appears to be a seizure while she was sitting in a chair. Blank stare, then crying and then she asking what is happening to her.
She has experienced TIA's in the past but this appears to be a bit different.
These same symptoms happened less than a year ago. Her blood pressure medication was changed to a non diuretic. She improved and returned to normal over a 2-3 week period. No one could diagnose. Numerous tests were run.
Dizziness when she stands, blood pressure drops
A couple of times appears to be a seizure while she was sitting in a chair. Blank stare, then crying and then she asking what is happening to her.
She has experienced TIA's in the past but this appears to be a bit different.
These same symptoms happened less than a year ago. Her blood pressure medication was changed to a non diuretic. She improved and returned to normal over a 2-3 week period. No one could diagnose. Numerous tests were run.
Brief Answer:
Possible small strokes.
Detailed Answer:
Welcome to HCM.
I have read your query and understand your concerns.
In my opinion, there are two main conditions that may explain your mother's symptoms:
1- Hemodynamic small strokes, due to orthostatic hypotension and/or TIA.
2- Electrolytes dysbalance due to diuretic drugs used ( mainly Natrium and Kalium dysbalance).
Both these conditions could cause seizures or seizure-like symptoms.
Actual diverse from past TIA-s condition could be related to TIA evolution to stroke or XXXXXXX stroke.
Correct diagnosis is achieved by having brain MRI done and blood electrolytes levels.
Hope I helped you. If you have further questions, feel free to ask, if not, you can close the conversation and rate the answer.
Best regards.
Possible small strokes.
Detailed Answer:
Welcome to HCM.
I have read your query and understand your concerns.
In my opinion, there are two main conditions that may explain your mother's symptoms:
1- Hemodynamic small strokes, due to orthostatic hypotension and/or TIA.
2- Electrolytes dysbalance due to diuretic drugs used ( mainly Natrium and Kalium dysbalance).
Both these conditions could cause seizures or seizure-like symptoms.
Actual diverse from past TIA-s condition could be related to TIA evolution to stroke or XXXXXXX stroke.
Correct diagnosis is achieved by having brain MRI done and blood electrolytes levels.
Hope I helped you. If you have further questions, feel free to ask, if not, you can close the conversation and rate the answer.
Best regards.
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Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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