[42M] Experiencing dizziness and head pressure upon standing

What might be happening

Based on the information you have provided, possible conditions include:

• Orthostatic Hypotension: This condition occurs when blood pressure falls significantly as you stand up from sitting or lying down. This can cause dizziness or lightheadedness, and sometimes fainting. The drop in blood pressure you mentioned upon standing is a key characteristic of this condition.

  • Treatment typically involves lifestyle changes such as standing up slowly, increasing fluid and salt intake, and wearing compression stockings. Medications may also be prescribed by a doctor if necessary.

• Benign Paroxysmal Positional Vertigo (BPPV): This is a disorder arising in the inner ear, which causes a spinning sensation or vertigo when changing the position of your head. It's one of the most common types of vertigo.

  • Treatment often involves a series of movements performed in a doctor's office that can help dislodge the tiny particles in the inner ear that are causing the vertigo.

• Meniere's Disease: This is a disorder of the inner ear that can lead to dizziness and a spinning sensation (vertigo). It's often associated with hearing loss and ringing in the ears, but you didn't mention these symptoms.

  • Treatment typically involves dietary changes and medication to manage symptoms. In severe cases, surgery may be necessary.

Please remember that these are only possibilities, and it's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

Here are some general suggestions that might help you manage your symptoms:

1. Stand up slowly: When getting up from a sitting or lying position, take your time. Gradually shift from sitting to standing.

2. Stay hydrated: Drink plenty of fluids and avoid alcohol, which can be dehydrating.

3. Wear compression stockings: These can help improve blood flow and reduce the symptoms of orthostatic hypotension.

4. Avoid sudden head movements: If your dizziness is caused by an issue in your inner ear, sudden head movements might trigger your symptoms.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Loss of consciousness
• Chest pain, shortness of breath, or irregular heartbeats
• Severe headache
• Difficulty speaking
• Drooping or weakness on one side of your body
• Difficulty walking

Remember, this advice is intended to be general in nature, and specific causes may need different approaches. Always consult with a healthcare provider for appropriate treatment.