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- Mayo Clinic: Orthostatic Hypotension Definition
- Mayo Clinic: Orthostatic Hypotension: Treatment and Drugs
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How to Treat Seeing Stars After Bending Over
Orthostatic hypotension is a condition that occurs with a sudden drop in blood pressure as a person moves from sitting or lying down to standing 1. This drop causes dizziness -- "seeing stars" -- lightheadedness or even loss of consciousness. This condition frequently occurs in older people, and mild cases of orthostatic hypotension are common in the general population 12. You can treat this condition while it is occurring unless it is accompanied by loss of consciousness. In this case, someone should call for medical assistance immediately.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Lie down as soon as you feel lightheaded. The dizziness and visual disturbances -- "seeing stars" -- will slowly go away as you rest. When you feel better, slowly move into a sitting position. Wait several minutes before you start to stand up. This resting period will give your blood pressure time to normalize. Stand up slowly with a stable surface nearby for support.
Symptoms of Low Blood Pressure After Exercise
Learn More
Wear compression stockings during the day to reduce your risk of orthostatic hypotension 1. These stockings squeeze the calf muscles to improve blood circulation and prevent blood from pooling in the legs. You can purchase compression stockings in a medical supply store. Put them on before you get out of bed in the morning when your legs are the least swollen.
Reduce your risk of orthostatic hypotenstion by staying hydrated -- particularly in hot weather -- by drinking water and limiting your intake of alcohol and caffeinated drinks, which increase urine output.
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References
- Mayo Clinic: Orthostatic Hypotension Definition
- Mayo Clinic: Orthostatic Hypotension: Treatment and Drugs
- Arnold AC, Raj SR. Orthostatic hypotension: a practical approach to investigation and management. Can J Cardiol. 2017;33(12):1725-1728. doi:10.1016/j.cjca.2017.05.007
- Freeman R, Wieling W, Axelrod FB, et al. Consensus statement on the definition of orthostatic hypotension, neurally mediated syncope and the postural tachycardia syndrome. Clin Auton Res. 2011;21(2):69-72. doi:10.1007/s10286-011-0119-5
- Palma JA, Kaufmann H. Orthostatic hypotension in parkinson disease. Clin Geriatr Med. 2020;36(1):53-67. doi:10.1016/j.cger.2019.09.002
- Carvalho AF, Sharma MS, Brunoni AR, Vieta E, Fava GA. The safety, tolerability and risks associated with the use of newer generation antidepressant drugs: a critical review of the literature. Psychother Psychosom. 2016;85(5):270-88. doi:10.1159/000447034
- Joseph A, Wanono R, Flamant M, Vidal-petiot E. Orthostatic hypotension: A review. Nephrol Ther. 2017;13 Suppl 1:S55-S67.
- Young, TM, Mathias, CJ. The Effects of Water Ingestion on Orthostatic Hypotension in Two Groups of Chronic Autonomic Failure: Multiple System Atrophy and Pure Autonomic Failure. Journal of Neurology and Neurosurgical Psychiatry 2004; 75:1737.
- Frishman WH, Azer V, Sica D. Drug Treatment of Orthostatic Hypotension and Vasovagal Syncope. Heart Disease. 2003; 49-64.
- Lee T, Donegan C, Moore A. Combined Hypertension and Orthostatic Hypotension in Older Patients: A Treatment Dilemma for Clinicians. Expert Reviews of Cardiovascular Therapy. 2005; 433-40.
- Rutan, GH, et al. Orthostatic Hypotension in Older Adults. The Cardiovascular Health Study. Hypertension 1992; 19:508.
- Sandroni P, et al. Pyridostigmine for Treatment of Neurogenic Orthostatic Hypotension — A Follow-up Survey Study. Clinical Autonomic Research. 2005; 51-3.
- Singer, W, et al. Pyridostigmine Treatment Trial in Neurogenic Orthostatic Hypotension. Arch Neurol 2006; 63:513.
- van Lieshout, et al. Physical Manoeuvres for Combating Orthostatic Dizziness in Autonomic Failure. Lancet 1992; 339:897.
Writer Bio
Aubrey Bailey has been writing health-related articles since 2009. Her articles have appeared in ADVANCE for Physical Therapy & Rehab Medicine. She holds a Bachelor of Science in physical therapy and Bachelor of Arts in psychology from the University at Buffalo, as well as a post-professional Doctor of Physical Therapy from Utica College. Dr. Bailey is also a certified hand therapist.