[84F] Experiencing dizziness and feeling spacey upon waking

What might be happening

Based on the information you've provided, a few possibilities could explain your symptoms:

• Benign paroxysmal positional vertigo (BPPV): This is a common cause of dizziness, particularly in older adults. It's caused by changes in the inner ear and can cause brief episodes of mild to intense dizziness, often triggered by specific changes in the position of your head.

  • Treatment typically involves a series of movements performed in a doctor's office that can help dislodge the ear particles causing the dizziness.

• Dehydration: In older adults, the body's ability to conserve water is reduced, the thirst sense becomes less acute and the body is less able to respond to changes in temperature. Also, older people, in general, are less likely than younger people to realize that they’re becoming dehydrated.

  • Treatment involves rehydration with water or drinks that contain electrolytes.

• Medication side effect: Certain medications can also cause dizziness or a feeling of being "spacey". This is particularly common with blood pressure medications, sedatives, and certain types of antidepressants.

  • If you suspect your symptoms are due to a medication you're taking, do not stop taking the medication without consulting a healthcare professional.

• Cardiovascular issues: Conditions such as low blood pressure or arrhythmias can cause dizziness, particularly upon standing. These conditions are more common in older adults.

  • Treatment depends on the specific cardiovascular issue but may involve medication adjustments or new medications.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms in a comprehensive manner.

What you can do

1. If you suspect dehydration, try drinking more water or fluids with electrolytes.
2. Try to move slowly when changing positions, such as getting up from a seated or lying position.
3. If your symptoms persist or worsen, please seek medical attention.

What you should look out for

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

• A sudden, severe headache
• Chest pain or shortness of breath
• Fainting or loss of consciousness
• Sudden changes in vision or speech
• Difficulty walking or loss of balance
• Sudden weakness or numbness, particularly on one side of the body

Remember, it's important to consult with a healthcare professional for a definitive diagnosis and treatment.