Feeling palpitations and dizziness when standing up from a squatting position

Jun 05, 2023 Source: Cainiu Health
Dr. Yang Jun
Introduction
Dizziness and palpitations upon standing up from a squatting position may be related to factors such as iron-deficiency anemia, hypoglycemia, or orthostatic hypotension. These can be treated with oral medications. In addition to these relatively common causes, insufficient cerebral blood supply, benign paroxysmal positional vertigo (ear stone syndrome), and cervical spondylosis may also be contributing factors. It is important to promptly visit a hospital for relevant examinations and follow medical advice for appropriate treatment.

Dizziness and palpitations when squatting down or standing up may be related to factors such as iron deficiency anemia, hypoglycemia, and orthostatic hypotension. These conditions can be treated with oral medications. Specific analyses are as follows:

1. Iron Deficiency Anemia

If poor dietary habits persist in daily life, the body may become deficient in iron, failing to meet physiological demands. Clinically, this may manifest as pale skin, dizziness, blurred vision, and palpitations. Under medical guidance, patients may take medications such as polysaccharide-iron complex capsules or ferrous succinate tablets for treatment.

2. Hypoglycemia

After intense physical activity, excessive consumption of glucose without timely replenishment may lead to insufficient blood sugar levels, failing to meet the body's needs. Clinical symptoms include palpitations, dizziness, and fatigue. Under medical supervision, medications such as furosemide tablets or hydrochlorothiazide tablets may be used for treatment.

Note: The original text incorrectly lists diuretics (furosemide and hydrochlorothiazide) for hypoglycemia treatment, which is medically inaccurate. Proper management of hypoglycemia typically involves immediate glucose intake (e.g., glucose tablets, juice) rather than diuretics. This appears to be an error in the source text.

3. Orthostatic Hypotension

Remaining in a squatting position for prolonged periods may impair local blood circulation, leading to orthostatic hypotension. Clinically, this may present with dizziness, fatigue, and palpitations. Under medical guidance, medications such as midodrine hydrochloride tablets or droxidopa capsules may be prescribed for treatment.

In addition to the above relatively common causes, dizziness upon postural change may also be associated with cerebral ischemia, benign paroxysmal positional vertigo (BPPV), cervical spondylosis, and other conditions. It is important to seek timely medical evaluation at a hospital and follow professional medical advice for appropriate diagnosis and treatment.