[36M] Experiencing dizziness, excessive sleepiness, and shortness of breath

Patient Description

A 36-year-old male reports experiencing occasional dizziness with a spinning and tingling sensation, as well as blurred vision, which typically occurs when standing up and walking. These episodes last for about 3-4 seconds and are somewhat alleviated by closing his eyes and taking deep breaths. He also experiences shortness of breath when walking, which has been more pronounced since late December, especially in cold weather. Additionally, the patient describes episodes of excessive sleepiness, sometimes sleeping for over 14 hours or falling asleep unexpectedly during the day. He has a history of ADHD, manic depression, bipolar disorder, and is a long-term smoker who has significantly reduced his smoking habit in recent years. He also has a critical allergy to shellfish and consumes heavily caffeinated drinks. No other medications or allergies were reported. It is important for the patient to consult with a healthcare professional for a proper diagnosis and treatment.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Orthostatic Hypotension: This condition occurs when your blood pressure falls significantly as you stand up. This can cause dizziness and lightheadedness, and in some cases, fainting. It can be caused by dehydration, certain medications, and various underlying conditions.

    • Testing for orthostatic hypotension typically involves measuring your blood pressure while seated, then again after standing up.
  • Anemia: This is a condition where your body lacks enough healthy red blood cells to carry adequate oxygen to your tissues. This can cause fatigue and shortness of breath. Brittle nails can also be a symptom of anemia.

    • Testing for anemia typically involves a complete blood count (CBC) to measure the amount of hemoglobin in your blood and to count the number of red blood cells you have.
  • Sleep Disorders: Conditions like sleep apnea or narcolepsy can cause excessive daytime sleepiness and sudden bouts of sleep.

    • Diagnosis typically involves a sleep study, where your breathing and other body functions are monitored during sleep.
  • Overconsumption of caffeine: High intake of caffeine can cause a variety of symptoms, including dizziness, rapid heartbeat, and sleep disturbances.

What you can do

  1. Try to stand up slowly from a seated or lying position. This can help prevent dizziness related to changes in blood pressure.
  2. Stay hydrated and maintain a balanced diet. This can help prevent anemia and manage symptoms of orthostatic hypotension.
  3. Try to maintain a regular sleep schedule. This can help regulate your sleep patterns and reduce excessive daytime sleepiness.
  4. Limit your caffeine intake. Too much caffeine can cause a variety of symptoms, including those you've described.

What you should look out for

Please seek immediate medical attention if you experience:

  • Chest pain or pressure
  • Difficulty breathing
  • Fainting
  • Severe dizziness

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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10 mo ago

People Also Ask


What is orthostatic hypotension and how is it diagnosed?

Orthostatic hypotension is a condition where your blood pressure drops significantly when you stand up, leading to dizziness or fainting. It is diagnosed by measuring blood pressure while seated and then again after standing.


How can anemia cause symptoms like dizziness and shortness of breath?

Anemia is a condition where there are not enough healthy red blood cells to carry oxygen to the body's tissues, leading to symptoms like fatigue, dizziness, and shortness of breath. It is diagnosed with a complete blood count (CBC) test.


What are the potential effects of excessive caffeine consumption on health?

Excessive caffeine consumption can lead to symptoms such as dizziness, rapid heartbeat, anxiety, and sleep disturbances. It can also exacerbate conditions like anxiety and insomnia.


How can sleep disorders contribute to excessive daytime sleepiness?

Sleep disorders like sleep apnea or narcolepsy can cause excessive daytime sleepiness by disrupting normal sleep patterns, leading to poor quality sleep and sudden bouts of sleepiness during the day. Diagnosis often involves a sleep study.


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