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Probably a combination of your ears and sinuses. Looking down and lifting head up usually has to do with sinuses. I have had dizziness for over 30 years now. Mine is from my sinuses. The doctor prescribed me some dizzy pills which helped a lot.
what heart meds are you on? in my daughter's case it is the medications that she takes for dilated cardiomyopathy... they say there may be times when her bp drops and that is what makes her feel lightheaded.. happens more when she is standing for long periods she will sit for a minute and then be fine... she also says she feels like she is losing her balance, especially when going up stairs a couple of times hope this helps