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Hello, doctor.
I was lying down using my phone and suddenly got up to help grab something, and I experienced sudden dizziness, unsteadiness, and slightly blurred vision.
I would like to ask what kind of condition this might indicate.
I was also a bit hungry at that moment, but I'm not sure if that has any relation.
I have occasionally experienced similar symptoms when standing up quickly, but this time it lasted about 5 to 10 seconds, which is a bit longer than before.
Usually, sitting down resolves it immediately.
I previously consulted an ENT specialist who mentioned it was not a concern and attributed it to postural hypotension.
Since I have a health check-up coming up, I wonder if I should ask a family medicine doctor about this issue.
Could this be a sign of a blood vessel rupture? I'm a bit worried that it might be something serious.
Thank you.
Xin, 20~29 year old female. Ask Date: 2020/10/29
Dr. Xiao Yongxun reply Family Medicine
Dear Mr.
Hsin:
1.
It may be postural hypotension, which commonly occurs in individuals who sit or lie down for prolonged periods and lack physical activity.
2.
Theoretically, it is not due to a vascular rupture; if there were a rupture of an intracranial vessel, whether arterial or venous, the situation would be more severe.
3.
Of course, there could be other causes as well; therefore, I recommend discussing this with your primary care physician before making any decisions.
Reply Date: 2020/10/29
More Info
Dizziness and blurred vision after sudden movements can be concerning symptoms, and it's understandable that you're seeking clarity on what might be happening. Based on your description, it sounds like you may be experiencing a common condition known as orthostatic hypotension, which is a form of low blood pressure that occurs when you stand up quickly after sitting or lying down. This condition can lead to dizziness, lightheadedness, and blurred vision, particularly if you have been in a position for an extended period, such as lying down while using your phone.
When you suddenly change positions, gravity causes blood to pool in your legs, which can temporarily reduce the amount of blood returning to your heart and subsequently to your brain. If your body does not adjust quickly enough to this change, you may experience symptoms like dizziness and blurred vision. The fact that you mentioned feeling better after sitting down again supports this possibility, as it allows your blood pressure to stabilize.
Additionally, you mentioned feeling hungry at the time of your symptoms. Low blood sugar can also contribute to dizziness and blurred vision. If you haven't eaten for a while, your blood sugar levels may drop, leading to these symptoms. It's essential to maintain regular meals and snacks to keep your energy levels stable.
While your previous consultation with an ear, nose, and throat (ENT) specialist indicated that there was no significant concern, it is still wise to follow up with a healthcare provider, especially since you are planning to undergo a health check-up soon. A family medicine doctor or a primary care physician can evaluate your symptoms in the context of your overall health. They may perform a physical examination, check your blood pressure in different positions (lying down, sitting, and standing), and possibly order blood tests to rule out other causes, such as anemia or dehydration.
It's also worth noting that if you experience these symptoms frequently or if they worsen, it could indicate an underlying issue that needs to be addressed. Conditions such as vestibular disorders, dehydration, or even neurological issues can sometimes present with similar symptoms. Therefore, keeping a record of when these episodes occur, their duration, and any associated factors (like hunger or fatigue) can be helpful information for your healthcare provider.
In summary, while your symptoms may be benign and related to postural changes or low blood sugar, it is always best to err on the side of caution. Make sure to discuss your symptoms during your upcoming health check-up, and don't hesitate to ask your doctor any questions you may have about your health. They are there to help you understand your body and ensure that any potential issues are addressed promptly.
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