Health and Safety Why You Get Dizzy or Lightheaded When You Stand Up By Elizabeth Quinn Elizabeth Quinn is an exercise physiologist, sports medicine writer, and fitness consultant for corporate wellness and rehabilitation clinics. Learn about our editorial process Elizabeth Quinn Medically reviewed by Medically reviewed by Claudia Chaves, MD on January 15, 2020 Claudia Chaves, MD, is board-certified in cerebrovascular disease and neurology with a subspecialty certification in vascular neurology. Learn about our Review Board Claudia Chaves, MD Updated on February 07, 2020 Print courtneyk / Getty Images Table of Contents View All Table of Contents Post-Exercise After Skipping Meals Low Blood Pressure Dehydration and Overheating Inner Ear Issues When to See Your Doctor If you exercise often and are in good shape you might occasionally experience dizziness and lightheadedness when you stand up quickly. This is generally nothing serious. Here are five common reasons for dizziness, and signs that your dizziness may be due to a more serious issue. Post-Exercise Dizziness Cardiovascular exercise makes your heart stronger and a stronger heart has a larger stroke volume. That is, the amount of blood pumped out during each beat is greater, so the heart doesn't have to beat as often. A slow pulse rate is an indication of a strong, healthy heart. However, a slow heart rate can sometimes lead to dizziness when you change position. You may dizzy after exercise as your heart slows down drastically. A longer cool-down period and a slow and steady walk should get you back on track as the dizziness dissipates. Dizziness After Skipping Meals Low blood sugar can also cause dizziness. If you skip meals, low blood sugar can lower your mood and energy and result in lightheadedness. Keep your blood sugar balanced by eating meals and snacks regularly, usually every three hours to stave off dizziness due to skipping meals. If you are eating regularly and not skipping meals, yet still experiencing signs of low blood sugar, a more serious condition associated with low blood sugar, such as diabetes or hypoglycemia could be a possibility. Low Blood Pressure When you stand up quickly gravity pulls blood from your brain towards your feet and blood doesn't return to the brain until the next heartbeat. With a slow pulse, this takes a second or two and that is enough time to feel the lack of oxygen in the symptom of lightheadedness or dizziness. It is also related to something called postural hypotension, which is more common in older adults. This results from a decrease in blood flow to the brain, due to a drop in blood pressure upon standing up. If you have a slow pulse (50 or less) and experience dizziness when standing up, try getting up more slowly and see if that solves the problem. Postural Hypotension Dehydration and Overheating Dehydration is another common cause of dizziness. Insufficient water in the body can cause blood flow to slow down. Dehydration undermines the body's ability to process normal functions and because blood is 80 percent water, blood pressure is lower if you're dehydrated. If your urine is dark yellow, has a pinkish tint like chardonnay, or is orange, you may be dehydrated. Stop exercising and drink water or sports drink. Causes and Symptoms of Dehydration Overheating (hyperthermia) due to exercise, hot weather, or medications can also cause dizziness. Overheating can come on suddenly or develop over a longer time period. Either way, if you sweat profusely, or feel like you have a fever not associated with cold or flu symptoms, get help immediately. Stop exercise, move to a cooler environment, and use cold compresses on your neck. If due to hot temperatures, you may be developing heat exhaustion or heat stroke. Heat Exhaustion During Exercise Vertigo and Dizziness Due to Inner Ear Issues If the room seems to be spinning or you seem to be moving while standing still, you may have an inner ear issue. Called vertigo, this is a serious condition that needs medical attention to correct. Inner ear changes due to age, ear infection or sudden changes in ear fluid are the major causes of vertigo. When to See a Doctor As long as your dizziness occurs only occasionally, you don't really need to worry. However, if you have constant and severe dizziness with changing position you should see a doctor to rule out an underlying condition such as an irregular heartbeat, anemia, ulcers, anxiety, or other medical conditions. Was this page helpful? Thanks for your feedback! Get exercise tips to make your workouts less work and more fun. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Fit uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Goswami N, Blaber AP, Hinghofer-Szalkay H, Montani JP. Orthostatic intolerance in older persons: Etiology and countermeasures. Front Physiol. 2017;8:803. Published 2017 Nov 9. doi:10.3389/fphys.2017.00803 Shaheen NA, Alqahtani AA, Assiri H, Alkhodair R, Hussein MA. Public knowledge of dehydration and fluid intake practices: variation by participants' characteristics. BMC Public Health. 2018;18(1):1346. Published 2018 Dec 5. doi:10.1186/s12889-018-6252-5 Becker JA, Stewart LK. Heat-related illness. Am Fam Physician. 2011;83(11):1325-30. Strupp M, Brandt T. Diagnosis and treatment of vertigo and dizziness. Dtsch Arztebl Int. 2008;105(10):173-80. doi:10.3238/arztebl.2008.0173 Additional Reading Dizzy Spells When You Stand up: When Should You Worry? Harvard Health Publishing. Higginson LAJ. Dizziness or LIght-Headedness When Standing Up. Merck Manual Consumer Version.