What is the appropriate management for a patient with orthostatic syncope?

In cases of orthostatic syncope, the primary management focuses on addressing the underlying causes and ensuring adequate fluid intake. This type of syncope occurs when a person stands up, leading to a drop in blood pressure that can result in fainting or lightheadedness.

Treating underlying causes can include identifying and managing any medical conditions that may be contributing to the patient's symptoms, such as dehydration, blood loss, or medication side effects. Adequate fluid intake is crucial as it helps to increase blood volume and enhance circulation when standing, which can prevent a drop in blood pressure.

By correcting these causes and ensuring the patient is well-hydrated, healthcare providers can effectively manage orthostatic syncope and improve the patient's symptoms without immediately resorting to more invasive or aggressive treatments, such as hospitalization or medication that might not address the root cause of the condition. Managing fluid intake and underlying issues can lead to a safer and more sustainable resolution of symptoms in these patients.