<human>: I am 62 years old. 5 1 , 190lbs. i have been dealing with very low nausha upon rising. it does not last. I have been sleeping almost around the clock. About 12-14 houres a day. I feel exhausted and I have no drive or interest in very much. No feaver. My hands have a random uncontrlled shaking and right hand lots of cramping and some times I can t close it at all due to sever pain. I have bulging discs in my spine at the base of my neck and pinched nerves from an old injury. Also bi lateral corpaltunnel. I have arthritis and bersiteus shoulders and both feet, left knee is a replacement, right leg, knee has shattered cartillege. Occationally I am dizzy and miss step and am light headed. This happens when I don t eat until about 6 hours after waking up. I never have been a breakfast person. I am retired now for two years due to Disability. The random shaking and the lightheadedness are my main comcerns.Thank you for your help. 1 week ago bp was 115/65 with a pulse of 107.
<bot>: Hi, In my opinion, postural hypotension or lowering of blood pressure after changing body position should be considered. Arrhythmias and anemia are also the conditions to be considered. I think that an evaluation with blood tests and cardiac workup are necessary for these conditions in order to achieve a correct diagnosis. Discuss with your primary care Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. 