"Gives tumble" generally refers to a situation where a person falls or experiences a sudden loss of balance. There are several synonyms for this expression, including "takes a spill," "tumbles down," "takes a tumble," "falls down," and "takes a fall." These phrases all convey the same meaning of a person losing their balance and falling to the ground. It is important to note that falls can often result in serious injuries, especially in older people. Therefore, it is essential to use caution and take preventative measures to avoid giving a tumble. This includes using handrails on stairs, wearing appropriate footwear, and staying alert and aware of your surroundings.