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dysautonomia

Orthostatic Hypotension

A significant drop in blood pressure when standing up, causing dizziness, lightheadedness, and fainting.

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Overview

Orthostatic hypotension is a form of low blood pressure that occurs when standing up from a sitting or lying position. It is defined as a drop of at least 20 mmHg in systolic blood pressure or 10 mmHg in diastolic blood pressure within 3 minutes of standing. It is common in older adults and people with autonomic disorders, Parkinson's disease, or diabetes. While often just a nuisance, it can cause falls and injury and may indicate an underlying condition.

Symptoms

Common Symptoms

  • Dizziness or lightheadedness when standing up
  • Blurred vision
  • Weakness
  • Nausea
  • Palpitations
  • Confusion or difficulty thinking
  • Fainting (syncope)
  • Symptoms that improve when sitting or lying down
  • Worse in the morning or after meals

Diagnosis

Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.

Treatments

Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.

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