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What Causes Sudden Dizziness With Vertigo?

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Posted on Mon, 3 Apr 2017
Question: My husband has experienced sudden dizziness with vertigo. He has also vomited. He has been resting flat and feels better until he stands up and the dizziness returns. He is 64 yrs old, and has type 2 diabetes that he takes medication for. Should I take him into the ER?

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Answered by Dr. Dr. Prasad J (2 hours later)
Brief Answer:
ER visit might help him...

Detailed Answer:
Hi,

Sudden onset dizziness upon standing seems like postural hypotension / orthostatic hypotension to me. Here, a sudden drop in blood pressure occurs as he stands resulting in dizziness. Usually postural hypotension is related to autonomic dysfunction which in turn is caused by long standing diabetes +/- high blood pressure.

Postural hypotension is rarely dangerous. However considering his age, severity of symptoms and the episode of vomiting, I will encourage you to take him to ER. His vitals including blood pressure recording as well as EKG / Echo might be necessary.

In a nutshell, ER visit will be good for him.

Hope this helps. Let me know if you need clarifications.

Regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Prasad J

General & Family Physician

Practicing since :2005

Answered : 3708 Questions

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What Causes Sudden Dizziness With Vertigo?

Brief Answer: ER visit might help him... Detailed Answer: Hi, Sudden onset dizziness upon standing seems like postural hypotension / orthostatic hypotension to me. Here, a sudden drop in blood pressure occurs as he stands resulting in dizziness. Usually postural hypotension is related to autonomic dysfunction which in turn is caused by long standing diabetes +/- high blood pressure. Postural hypotension is rarely dangerous. However considering his age, severity of symptoms and the episode of vomiting, I will encourage you to take him to ER. His vitals including blood pressure recording as well as EKG / Echo might be necessary. In a nutshell, ER visit will be good for him. Hope this helps. Let me know if you need clarifications. Regards