Hi
I understand your concern. We first have to differentiate between dizziness and vertigo. Dizziness may refer
to that feeling of being faint while vertigo refers to the whirling or spinning of the self or the
surroundings. Both may have a neurologic origin. However, vertigo may lean towards a neurologic or inner ear
condition.
As for dizziness we have to point out several things. You have mentioned of a low blood pressure. Low blood
pressure or hypotension may be due to antihypertensive medications, anemia, cardiac problems, neurologic
conditions (eg postural or orthostatic hypotension). These have to be ruled out. A baseline cardiac assessment
through an EKG, a 2D Echo, carotid Doppler to evaluate the neck vessels, fasting blood sugar (FBS)and a
complete blood count (CBC) are necessary. Complete physical examination to rule out orthostatic hypotension
and evaluation of medications are also important. Other differentials will be more localized eye and ear
problems. If you have been complaining of visual problems, then have your eyes assessed by your doctor. As for
the ears , inner ear problems may cause dizziness.
The presence of nausea may be due to the dizziness. Dizziness my lead to nausea and this may aggravate the
condition.
I suggest that a complete evaluation be done. In the presence of low blood pressure, avoid abruptly standing
up from a sitting or lying position. Drink plenty of water and eat well.Do not skip meals. When lying down,
raise your legs or prop your legs atop pillows to improve flow of blood back to the heart.
