
Dizziness With Headache And Nausea. History Of Migraine. MRI, CT Scan, EKG Normal. Why Is This Happening?

Thanks for writing in.
Undoubtedly with your history some symptoms like nausea, difficulty in breathing and headache can be explained with the diagnosis of Migraine. It could be post traumatic seizures, Please provide with a list of all the drugs you are taking.
More so because, the recent episode which you described when you had dizziness with BP of 109/56 and no dizziness 156/98 could be drug related postural hypotension. So, I want to know whether you are being treated with drugs to lower the blood pressure. Once we have answers to these questions various diseases you are suffering from will become clear and a treatment plan can be evolved.
Looking forward to answers to the question of injury, seizure description, migraine description and drugs. Please add anything you feel could be relevant for me to reach a comprehensive diagnosis.
With Best Wishes.
Dr Anil Grover


I have retinal migraine and nystagmus at times but when I get these new dizzy spells I get double vision as i feel like my head is being squeezed. After my first head injury I had vertigo for several months so I know this is different and more like I am falling to one side.
My neck was injured also and I am scheduled for fusion on 4 disc in my neck next week so I don't think I should take aspirin either.
I feel better knowing the shortness of breath may be from something other than my heart .
Thank You for your time and kindness,
Nancy
Thank you for your prompt reply.
Not only breathlessness; slurring of speech to aphasia, weakness to move one part of body (hemiplegic migraine) are symptoms described in medical nature. The breathlessness you had was followed by fainting that is why I counted in the migraine symptoms complex.
However, for someone who is scheduled for surgery in a few days (you are right in discontinuing aspirin) we have to exclude breathlessness is not originating from your lungs or heart.
You never had any rapid breathing, cough, wheeze therefore, lungs are not in picture. A hypertensive patient can have breathlessness when due to stiffness of heart and back flow of blood thus filling pulmonary veins (which drain oxygenated blood to heart) this is called diastolic dysfunction pulmonary venous congestions. You do not have symptoms of uncontrolled hypertension or breathlessness waking you from night (air hunger). Therefore, I consider it unlikely. Again, it may mean that you do not require treatment and feel better about this fact. Nevertheless, in view of planned surgery next week I would feel much better if your doctor sees your EKG and echocardiograph for Left Ventricular Hypertrophy and evidence of ischemic heart disease. Your doctor will have to adjust the time of intake of anti hypertensive drugs or modify the dose so that you do not get postural hypotension. An episode you vividly described in your last mail. I am sorry that you had a fall due to illness and now have to undergo surgery.
If there is any further question I will be most happy to answer.
With Best Wishes
Dr Anil Grover
Cardiologist

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