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Ask Dr. Roach: Transient hypotension can cause dazzling sensations | Lifestyle - Ohionewstime.com

Dear Dr. Cockroach — I’m a 92 year old woman and I’m pretty healthy. I weighed about 145 pounds and reduced to 5 inches and 5 feet tall. I attend a 45-minute exercise class at the Wellness Center three times a week. I have diabetes and glaucoma. I take Januvia, simvastatin, losartan and Lumigan eye drops at night.

I meet all my daily needs, such as shopping and driving. But for the past two years I have been dizzy. The dizziness disappears when you stand still. I have a cane for walking longer distances. I feel dizzy on warm days. This happens up to 5 times a day, but can otherwise be less. It happens only at home and never while shopping, driving, or exercising.

My doctor doesn’t talk much about this, except suggesting that more salt should be used in the diet. Please tell me the reason and explanation for this dizziness. What should I do to stop this dizziness?

— RDS

Dear reader — Vertigo is a common topic for patients I see, and it often takes a few minutes to determine what a person means. Vertigo may mean dizziness, as I think I would do it for you. But it can also mean dizziness, the sensation of people and the world appearing to be moving when they are not. Some people with low blood sugar may notice a sensation of dizziness. It’s possible because you’re using a hypoglycemic agent. Your doctor should take some time to investigate the real problem, as you may have one of these.

My suspicion is that your blood pressure is temporarily low, as the dizziness spell is momentary and appears to occur when you are standing. Doctors may find it the most likely explanation, as adequate fluids and salt are one of the common and effective treatments for symptomatological hypotension. However, it is advisable to check your blood pressure when sitting or standing several times to test this theory and to measure your blood pressure when you have symptoms.

Drugs are a common cause of dizziness due to low blood pressure. Although not common with bimatoprost (Lumigan), even eye drops can lower blood pressure enough to cause dizziness. Losartan is generally a safe and effective blood pressure drug, but some people, especially the elderly, have more than expected (or desirable) blood pressure lowering than expected even at low doses of this drug. It may wake up. Those people will even benefit from reducing the dose or even changing the class of blood pressure medications. Given that this has been going on for two years, I think it might be useful to evaluate it a little more.

DR. Cockroach writing: Many write to give advice to gentlemen with persistent fungal infections, or “inkin tamushi.” Among the many suggestions I received were:

The Chief Scientific Medical Officer of the National Psoriasis Foundation (www.psoriasis.org) is also wise to consult with a dermatologist to confirm the diagnosis, as psoriasis (and other skin conditions) can mimic psoriasis. I agree with my suggestion that there is. itch. As always, I appreciate your feedback and helpful suggestions.

Contact Dr. Roach ToYourGoodHealth@med.cornell.edu

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