Why Do I Feel Dizzy After Sitting for Long Periods? - Neurology

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Feeling dizzy after sitting for a long time?


Hello doctor, about a year ago, I experienced unexplained twitching in my hands and feet while being fully conscious.
I was just moving quickly and felt a bit emotionally unstable.
At that time, an EEG showed no issues, and it was suggested that it might be due to stress.
It hasn't happened again since, although I do occasionally experience minor tremors that don't last long.
A few months ago, I bumped my head; I didn't feel anything significant at the time, but now every time I sit for a long period or get up after sleeping, I feel dizzy.
It's not a severe spinning sensation, but I do experience some blurred vision, a heavy head, and a light feeling in my legs, making me feel like I might fall.
This lasts for about ten seconds before it resolves.
I'm not sure if this is related.
My heart rate is faster than average, but an ECG showed no issues.
Could this be related to my dizziness? I do not have anemia.

Yun, 10~19 year old female. Ask Date: 2016/08/17

Dr. Lan Shengxing reply Neurology


The condition you described is likely orthostatic hypotension or a similar disorder.
Please consult a cardiologist for evaluation.

Reply Date: 2016/08/17

More Info


Feeling dizzy after sitting for long periods can be attributed to several factors, particularly related to blood circulation, posture, and possibly underlying health conditions. Given your history of experiencing unusual symptoms, such as limb twitching and a head injury, it’s essential to consider these aspects carefully.

When you sit for an extended time, especially in a position that may not support good posture, blood circulation can be compromised. This can lead to a condition known as orthostatic hypotension, where blood pressure drops significantly when you stand up after sitting. This drop can cause dizziness, lightheadedness, or a feeling of faintness. The body typically compensates for this by constricting blood vessels and increasing heart rate, but if these mechanisms are sluggish or impaired, you may experience dizziness.

Your mention of feeling dizzy upon standing, along with symptoms like visual blurriness and a sensation of heaviness in your head, suggests that your body may be struggling to adjust to changes in posture. This could be exacerbated by your previous head injury, which might have affected your vestibular system (the part of the inner ear that helps control balance) or other neurological functions. Although you had a normal EEG, it’s important to note that not all neurological issues can be detected through such tests.

Additionally, you mentioned that your heart rate tends to be faster than average, which could also contribute to feelings of dizziness. A rapid heart rate can sometimes be a response to anxiety or stress, which you indicated has been a factor in your past experiences. Stress can lead to hyperventilation, which can cause dizziness and other symptoms. Even if your ECG results were normal, it might be beneficial to monitor your heart rate and discuss any concerns with a healthcare provider, especially if you notice significant fluctuations.

Another potential factor is dehydration or inadequate nutrition. If you are not consuming enough fluids or nutrients, this can lead to dizziness, particularly after prolonged periods of sitting. It's crucial to maintain hydration and a balanced diet to support overall health and well-being.

Given your symptoms and history, it would be wise to consult with a healthcare professional who can conduct a thorough evaluation. They may recommend further tests, such as a tilt table test to assess how your body responds to changes in position, or imaging studies to evaluate any potential issues related to your previous head injury.
In the meantime, consider implementing some lifestyle changes to help mitigate your symptoms. Regular breaks during long periods of sitting can help improve circulation. Stand up, stretch, and walk around every 30 minutes if possible. When transitioning from sitting to standing, do so slowly to give your body time to adjust. Additionally, practicing relaxation techniques, such as deep breathing or mindfulness, may help manage any anxiety that could be contributing to your symptoms.

In summary, while dizziness after prolonged sitting can be common, your specific symptoms warrant further investigation. Factors such as blood circulation, posture, previous injuries, and overall health should be considered. Consulting with a healthcare provider will help you understand the underlying causes and develop an appropriate management plan.

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