[53M] Experiencing severe lightheadedness and nausea

What might be happening

Based on your symptoms, the most likely causes include:

• Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It can make you feel dizzy or lightheaded, and you might even feel like you're going to faint. It can be more common in people with high blood pressure and diabetes, both of which you have.

  • Treatment typically involves lifestyle changes such as standing up slowly, drinking plenty of fluids, and avoiding alcohol. In some cases, medication may be needed.

• Side Effects of Medication: Several medications you're taking, including Lisinopril and Gabapentin, can cause dizziness and lightheadedness as side effects.

  • If this is the cause, your doctor may adjust the dosage or switch you to a different medication.

• Dehydration: This can cause dizziness, especially when standing up too quickly. It can also cause nausea.

  • Treatment involves drinking plenty of fluids and avoiding activities that cause you to sweat excessively.

What you can do

1. Stand up slowly: When you move from a sitting or lying position to standing, do it slowly to give your body time to adjust.

2. Stay hydrated: Drink plenty of fluids throughout the day, especially water.

3. Monitor your blood pressure: If you have a home blood pressure monitor, check your blood pressure when you're sitting and then again when you stand up.

4. Consult your doctor: If your symptoms persist or worsen, consult your doctor. They may need to adjust your medication or investigate other potential causes.

What you should look out for

Seek immediate medical attention if you:

• Faint or lose consciousness
• Have chest pain or shortness of breath
• Experience a rapid or irregular heartbeat
• Have severe headache or stiff neck
• Have difficulty speaking or understanding speech, or sudden weakness or numbness in your face, arm, or leg

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 recommendations.