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Why do I feel particularly dizzy when lying down or getting up?

Sep 12, 2023 Source: Cainiu Health
Dr. Guo Xiheng
Introduction
In general, feeling severe dizziness when lying down or getting up may be caused by getting up too quickly, benign paroxysmal positional vertigo (BPPV), orthostatic hypotension, cervical spondylosis, hypertension, or other reasons. In addition, it may also be related to conditions such as cerebral hemorrhage or cerebral infarction. Patients experiencing significant discomfort are advised to seek timely medical attention to avoid delaying diagnosis and treatment.

Generally, feeling particularly dizzy when lying down or getting up may be caused by getting up too quickly, benign paroxysmal positional vertigo (BPPV), orthostatic hypotension, cervical spondylosis, hypertension, or other reasons. Patients are advised to follow medical advice for symptomatic treatment. Specific analyses are as follows:

1. Getting up too quickly

If a person rises rapidly from a lying or sitting position, the head may experience brief dizziness due to sudden movement. This is a normal physiological phenomenon that does not require special treatment. Slowing down the speed of rising can effectively alleviate symptoms.

2. Benign paroxysmal positional vertigo (BPPV)

BPPV may cause dizziness during sudden changes in body position. Patients are advised to take medications such as flunarizine hydrochloride capsules, ginkgo biloba tablets, or betahistine mesylate tablets as directed by a physician.

3. Orthostatic hypotension

Orthostatic hypotension is a disorder involving dysfunction of the autonomic nervous system. When body posture changes suddenly, it can lead to transient cerebral ischemia and hypoxia, resulting in dizziness. Patients should take medications such as droxidopa capsules or midodrine hydrochloride tablets under medical supervision.

4. Cervical spondylosis

Cervical spondylosis involves degenerative changes in the cervical joints that may compress nerves and blood vessels. Incorrect posture in daily life can impair blood flow, leading to cerebral ischemia and hypoxia, thus causing the aforementioned symptoms. Patients may use medications such as ibuprofen sustained-release capsules or Shujin Huoxue tablets as prescribed.

5. Hypertension

Patients with hypertension may also experience dizziness when abruptly rising from a lying position. Temporary cerebral ischemia and vascular spasms may cause significant dizziness upon changing positions. Treatment may include antihypertensive medications such as nifedipine controlled-release tablets or losartan potassium tablets, taken as directed by a doctor.

In addition, such symptoms may also be related to conditions such as cerebral hemorrhage or cerebral infarction. If symptoms are severe, patients are advised to seek timely medical attention to avoid delays in diagnosis and treatment.


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