[48F] Experiencing lightheadedness and dizziness with recent changes in sleep and eating habits

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

1. Orthostatic Hypotension:

   • Rationale: Lightheadedness and dizziness upon standing can be due to a sudden drop in blood pressure when you stand up, known as orthostatic hypotension. This can be exacerbated by dehydration, lack of sleep, and reduced food intake.
   • Typical Treatments/Testing: Your doctor may check your blood pressure in different positions (lying down, sitting, and standing) and may recommend increasing fluid and salt intake, wearing compression stockings, or adjusting medications.

2. Side Effects of Adderall:

   • Rationale: Adderall can cause side effects such as dizziness, anxiety, restlessness, and changes in blood pressure, especially if you are not accustomed to taking it.
   • Typical Treatments/Testing: Your doctor may advise you to avoid taking Adderall without a prescription and monitor your symptoms. They may also check your heart rate and blood pressure.

3. Dehydration and Nutritional Deficiency:

   • Rationale: Reduced food and fluid intake can lead to dehydration and nutritional deficiencies, which can cause dizziness, lightheadedness, and fatigue.
   • Typical Treatments/Testing: Increasing your fluid and food intake, especially with nutrient-rich foods, can help. Your doctor may also recommend blood tests to check for deficiencies.

What you can do

Lightheadedness and Dizziness:

• Immediate Steps:
  • Sit or lie down immediately when you feel lightheaded to prevent falls.
  • Slowly change positions from lying to sitting to standing to give your body time to adjust.
• Hydration and Nutrition:
  • Drink plenty of water throughout the day to stay hydrated.
  • Gradually increase your food intake with balanced meals that include proteins, carbohydrates, and healthy fats.
• Avoid Adderall:
  • Avoid taking Adderall without a prescription and consult your doctor about any medications you are considering.

Fatigue and Weakness:

• Sleep Hygiene:
  • Aim for at least 7-8 hours of sleep per night. Create a relaxing bedtime routine and avoid screens before bed.
• Balanced Diet:
  • Eat regular, balanced meals to ensure you are getting enough nutrients and energy.

Anxiety and Restlessness:

• Relaxation Techniques:
  • Practice deep breathing exercises, meditation, or yoga to help manage anxiety.
• Consult Your Doctor:
  • Discuss your symptoms with your doctor, especially if they persist or worsen.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying causes, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Fainting or loss of consciousness
• Severe or worsening dizziness
• Chest pain or shortness of breath
• Severe anxiety or panic attacks

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.