Many people with PD experience vestibular dysfunction (balance issues related to the inner ear) even without vertigo or dizziness symptoms. It is more common for older people with Parkinson’s to experience dizziness or vertigo. In general, both symptoms are less notable in people in the early stages of Parkinson’s. Most experts agree that dizziness and vertigo can be broadly defined as the sensation of spinning or whirling, and the sensation can be associated with balance problems. Ruff says.Dizziness and vertigo are commonly reported symptoms in people with Parkinson’s disease (PD). "It's often a lot of little things, and often if you make small changes in a couple of areas you make it better so you don't need to use medication," Dr. Medications are available to treat orthostatic hypotension if necessary. If you ever lose consciousness when standing up-even for a moment-or if you fall, tell your doctor right away. Also, avoid standing in place or sitting for too long, because this increases pooling of blood in the legs. A bit of light exercise in the morning can also help to get the blood moving and your blood pressure up. It may also help to limit how many rapidly digested carbohydrates you eat in one sitting, such as white bread and other foods made with highly refined flour, white rice, potatoes, and sugary beverages. If dizziness strikes after meals, try eating smaller but more frequent meals. It may help to clench your leg muscles before standing to push the pooled blood into your system.Ĭhange your eating habits.
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After sleeping, sitting for an extended period, or eating a full meal, take your time rising to a standing position. Wait until you are up and around to start taking fluids, and get enough throughout the day. Drinking a lot of water before bedtime is not the best solution, since it can send you racing to the bathroom at night. This helps explain why dizziness upon rising from bed is so common. Your blood is mostly water, and the volume in your system can drop overnight and lower your blood pressure.
It can help to lower doses or stop taking medications that you don't absolutely need-after consulting with your doctor, of course. "That contributes to a remarkable number of cases that I see," Dr. A variety of medications can lower blood pressure. If lightheadedness when changing position is mild or occasional, you can take some practical steps to prevent it:Ĭheck medications.
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"But if you feel you could fall or that it's impairing your quality of life, then you should be evaluated." How to ward off wooziness Christian Ruff, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. "If it's occasional or mild, this doesn't need to be aggressively treated," says Dr. Up to 20% of people over 65 experience some degree of orthostatic hypotension. The dizziness may strike after you eat a meal, because digestion diverts blood flow and may lower your blood pressure. That's because blood pools in your legs temporarily when you stand up, and it takes the body a moment to compensate by squeezing blood out of the large veins in your legs and revving up the heart a bit. It just means that when you shift from lying down or sitting to standing, your blood pressure drops and you momentarily feel a little woozy. It's a common phenomenon with an uncommon name: orthostatic hypotension.