heart rate

Question

i m still having drowsness increasing with walking not by position, when i observe my heart rate i found there is fluctiuation  between 55 and 85 within few second .can this lead to my drowsness and fatiuge

DrSharma · Accepted Answer

Hi there. Dizziness on standing and walking could be due to postural or orthostatic hypotension. The causes can be dehydration, medications like high doses of blood pressure and depression medicines. primary adrenal insufficiency, neurogenic orthostatic hypotension including sensory neuropathies like diabetes, alcohol, syphilis, central type like multiple system atrophy, medullary strokes, wernicke’s syndrome, spinal cord lesions etc. It could be orthostatic intolerance in chronic fatigue syndrome and basilar migraine. You need to go back to your physician for detailed check up with these speculations. Take care.

sherry35 · Answer

thanks for reply.
i m not diabetic, alcoholic,havind syphilis or having adrenal insufficiency or taking any medication
i had epidural anasthesia during delivary since 4 month
can you please advice me what investigation can be done to find diagnosis,
my problem now is dizziness increasing witheffort, my old problem that i had bradycardia after vaginal delivary helped by epidural anasthesia.with drossness and fatigue
can you help me

sherry35 · Answer

thanks for your reply. i m not anemic and my ECG is reguler.
but i m still dizzy mainly after walking or long standing .i feel like numbness in my head and tight chest and i have to set or even sleep for improvement. thanks agin

DrSharma · Answer

Hi there. The dizziness could be due to irregular heart rate or arrhythmias due to insufficient blood supply to the brain, hypotension could also cause dizziness but this should not be related to the mobility. Anemia also needs to be considered as a possibility and can cause dizziness and fatigue on walking. Consult a physician for the needful evaluation and therapy according to diagnosis. Hope this helps. Take care.