<human>: I am 60 years old and a dance teacher. I have been feeling very week and tired. Have dizzy spells when getting up in the morning and feel sick. Also noticed while laying down I have internal tremble in my body. I have been takin my blood pressure and most of the time is around 103/61 pulse 54. I have also lost 1.5kl in last month. I do maintain a healthy diet and only have an occasional drink on the weekend. Could you please advise me what I can do to improve my symptoms. Kind regards. Sick dance teacher
<bot>: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern, and would explain that your symptoms may be related to a metabolic disorder. Low blood pressure and anxiety could also mimic this clinical scenario. Your systolic blood pressure seems to be slightly low. I recommend consulting with your GP for a careful physical examination, a resting ECG, a chest x-ray study and some blood lab tests: - complete blood count (chronic anemia)- PCR, sedimentation rate (inflammation)- fasting glucose (for hypoglycemia)- thyroid hormone levels (thyroid gland function)- cortisol plasma levels (a Chat Doctor.  A head up tilt test is necessary to rule in/out a possible orthostatic hypotension. If all the above tests, result normal, the main cause of your symptomatology would be just anxiety. Meanwhile, I recommend taking plenty of water and juices to avoid deny