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I have the below mentioned symptoms.
When standing i feel i am getting lightheaded and weakness and I may fall. I feel pain below the shin area. From past few days i feel that there is something heavy on my head. I feel numbness in my face and stiffness in neck. I experience lower back pain.
Need advise whom should i consult and any test needed
Answers (26)
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Consult neurophysician
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Light headedness and imbalance while standing could be due to postural BP change.Thete could be other causes too.Get your CBC, glucose level, kidney function tests, vitamin d and b 12.Consult a internist in your area,he may refer to other subspecialist if needed
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Your symptoms need proper clinical evaluation
.
Please do not ignore facial numbness or the feeling of impending fainting.
If facial numbness is sudden or associated with weakness on one side, difficulty speaking, severe headache, or difficulty walking, seek emergency medical care immediately.
Depending on your examination, investigations may include:
CBC
Blood pressure and pulse, including lying and standing measurements
Blood glucose and electrolytes
Vitamin B12 and Vitamin D levels
You can book an online consultation with me for an initial assessment.
We can review your symptoms, medical history, and any previous reports to determine the appropriate next steps
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You should visit nearby hospital
Kindly do some important investigation
Xray leg
Pt/inr
ct head
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needs in person assessment and a neurological examination
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General physician or a neurologist
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Neurophysician
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Mr. Hari krupakar reddy
General Physician
22 yrs exp
Sirohi
Get ur Bp checked lying sitting and standing
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Mr. Yateesh R
General Physician
4 yrs exp
Kadur
Check your Bp in sitting position and in standing position after 3 minutes.
Get ECG done.
Drink plenty of water
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Dr. Nibedita Sahoo
General Physician
16 yrs exp
Pune
Kindly visit neurologist or neurosurgeon nearest to your place asap, do cT or MRI to find out the exact problem
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take zerodol p when in pain
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Proper examination and brief history to identify cause of giddiness
Next Steps
Consultation
Health Tips
Plenty of water intake
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Dr. Amritha U
General Physician
Chennai
Need to consult neurologist
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Dr. Sozab Malik
General Physician
2 yrs exp
Aligarh
Consult Neurologist
Next Steps
check your blood pressure & CT Head
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Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
Hello,
Your symptoms of lightheadedness on standing, weakness, facial numbness, head heaviness, neck stiffness, and lower back pain require medical evaluation.
Lightheadedness on standing may be caused by orthostatic hypotension (a drop in blood pressure on standing), dehydration, anaemia, or blood glucose fluctuations.
However, facial numbness combined with dizziness and a feeling of possibly falling raises concern for a neurological condition, which should not be attributed to low BP or cervical problems without examination.
The combination of symptoms warrants prompt assessment to exclude potentially serious causes.
Next Steps
Seek medical assessment, particularly if facial numbness is ongoing, new, or associated with difficulty walking. A neurological examination is important to assess sensation, muscle strength, balance, and coordination. Your physician should check blood pressure while lying down and standing, pulse, oxygen saturation, and blood glucose. Depending on examination findings, investigations may include CBC, electrolytes, kidney function, vitamin B12, TSH, and ECG. Brain imaging (CT or MRI) may be required if a neurological cause, including stroke or transient ischaemic attack, is suspected. Neck, back, and leg pain can be evaluated further once urgent causes have been excluded.
Health Tips
Until evaluated, avoid driving, climbing stairs unassisted, or standing suddenly because of the risk of falling. Maintain adequate hydration if you can swallow normally. Seek emergency care if you develop one-sided facial numbness or weakness, slurred speech, visual disturbances, sudden severe headache, or difficulty walking. My recommendation: An emergency physician is the most appropriate first point of contact, with neurological assessment as needed. The combination of facial numbness and dizziness should not be dismissed as simple weakness. Wishing you a speedy recovery!
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
You need to consult a neurologist
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Dr. Konica Gupta
General Physician
6 yrs exp
Ghaziabad
Get some routine test done
Next Steps
Consult for better diagnosis or treatment
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Dr. Sakshi Verma
General Physician
2 yrs exp
Bilaspur
I can help you
But you need to provide detailed history
So that I can tell you further management
You can consult with me through practo app
Next Steps
if your symptoms persist go to neurophysician
for in person physical examination and blood checkup
Health Tips
if the numbness in the face persist
Do not delay go to the hospital
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Yangala Jitheswar Reddy
General Physician
1 yrs exp
Hyderabad
Symptoms while standing is mostly due to dehydration, drink adequate water .
Back pain mainly due to sitting long hours and lack of exercise
Next Steps
take adequate amount of water minimum 2 to 3 liters per day , and daily physical activity for one week
Health Tips
you still get same symptoms, consult a general physician
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
Taken together, lightheadedness on standing, weakness, shin discomfort and low back pain often point to general causes such as low blood pressure on standing, anaemia, or a vitamin D or B12 deficiency, rather than one single disease.
Next Steps
Start with a general physician for a BP check lying down and standing, plus CBC, vitamin D, B12 and thyroid blood tests. Mention the facial numbness and neck stiffness too, and see a neurologist if those don't settle.
Health Tips
Go to the emergency department right away if you develop sudden one-sided weakness, slurred speech, a severe headache, or fainting.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.