Monday, January 23, 2023

Orthostatic


I had an hourlong meeting at a Cheese factory and when quickly standing up, I felt weak. It passed in a minute. This is the second time in a month. 

The most common symptom of orthostatic hypotension is lightheadedness or dizziness when standing after sitting or lying down. Symptoms usually last less than a few minutes.

Orthostatic hypotension signs and symptoms include:

  • Lightheadedness or dizziness upon standing
  • Blurry vision
  • Weakness
  • Fainting (syncope)
  • Confusion  
  • The numerous possible causes for orthostatic hypotension include certain medications (e.g. alpha blockers - I take them), autonomic neuropathy, decreased blood volume, multiple system atrophy, and age-related blood-vessel stiffness.
  • Apart from addressing the underlying cause, orthostatic hypotension may be treated with a recommendation to increase salt and water intake (to increase the blood volume), wearing compression stockings, and sometimes medication (fludrocortisonemidodrine, or others). I am on a no salt diet! 

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