what would cause 85 year old woman to be dizzy when standing up
Every bit a professional caregiver, information technology's probably no surprise to you that dizziness and imbalance are two of the virtually mutual complaints among seniors, and vertigo is usually the culprit . Vertigo has a number of other symptoms—including nausea, vomiting, ringing in the ears, and headaches—simply often the virtually bothersome amid them is dizziness. That'south considering vertigo-related dizziness, unlike some dizziness that'south marked by unproblematic lightheadedness or weakness , feels similar the room'due south spinning around y'all. This can non but exist a frustrating and disorienting symptom to deal with on a regular ground, but also a gamble factor for falls. And since falls are the leading cause of both fatal and non-fatal injuries in elderly Americans, it's essential to accept steps to reduce dizziness whenever possible. So, what can you do to reduce dizziness in older adults with vertigo? Oftentimes, determining the cause of vertigo tin can indicate you in the correct direction.
Causes of Vertigo
The inner ear is responsible for our sense of balance, so when it experiences issues, it can pb to vertigo and its associated lightheaded spells. Some of the virtually mutual causes include:
- Benign paroxysmal positional vertigo (BPPV) – The most common cause of dizziness among older Americans, BPPV is the upshot of tiny calcium particles clumping upwardly in the inner ear culvert. Information technology'south often associated with historic period.
- Meniere'due south disease – Marked past dizziness, tinnitus, and hearing loss, Meniere'due south is caused past fluid buildup in the inner ear, which changes the pressure levels.
- Labyrinthitis – Too known equally "vestibular neuritis," this infection-related condition causes inner ear inflammation that affects the body's ability to balance.
It's likewise worth noting that other conditions can cause dizziness too vertigo. Brand sure to assess your patient'due south symptoms holistically to ensure his or her dizzy spells aren't related to migraine , circulation issues, neurological conditions such as Parkinson's or multiple sclerosis, or medication side effects, to proper name a few.
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Treating Dizziness
Vertigo-related dizziness sometimes goes away on its own, thanks to the brain'south ability to adapt to inner ear changes. Fortunately, there are treatment options for persistent silly spells that don't self-resolve, including:
Concrete Therapy
There are two popular types of physical therapy for dizziness: vestibular rehabilitation and canalith repositioning maneuvers. Vestibular rehabilitation—a set of exercises designed to assist brand the balance system less sensitive to move—often helps those with inner ear conditions like vestibular neuritis. And canalith repositioning, sometimes referred to as Epley maneuvers, seeks to modify the position of the caput to salvage dizziness associated with BPPV. Keep in mind that there are special considerations here for seniors with a back/neck condition, claret vessel bug, or a detached retina.
Medication
There are certain medications that relieve dizziness and nausea, namely antihistamines and anticholinergics. Annotation that some of the about constructive antihistamines tin cause drowsiness. If your patient's vertigo is related to Meniere'southward disease, a water pill or low-table salt diet could reduce the frequency of his or her giddy spells. Similarly, migraine-related dizziness can be treated by preventive migraine medication.
Home Remedies
Fortunately, there are plenty of home remedies that can aid reduce dizziness in seniors, including:
- Walking with a cane and avoiding sudden movements
- Fall-proofing their living space past tidying upwards, getting rids of rugs and tangled cords, and adding non-slip mats to the bathroom
- Fugitive caffeine, tobacco, booze, and excessive salt
- Eating a healthy, counterbalanced diet—including staying hydrated to avoid dizziness from dehydration
- Potentially lowering the dose on medications that include side effects of dizziness (with a doctor's approving)
Surgery
If your patient's dizziness hasn't responded to conservative treatments, there are surgical options available. An injection of the antibiotic gentamicin into the affected ear can disable that inner ear's part, assuasive the other ear to have up the mantle of managing the body's balance coordination. The affected inner ear can also exist surgically removed in a process chosen labyrinthectomy, only this is usually reserved for patients whose dizziness has refused to respond to any other treatments.
Turn to DispatchHealth
If your elderly patients are experiencing frequent dizzy spells—or have been sent to the ER multiple times for falls—a partnership with DispatchHealth tin can assistance. We offer convenient, same-day, in-home medical care, arriving on the scene inside a few hours of a care request. We've helped thousands of seniors avoid unnecessary ER visits, treating them inside the comfort of their own homes for dizziness, falls, and a slew of other common conditions . We accept virtually major forms of medical insurance —including Medicare and Medicaid—and offering an affordable flat charge per unit for uninsured patients. And requesting care is easy—simply give us a telephone call, employ our app, or asking care on our website to apace receive the urgent intendance your patients crave without them having to footstep pes exterior of their residence. Don't hesitate to attain out to the states today to learn more than virtually our services!
Sources
DispatchHealth relies only on authoritative sources, including medical associations, research institutions, and peer-reviewed medical studies.
Sources referenced in this article:
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4306472/
- https://www.ncoa.org/news/resource-for-reporters/get-the-facts/falls-prevention-facts/
- https://pubmed.ncbi.nlm.nih.gov/28718303/
- https://www.mayoclinic.org/diseases-conditions/dizziness/symptoms-causes/syc-20371787
- https://world wide web.webmd.com/brain/vertigo-symptoms-causes-treatment#1
- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4481149/
Source: https://www.dispatchhealth.com/blog/reducing-dizziness-in-older-adults-with-vertigo/
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