Prolonged standing can cause tinnitus and nausea?
Hello, Doctor: I would like to ask, I seem to have been unable to stand for too long since the past.
If I stand for nearly an hour, I start to experience tinnitus (with a sensation of reduced hearing in one ear) and also feel nauseous.
Once, after standing for almost an hour, my vision went completely dark and I couldn't see clearly, and the tinnitus became very severe.
Sometimes, after walking for a while while shopping, I experience similar symptoms.
I am unsure what the cause might be and whether I need to seek medical attention.
Thank you!
claire, 20~29 year old female. Ask Date: 2007/05/13
Dr. Cai Jueren reply Family Medicine
Hello: Your condition does require medical attention for various reasons that need to be ruled out.
I recommend that you visit the ENT (Ear, Nose, and Throat) outpatient clinic at the hospital.
If everything is completely fine, then you can proceed to the cardiology outpatient clinic.
Thank you for your correspondence, and I hope you recover soon.
Dr.
Tsai Jue-ren, Hualien Hospital.
Reply Date: 2007/05/13
More Info
Experiencing tinnitus and nausea after standing for extended periods can be concerning and may indicate an underlying medical condition that warrants further investigation. Based on your description, it seems that you are experiencing a combination of symptoms that could be related to several potential causes.
Firstly, tinnitus, which is the perception of noise or ringing in the ears, can be associated with various factors, including changes in blood flow, inner ear issues, or even neurological conditions. The fact that you also experience a sensation of hearing loss in one ear could suggest a possible issue with the auditory system, such as Eustachian tube dysfunction or Meniere's disease, which is characterized by episodes of vertigo, tinnitus, and hearing loss.
The nausea you experience after standing for a prolonged period may be related to a drop in blood pressure, known as orthostatic hypotension. When you stand up, gravity causes blood to pool in your legs, which can lead to reduced blood flow to the brain and result in symptoms such as dizziness, lightheadedness, and nausea. This is particularly relevant if you have been standing for nearly an hour, as your body may struggle to maintain adequate blood circulation in an upright position.
Additionally, the blacking out of your vision and the severe tinnitus you experienced after standing for an extended period could indicate a more serious condition, such as vestibular dysfunction or even a transient ischemic attack (TIA), which is a temporary reduction in blood flow to the brain. Although TIAs are often brief and resolve quickly, they can be a warning sign of a more significant stroke risk.
Given these symptoms, it is essential to consult a healthcare professional for a comprehensive evaluation. A thorough medical history, physical examination, and possibly diagnostic tests such as audiometry, blood pressure monitoring, or imaging studies may be necessary to determine the underlying cause of your symptoms. It is crucial to address these concerns promptly, especially since they can significantly impact your quality of life and daily activities.
In the meantime, consider the following recommendations:
1. Stay Hydrated: Dehydration can exacerbate symptoms of dizziness and tinnitus, so ensure you are drinking enough fluids throughout the day.
2. Avoid Prolonged Standing: If possible, try to limit the time you spend standing in one place. If you need to stand for an extended period, consider shifting your weight from one foot to the other or taking short breaks to sit down.
3. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be valuable for your healthcare provider.
4. Seek Medical Attention: If your symptoms worsen or if you experience additional concerning signs such as severe headaches, weakness, or changes in vision, seek immediate medical attention.
In conclusion, while your symptoms may be benign, they could also indicate a more serious underlying condition. It is essential to consult with a healthcare professional to receive an accurate diagnosis and appropriate treatment. Your health and well-being are paramount, and addressing these symptoms early can help prevent potential complications in the future.
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