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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ringing In Ears, Loss Of Balance. Diagnosed As Problems Due To Nerve Issues. What Could Be This?

when I get up from a sitting position I will get loud ringing in my ears and lose balance. my knees buckle and sometimes I will go all the way down. I thought it was my ears and balance problem. I have been through testing to determine if it was ear problems. not ears or balance issue. I have been told it could be something to do with nerve endings not relating to what ever controls my blood pressure to rise instead it drops. what is this called in medical terms
Wed, 15 May 2013
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General & Family Physician,  's  Response
Hi.
Thanks for asking in Healthcare Magic.

It is called 'Postural Hypotension'. This means your blood pressure falls when you stand up. The blood usually pools up in legs when a person stands up. This causes peripheral pooling of blood and reduced venous return to heart. This reduces the BP.

In normal persons, Baroreceptor, a specialized cell senses this and triggers the compensatory mechanism to increase BP. But if this compensatory reflex is lost as in conditions of dehydration, diabetes, heart and nervous system problems then it results in postural hypotension.

Old age and drugs taken to control high BP can cause this. Reduction of dose or switching over to some other drug is necessary if it is due to drugs. Drink plenty of water to avoid dehydration. Get up slowly from lying down or sitting position to standing position. Avoid bending. If it is very severe then you should consult your treating Dr for further management. Drugs like Midodrine are available for treating postural hypotension. Your treating Dr will know about this drug.

I hope this is useful to you.
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Ringing In Ears, Loss Of Balance. Diagnosed As Problems Due To Nerve Issues. What Could Be This?

Hi. Thanks for asking in Healthcare Magic. It is called Postural Hypotension . This means your blood pressure falls when you stand up. The blood usually pools up in legs when a person stands up. This causes peripheral pooling of blood and reduced venous return to heart. This reduces the BP. In normal persons, Baroreceptor, a specialized cell senses this and triggers the compensatory mechanism to increase BP. But if this compensatory reflex is lost as in conditions of dehydration, diabetes, heart and nervous system problems then it results in postural hypotension. Old age and drugs taken to control high BP can cause this. Reduction of dose or switching over to some other drug is necessary if it is due to drugs. Drink plenty of water to avoid dehydration. Get up slowly from lying down or sitting position to standing position. Avoid bending. If it is very severe then you should consult your treating Dr for further management. Drugs like Midodrine are available for treating postural hypotension. Your treating Dr will know about this drug. I hope this is useful to you.