What causes dizziness and a heavy head upon waking in the morning, and what should be done about it?

Waking up in the morning with dizziness and a feeling of head fullness may be caused by physiological factors, or it could result from pathological conditions such as anemia or hypertension. Treatment should be based on the specific cause. Details are as follows:

I. Physiological Causes

If excessive alcohol was consumed the night before, residual alcohol in the body may not have been fully metabolized by the next morning, leading to symptoms such as dizziness and head pressure. Drinking more water can help promote alcohol metabolism.

II. Pathological Causes

1. Anemia

When suffering from anemia, the blood's ability to carry oxygen decreases, which may lead to morning dizziness and head fullness, often accompanied by fatigue. Under medical guidance, patients may take medications such as ferrous succinate tablets, ferrous sulfate tablets, or folic acid tablets to increase blood cell counts.

2. Hypertension

Hypertension can cause blood vessel constriction, resulting in insufficient cerebral blood supply upon waking, leading to dizziness and head fullness. This may be accompanied by symptoms such as headache, palpitations, and tinnitus. Under medical supervision, antihypertensive medications such as bisoprolol amlodipine tablets, hydrochlorothiazide tablets, or metoprolol tablets may be prescribed.

In addition, conditions such as obstructive sleep apnea-hypopnea syndrome, cerebral ischemia, or cerebral infarction may also be responsible. It is recommended that patients seek medical evaluation at a hospital and receive treatment based on their specific diagnosis.