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Lightheadedness: Why Do I Feel Faint?

Balance mechanism visualization

It feels like the room is spinning inside your head (unlike vertigo, where the room spins around you). Here is why it happens.

Quick Answer

Most of the time, lightheadedness means your brain isn't getting enough blood or oxygen for a brief moment.

Common Fix: Sit down, drink water, and eat a small snack. It usually passes quickly.

Top 5 Causes

1. Dehydration

Low fluid volume lowers blood pressure, making it harder for blood to reach your brain.

2. Low Blood Sugar (Hypoglycemia)

Common if you skip meals or have diabetes. You may also feel shaky, sweaty, or irritable.

3. Orthostatic Hypotension

A fancy term for "standing up too fast." Blood rushes to your legs, causing a temporary drop in blood pressure.

4. Medication Side Effects

Blood pressure meds, water pills (diuretics), and some antidepressants common culprits.

5. Heart Issues

Serious (but less common): Arrhythmias (irregular heartbeat) or valve problems can reduce blood flow.

When to Call a Doctor

  • • If you actually pass out (faint).
  • • If you have chest pain or palpitations.
  • • If you have sudden severe headache or trouble speaking (stroke signs).
  • • If it happens often without a clear reason.

Medical Review

Reviewed by: Ricardo Hamilton, MD

Last Updated: December 15, 2025

Sources: Mayo Clinic, Cleveland Clinic

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