Orthostatic syncope

The Ins and Outs of Orthostatic Syncope

Orthostatic syncope is a type of fainting that a person may experience. It is triggered by standing up suddenly from a seated or lying position and is due to the sudden drop in blood pressure that occurs. Usually people will feel weak and dizzy, and then may faint and fall due to the effect on the brain. It can occur in people of any age and is usually treated with lifestyle changes or medications.

The main cause of orthostatic syncope is a sudden drop in blood pressure when standing up quickly. When the body goes from a lying or seated position to a standing one, it has to adjust rapidly to maintain blood pressure. If it is unable to do this, then a person may experience a sudden drop in blood pressure, leading to a faint or even a fall.

Common signs and symptoms of orthostatic syncope include:

  • Dizziness
  • Light-headedness
  • Weakness
  • Visual disturbances
  • Nausea
  • Fainting

Treatment for orthostatic syncope depends on the underlying cause. In some cases, lifestyle modifications may be recommended such as:

  • Staying hydrated
  • Avoiding standing for long periods of time
  • Eating small, frequent meals
  • Avoiding triggers such as heat, alcohol, or strenuous exercise
  • Wearing compression garments such as stockings

Medication may also be given to help manage the condition, depending on the severity and cause. Common medications include beta-blockers, fludrocortisone, vasopressin, or midodrine.

If you experience any of the signs and symptoms associated with orthostatic syncope, it is best to seek medical assistance as soon as possible for an accurate diagnosis and appropriate treatment. More information on orthostatic syncope can be found here https://www.niddk.nih.gov/health-information/digestive-diseases/orthostatic-hypotension-fainting.