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Reason for ear plug, halo and light headed on standing.

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I get light headed when I stand up, ears plug, then I see "halos". This happens at least once a month every month. This occurs even when I have eaten a meal. I eat a strawberry or a piece of chocolate and gradually in 15 minutes my "halos" will disappear from my vision. Why do I have this? I do take in the a.m. Wellbruton and at night, Klonapin and Celexa. Once in awhile I take ibuprofen for shoulder pain. I try to watch my sugar intake because I have sugar issues but now, have been able to stop my Januvia for high blood sugar. I do not have blood pressure issues but did take Januvia for high blood sugar. What is going on? What should I do?

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 21 Doctors Online

Thank you for your query at

I understand your concern.
You could be having a sudden lowering of blood pressure on change of posture from sitting to standing up. This is termed as postural hypotension. When the blood pressure decreases on standing, you get lightheaded and experience the other described symptoms. This is nothing to worry about as it is quite common in the elderly due to impairment in autonomic reflex (the mechanisms in our body which regulate our blood pressure etc) as a result of aging.

High blood sugar or diabetes also contributes to the autonomic dysfunction and makes you more susceptible to postural hypotension. In addition dehydration can also worsen it.

Normally on assuming a standing posture, blood pools in the legs, resulting in less blood reaching the heart and a mild lowering of blood pressure which is not symptomatic as a normal autonomic reflex compensates and prevents a large fall in BP.
However, when autonomic reflexes are impaired, the fall in blood pressure is progressive and more, after standing because the gravitational pooling of blood in the legs cannot be compensated.

I suggest you drink plenty of water and remain well hydrated. This will improve your blood volume and reduce chances of a postural fall in BP.
In case your symptoms persist, I suggest you consult your GP for further workup.
I hope this was helpful. Feel free to ask queries.

Thank you.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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