[71F] Experiencing dizziness and blurred vision

Patient Description

A 71-year-old female presented with symptoms of lightheadedness starting this morning, rated as mild in severity. The dizziness is exacerbated by movements such as standing up quickly, bending over, or turning the head, with no specific alleviating factors identified. She also reports blurred vision, particularly at close range, that began two days ago. The patient has a medical history significant for Hepatitis C diagnosed 30 years ago and high blood pressure diagnosed 5 years ago. Current medications include Losartan, Inderal, Clonidine, and occasional use of Tramadol. No known drug allergies. No other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information provided, the following conditions could be causing your symptoms:

  • Benign paroxysmal positional vertigo (BPPV): This is a common cause of dizziness, especially in older adults. It's caused by tiny calcium particles clumping up in the inner ear canals, causing brief episodes of mild to intense dizziness. BPPV is often associated with a change in position of your head.

    • Treatment usually involves a series of head movements that shift particles in your ears (Epley maneuver).
  • Meniere's disease: This is an inner ear disorder caused by a buildup of fluid and changing pressure in the ear that can cause episodes of dizziness along with tinnitus (ringing in the ear) and hearing loss.

    • Treatment typically involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down, and can make you feel dizzy or lightheaded. Given your history of high blood pressure and the medications you're taking (Losartan, Inderal, Clonidine), this could be a possibility.

    • Treatment usually involves lifestyle changes and adjusting your current medications.
  • Presbyopia: This is a common age-related vision disorder that makes it difficult to see up close. Given your age and the description of your blurred vision, this could be a possibility.

    • Treatment usually involves wearing corrective lenses.

Please note that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

  1. Try to avoid sudden changes in position, get up slowly from a sitting or lying position.
  2. Stay hydrated and avoid alcohol, which can be dehydrating and make symptoms worse.
  3. If your symptoms persist or worsen, consult with your healthcare provider. They may want to review your current medications or refer you to a specialist for further evaluation.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • A new, severe headache
  • Sudden loss of vision, difficulty speaking, or difficulty understanding speech
  • Falling or problems with balance
  • Chest pain or rapid heart rate
  • Shortness of breath

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.

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11 mo ago

People Also Ask


What is benign paroxysmal positional vertigo (BPPV) and how is it treated?

Benign paroxysmal positional vertigo (BPPV) is a condition that causes brief episodes of dizziness due to tiny calcium particles clumping in the inner ear canals. It is often triggered by changes in head position. Treatment typically involves a series of head movements known as the Epley maneuver to reposition the particles.


How can orthostatic hypotension be managed, especially in patients with high blood pressure?

Orthostatic hypotension is managed by making lifestyle changes such as standing up slowly, staying hydrated, and avoiding alcohol. In patients with high blood pressure, it may also involve adjusting medications under the guidance of a healthcare provider.


What are the symptoms and treatment options for Meniere's disease?

Meniere's disease is an inner ear disorder characterized by episodes of dizziness, tinnitus, and hearing loss, caused by fluid buildup and pressure changes in the ear. Treatment options include medications, lifestyle changes, and sometimes surgery to manage symptoms.


What is presbyopia and how can it affect vision in older adults?

Presbyopia is an age-related vision disorder that makes it difficult to see objects up close. It commonly affects older adults and is treated with corrective lenses such as reading glasses or bifocals.


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