Hi,
Welcome to health care magic,
Dizziness or lightheadness after meal with pain over right arm to shoulder is a matter of concern.
Here,I would like to ask you some questions regarding your medical history of
1) previous disease apart from
hypertension (for which you are taking these cardiac medications),
2) any recent or past surgery,
3) any past history of
head injury (like in accident)or
4) is there any other symptoms like
chest pain,palpitations,fatigue, blurring vision etc.
You will require detailed history, thoroughly clinical examination for heart like ECG,blood pressure measurements in different positions like supine,sitting and immediately after standing, echo cardiography of heart etc.
The underlying cause could be vasovagal,
orthostatic hypotension or postural
tachycardia ,neurogenic syncope or syncope due to anxiety etc.
You will have to consult your physician first for thoroughly clinical assessment to detect the underlying cause.
The commonest causes could be orthostatic hypotension,
dehydration,
low blood sugar or vasovagal.
Treatment will depend on the underlying cause.
Meanwhile you can do this things,
1) Maintain proper hydration and electrolyte balance by taking proper fluid intake throughout the day.(considering that your heart and kidney functions are normal)
2) Positioning on the grounds immediately whenever there is dizzy spells and leg elevation, will cause pooling of blood in the upper part of body mainly in brain.
3) Always wait for 4 to 5 minutes before standing or getting up from the bed means never change the posture so suddenly.
4) Take over the counter pain killers and topical analgesic gel for symptomatic relief.
Hope i have explained it in a easy way to understand it.
Regards,