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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Episodes Of Dizziness And Loss Of Balance?

hi I have peripheral neurothapy and and I have been getting dizzy and losing my balance. I wonder if they are connected in any. the dizziness is like vertigo, when I get out of bed the walls and pictures on it are going in circles. it lasts for about and then slowly things go back to normal. thank you so much, mary
Wed, 31 Jan 2018
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Internal Medicine Specialist,  's  Response
Hello and welcome,

Dizziness and vertigo while standing is highly probably orthostatic hypotension.
Yes, peripheral neuropathy may cause orthostatic hypotension. It usually happens in advanced peripheral neuropathy (in polyneuropathies) when autonomic nerve fibers get affected. To diagnose orthostatic hypotension your doctor will check your blood pressure and heart rate at sitting and standing position and may order tilt-table test. You may also need specific tests according to your physical findings results.
You may try life-style modifications which include increasing fluid intake rich in sodium and potassium, decrease alcohol if you drink, avoid situations that trigger symptoms, such as standing up from seated position fast or standing for long periods. If the life style changes do not work you may be prescribed fludrocortisone (increases blood volume) or midodrine (vasopressor antihypotensive medicine) to normalize blood pressure.

I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know.

Thank you,
Malik Amonov MD


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What Causes Episodes Of Dizziness And Loss Of Balance?

Hello and welcome, Dizziness and vertigo while standing is highly probably orthostatic hypotension. Yes, peripheral neuropathy may cause orthostatic hypotension. It usually happens in advanced peripheral neuropathy (in polyneuropathies) when autonomic nerve fibers get affected. To diagnose orthostatic hypotension your doctor will check your blood pressure and heart rate at sitting and standing position and may order tilt-table test. You may also need specific tests according to your physical findings results. You may try life-style modifications which include increasing fluid intake rich in sodium and potassium, decrease alcohol if you drink, avoid situations that trigger symptoms, such as standing up from seated position fast or standing for long periods. If the life style changes do not work you may be prescribed fludrocortisone (increases blood volume) or midodrine (vasopressor antihypotensive medicine) to normalize blood pressure. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Amonov MD