Suggest treatment for orthostatic hypotension
Patient: I have been diagnosed with Orthostatic hypo tension. I get so dizzy that I can barely walk in a straight line and have passed out. They have given me midodrine and florineff. The Florineff I stopped taking because of the high blood sugars (I am diabetic). These drugs really do not help. Some days are ok and I can maintain balance although still dizzy and others are terrible. I ve been to the cardiologist, a neurologist have tried all of their suggestions, but nothing helps. I also have an increased salty taste in my mouth, not to everything it seems only things that our sugary, if I eat sweet I taste extreme salt. I did have a CT scan but no MRI.......is it possible that this is something else? I did have Ketoacidosis about a year and a half ago that I was not hospitalized for which is when this started.....I am a type II diabetic. Doctor: Hey, You did not mention your age. If it is above 50, than risks of heart block causing these dizzy spells & loss of consciousness has to be ruled out. For that you need to have a holer done which is 24 hr ecg monitoring. Secondarily orthostatic hypotension is defined as fall in bp with change in position from sitting or lying down to standing. You just have to increase your fluid intake for that & get up from lying down gradually.Thanks Dr Sameer