Feeling Tired and Dizzy? Signs You Should See a Cardiologist - Cardiology

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I've been feeling fatigued lately?


In the past year or two, I've been feeling dizzy when I get up after sitting for a long time, and it's been getting worse recently.
Sometimes my vision goes completely black, and I can't stand steadily.
My stamina has also decreased significantly, and I often feel fatigued.
I'm worried that there might be an issue with my liver, but I eat relatively well and am not malnourished, plus I'm only in my early twenties.
Should I see a doctor and get some blood tests or a physical examination?

Chao Ren, 20~29 year old female. Ask Date: 2004/05/06

Dr. Zhou Wenjian reply Cardiology


Your symptoms may indicate anemia or cardiac dysfunction, and a detailed examination at the hospital is necessary to provide appropriate treatment.

Reply Date: 2004/05/06

More Info


Feeling tired and dizzy, especially when standing up after sitting for a long time, can be concerning and may indicate several underlying health issues. Given your symptoms of dizziness, fatigue, and the sensation of blacking out, it is indeed advisable to consult a healthcare professional, particularly a cardiologist, to rule out any cardiovascular problems.

One possible explanation for your symptoms could be orthostatic hypotension, which is a form of low blood pressure that happens when you stand up from sitting or lying down. This condition can cause dizziness or lightheadedness, and in some cases, it may lead to fainting. It occurs because your body does not adjust quickly enough to the change in position, leading to a temporary decrease in blood flow to the brain. This is particularly common in younger individuals and can be exacerbated by dehydration, prolonged bed rest, or certain medications.

Another potential concern could be related to your heart's ability to pump blood effectively. Conditions such as arrhythmias (irregular heartbeats) or other heart-related issues can lead to symptoms of fatigue and dizziness. If your heart is not pumping efficiently, it may not be delivering enough oxygen-rich blood to your body, which can result in feelings of tiredness and dizziness.

Additionally, your symptoms could be linked to anxiety or stress, which can manifest physically in various ways, including fatigue and dizziness. The body's response to stress can lead to hyperventilation, which may cause lightheadedness and a feeling of faintness.
Given that you are in your twenties and have mentioned that you are not experiencing nutritional deficiencies, it is less likely that your symptoms are related to liver issues, but it is still important to consider a comprehensive evaluation. Blood tests can help assess your overall health, including liver function, electrolyte levels, and other potential underlying conditions.

In summary, it is crucial to take your symptoms seriously and seek medical attention. A cardiologist can perform a thorough evaluation, which may include a physical examination, blood tests, an electrocardiogram (ECG), and possibly a tilt table test to assess how your body responds to changes in position. Early diagnosis and management of any potential issues can significantly improve your quality of life and prevent more serious complications in the future. Don't hesitate to reach out to your healthcare provider to discuss your symptoms and the best course of action.

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