Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Lightheadedness, feeling unreal and faint. Normal EKG, ECHO, BP.

Resolved Question:

Hi, I have an anxiety disorder but recently I have been feeling CONSTANT lightheadedness and feeling faint and unreal. Also just feel out of my body. I went to the doctor and they measured my bp sitting and standing and there was a change in 10 mm Hg. I have yet to actually faint but I also raise my legs above my heart. I am just worried about this and have an another appointment at the end of the month with a specialist but I would like your opinion and hope it can make me feel less panicked because the anxiety is definitely worsening my symptoms. My EKG and echo was normal. I am on anxiety medication but it does not seem to help these symptoms. I developed pseudotumor cerebri from birth control last year, after coming off of it I no longer have it. However, I was also recently diagnosed with central sleep apnea.

Category: Neurologist, Medical

Ask Your Own Question

Category: Pediatric Neurologist
 21 Doctors Online

Thank you for posting your query at
I have noted your symptoms and would like to reassure you that there is no need to worry.
A drop of blood pressure of 10 mmHg on standing is within normal limits.
If your symptoms persist, you may get HUTT (head up tilt test) to exclude a diagnosis of neuro-caridogenic syncope.
In the meanwhile, you can take betahistine tablets to get relief from symptoms.
I hope it helps.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Patient replied :

Thank you. If it is neurocardiogenic syncope is that treatable and has a good prognosis? Is it possible to start treatment instead of doing the tilt test or any other diagnostics that can replace a tilt test?

Thank you

Thank you for getting back.
Yes, there are good treatments available for treating neurocardiogenic syncope.
It is better to do tilt test and confirm the diagnosis. Empirical treatment is not a good idea.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist

Dr. Sudhir Kumar
Category: Pediatric Neurologist
Senior Residency, Fellowship: DM, Neurology, CMC, Vellore, 2001
Junior Residency: MD, Internal Medicine, CMC, Vellore, 1998
Medical School: MBBS, Christian Medical College, Vellore, 1995
Dr. Sudhir Kumar and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation



Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news