Lying down without dizziness and standing up with dizziness may be related to postural hypotension, ischemic cerebrovascular disease, vestibular function abnormality, anemia, otolithiasis and so on. Symptomatic treatment can be done by improving nutrition, oral or intravenous drugs.
1. Postural hypotension: blood pressure is normal when lying down, but postural hypotension can occur after standing up, resulting in insufficient blood supply to the brain and causing dizziness and discomfort. The intake of sodium and water can be increased appropriately to ensure the increase of plasma volume and thus maintain the balance of blood pressure. Daily exercise is needed to enhance physical fitness. Serious cases need to follow the doctor’s advice to use drugs such as Midodrine.
2. Ischemic cerebrovascular disease: dizziness is caused by the aggravation of cerebral ischemia symptoms after standing. Drugs to improve cerebral circulation, such as ginkgo biloba, can be added.
3. Abnormal vestibular function, especially inner ear otolithiasis or other vestibular diseases, can also cause dizziness, especially dizziness aggravated by change of body position, and can be used intravenously with tensin.
4. anemia: when anemia causes insufficient blood supply to the brain, resulting in dizziness, standing position insufficient blood supply to the brain aggravated by dizziness. Such as iron deficiency anemia commonly used ferrous sulfate, megaloblastic anemia commonly used folic acid, aplastic anemia commonly used cyclosporine, hemolytic anemia commonly used prednisone.
5. Otolithiasis: also known as benign positional vertigo, dizziness caused by positional changes, mainly relying on manipulative repositioning therapy, can be supplemented by betahistine and other vasodilator drugs.
It should be noted that both oral and intravenous drugs need to be in the case of confirmed diagnosis, follow the doctor’s instructions to use drugs, can not be taken without authorization.