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Fall With Uncertain Cause

You had a fall today. But the cause of your fall is not certain. Falls can happen due to slipping, tripping, or losing your balance. A fall can also happen from a fainting spell or seizure.

A fall can happen for a simple reason (such as tripping over something). But falls in older adults are often caused by a mix of things, such as:

  • Age-related decline in function as your balance, stability, vision, and muscle strength get worse.

  • Chronic illness. This may include heart arrhythmias, heart valve disease, vascular disease, COPD, diabetes, stroke, or arthritis.

  • Shoes with lack of support that make you likely to slip or slide.

  • Anemia or low blood pressure.

  • Effects or side effects of medicines.

  • Fluid loss (dehydration) or recent alcohol use.

  • Hazards in your home or around you. These include uneven surfaces, slippery ground, an unfamiliar place, and obstacles.

  • Something linked to an activity you were doing, such as rushing to the bathroom.

The cause of your fall today is not certain. So it's possible that it was due to a fainting spell or seizure. This means that it could happen again without warning. If you fall again without a cause, come back to this facility right away for more tests. Or follow up with your doctor as explained below.

It's normal to feel sore and tight in your muscles and back the next day. The soreness may not be in just the muscles you first injured. All the parts of your body are connected. So while at first one area hurts, the next day another may hurt. Also, when you injure yourself, it causes inflammation. This makes your muscles tighten up and hurt more. After that, it should slowly improve over the next few days. Tell your doctor if you have any more severe pain.

Even without a definite head injury, you can still get a concussion. Concussions and bleeding can still happen. They're even more likely if you had a recent injury or you take blood-thinner medicine. You may also have a mild headache. And you may feel tired and even nauseated or dizzy.

Home care

  • Rest today. Resume your normal activities as soon as you feel normal again. It's best to stay with someone. They can check on you for the next 24 hours to see if you fall again.

  • If you were hurt during the fall, follow your doctor's advice on caring for your injury.

  • If you get lightheaded or dizzy, lie down right away. Or sit and lean forward with your head down.

  • For your safety, until you see your doctor:

    • Don't drive a car or operate dangerous equipment.

    • Don't take a bath or shower alone.

    • Don't swim alone.

    A condition causing fainting or seizures must be ruled out before doing these activities.

  • You may use acetaminophen or ibuprofen to control pain, unless another pain medicine was prescribed. Talk with your doctor before using these medicines if you:

    • Have chronic liver or kidney disease.

    • Ever had a stomach ulcer or gastrointestinal bleeding.

    • Take blood-thinning medicines.

  • Go to your appointments for any other testing that may have been scheduled for you.

Follow-up care

Follow up with your doctor, or as advised. If X-rays or a CT scan were done, you will be told if there is a change in the reading, especially if it affects treatment.

Call 911

Call 911 if you have:

  • Trouble breathing.

  • Confusion.

  • Trouble waking up.

  • Fainting or loss of consciousness.

  • A fast or very slow heart rate.

  • A seizure.

  • Speech or vision problems.

  • Arm or leg weakness.

  • Trouble walking or talking, loss of balance, numbness or weakness on one side of your body, or facial droop.

When to get medical advice

Contact your doctor right away if you have:

  • Another unexplained fall.

  • Dizziness.

  • A severe headache.

  • Nausea and vomiting.

  • Blood in your vomit or stools (black or red color).

Online Medical Reviewer: Amy Finke RN BSN
Online Medical Reviewer: Heather M Trevino BSN RNC
Online Medical Reviewer: Sabrina Felson MD
Date Last Reviewed: 9/1/2025
© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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