Hello Doctor, My Mother 46 Years Old Complaining Lightheadness From

Answered by Dr. Vaishalee Punj (2 hours later)

Brief Answer:
She seems to have vertigo due to cervical

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

From your description she seems to have spinning sensation due to cervical problem. I will suggest that orthopedic surgeon be consulted to find a reason for new-onset cervical problem. It maybe related to low calcium and vitamin D levels in blood. These can be checked with blood test.

Meanwhile she can take the vertin tablet that may have been prescribed. Let me know which medicines got prescribed.

Also she must avoid any sudden movements at the neck. She should also avoid heavy work at shoulders or neck e.g lifting clothes or suitcases, kneeding atta dough, making chapatis, etc. Avoid head rotations, shoulder rotations. The movements that need to be avoided differ among patients. So she needs to figure out which movements she should not make. If wearing a cervical collar helps. then she can wear one. Avoid hot/cold weathers. Keeping the head straight while talking may also help. Avoid driving atleast until the episode is over.

Hope this helps. Let me know if I can assist you further.
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (0 minute later)

Brief Answer:
She seems to have vertigo due to cervical

Detailed Answer:
Hello and welcome to Ask A Doctor service.

I have reviewed your query and here is my advice.

From your description she seems to have spinning sensation due to cervical problem. I will suggest that orthopedic surgeon be consulted to find a reason for new-onset cervical problem. It maybe related to low calcium and vitamin D levels in blood. These can be checked with blood test.

Meanwhile she can take the vertin tablet that may have been prescribed. Let me know which medicines got prescribed.

Also she must avoid any sudden movements at the neck. She should also avoid heavy work at shoulders or neck e.g lifting clothes or suitcases, kneeding atta dough, making chapatis, etc. Avoid head rotations, shoulder rotations. The movements that need to be avoided differ among patients. So she needs to figure out which movements she should not make. If wearing a cervical collar helps. then she can wear one. Avoid hot/cold weathers. Keeping the head straight while talking may also help. Avoid driving atleast until the episode is over.

Hope this helps. Let me know if I can assist you further.
Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (3 hours later)

Brief Answer:
Kindly write the medicines names

Detailed Answer:
Hi again

I have seen the attached photo. The names of the medicines are not clear. Kindly write the names from the tablet labels and send back.

The only medicine name that is clear is last one and its about calcium and vitamin D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (0 minute later)

Brief Answer:
Kindly write the medicines names

Detailed Answer:
Hi again

I have seen the attached photo. The names of the medicines are not clear. Kindly write the names from the tablet labels and send back.

The only medicine name that is clear is last one and its about calcium and vitamin D.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (25 minutes later)

Brief Answer:
Nurokind G can be discontinued

Detailed Answer:
Hello

In my opinion, Nurokind G can be discontinued.

She can continue with Tab Ibuprofen 200 mg as required or XXXXXXX 3 times a day.

In fact the dizziness that she is experiencing, maybe the side effect of Gabapentin (in nurokind G). So I think the dizziness may disappear within a week of discontinuing gabapentin.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (0 minute later)

Brief Answer:
Nurokind G can be discontinued

Detailed Answer:
Hello

In my opinion, Nurokind G can be discontinued.

She can continue with Tab Ibuprofen 200 mg as required or XXXXXXX 3 times a day.

In fact the dizziness that she is experiencing, maybe the side effect of Gabapentin (in nurokind G). So I think the dizziness may disappear within a week of discontinuing gabapentin.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (15 hours later)

Brief Answer:
Is X ray done?

Detailed Answer:
Cervical needs atleast an X ray to be diagnosed. Also MRI of the region can help find nerve impingement. Can ask orthopedic surgeon for both tests.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (0 minute later)

Brief Answer:
Is X ray done?

Detailed Answer:
Cervical needs atleast an X ray to be diagnosed. Also MRI of the region can help find nerve impingement. Can ask orthopedic surgeon for both tests.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (32 minutes later)

Brief Answer:
Seems neck muscle spasm

Detailed Answer:
Hi again

Thanks for reverting back with details.

so she had severe neck pain, back of head pain 3 months back for which she was prescribed, Nurokind G, muscle relaxant, calcium and vitamin D. Nurokind G was discontinued 3 weeks ago. 2 weeks ago she developed lightheadedness. 2 days ago she developed head spinning and eyes rotation sensation.

I think she can also discontinue calcium and vitamin D as there is no evidence of its deficiency.

The precipitating cause seems to be muscle spasm in neck. It could have happened due to external trauma or internal cause like some lump pressing on muscle. Since you have not mentioned any external trauma, I think we should look for internal causes.
I will suggest an MRI or brain and neck that looks for nerves as well as blood vessels. A neurology consultation is also needed to look for any signs of focal neurologic deficit.
Meanwhile I recommend minimal medicines until a definite cause is found. Preventive measures as recommended in my first reply be taken.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (0 minute later)

Brief Answer:
Seems neck muscle spasm

Detailed Answer:
Hi again

Thanks for reverting back with details.

so she had severe neck pain, back of head pain 3 months back for which she was prescribed, Nurokind G, muscle relaxant, calcium and vitamin D. Nurokind G was discontinued 3 weeks ago. 2 weeks ago she developed lightheadedness. 2 days ago she developed head spinning and eyes rotation sensation.

I think she can also discontinue calcium and vitamin D as there is no evidence of its deficiency.

The precipitating cause seems to be muscle spasm in neck. It could have happened due to external trauma or internal cause like some lump pressing on muscle. Since you have not mentioned any external trauma, I think we should look for internal causes.
I will suggest an MRI or brain and neck that looks for nerves as well as blood vessels. A neurology consultation is also needed to look for any signs of focal neurologic deficit.
Meanwhile I recommend minimal medicines until a definite cause is found. Preventive measures as recommended in my first reply be taken.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (25 minutes later)

Brief Answer:
Yes please

Detailed Answer:
Yes we can continue with further consultation and testing.
If cause is not found, then we just continue to live with it. But efforts should be made to find the cause.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Answered by Dr. Vaishalee Punj (0 minute later)

Brief Answer:
Yes please

Detailed Answer:
Yes we can continue with further consultation and testing.
If cause is not found, then we just continue to live with it. But efforts should be made to find the cause.

Dr Vaishalee

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

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Hello Doctor, My Mother 46 Years Old Complaining Lightheadness From

Answered by

Dr. Vaishalee Punj

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