Dizziness in older adults: what to know

Some people feel faint after standing because blood pressure does not adjust quickly. Others describe spinning when turning in bed, which can occur with benign paroxysmal positional vertigo. Poor fluid intake, heat, infection, low blood sugar or anaemia can also affect steadiness. Heart rhythm conditions such as atrial fibrillation may cause palpitations or faintness. Several medicines taken together can add to the problem, so a medication review is useful.

Sit down immediately when symptoms begin and use good lighting, handrails and supportive footwear. Stand in stages: move to the edge of the bed, pause, then rise with a stable surface nearby. Keep water accessible and avoid walking alone during an episode. Ask a clinician or pharmacist to review medicines, including recently added tablets and over-the-counter products. Do not make medication changes independently.

Call emergency services for sudden weakness, facial drooping, speech difficulty, severe headache, chest pain, fainting, confusion or a new inability to walk. Seek prompt review after a fall, head injury, repeated near-faints, persistent vomiting or dizziness with a racing or irregular heartbeat.

Could standing blood pressure or my medicines be contributing? Should my balance, hearing, blood count, hydration or heart rhythm be checked? What changes at home would reduce fall risk?