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How Can Chronic Dizziness Be Treated?
Question: Have had lightheadedness for 2-3 months. CT, EKG, lab studies, EMG and Nerve conduction studies, was prescribed amoxicillin for possible infection, had opthalmology exam, none have not produced a reason for this condition. I have been diagnosed with a neuropathy which has caused feet discomfort and am managing this. Also, ENT exam was okay except for a fluid buildup which triggered the amoxicillin. Now trying Cefurox to see if it helps but no measurable decrease in condition. It occurs briefly in the morning and then late afternoon which lasts longer than the morning episode. No nausea, no spinning, no fainting. Have asked my PCP for a Neuro consult, awaiting response from a major hospital in San Francisco. What is your opinion or thought on what I may be dealing with, I am a 71 year old male.
Brief Answer:
Supportive care
Detailed Answer:
Thank you for asking
I read your question and i understand your cocnern. This dizziness is for sure associated with that fluid buildup in ear canals, inner ear labyrinthitis is common sequelae that leads to such dizziness. Treating underlying cause which is fluid buildup due to infection will resolve dizziness. Along with antibiotics, i would suggest use of vitamin B 12 , folates and other neurotonics and use of some betahistine tablets will help with dizziness. Amitriptyline helps with dizziness too. Any medication that may trigger dizziness should be found out if you are using any . Use of B1 vitamin ( thiamine ) should be considered too as you have history of alcohol and that could be the cause of neuropathy. Use support or stick while walking to prevent tripping from dizziness . Get some vestibular functions assessed and see what lies there. Consult an otolaryngologist and let them decide what is best for you.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan
Supportive care
Detailed Answer:
Thank you for asking
I read your question and i understand your cocnern. This dizziness is for sure associated with that fluid buildup in ear canals, inner ear labyrinthitis is common sequelae that leads to such dizziness. Treating underlying cause which is fluid buildup due to infection will resolve dizziness. Along with antibiotics, i would suggest use of vitamin B 12 , folates and other neurotonics and use of some betahistine tablets will help with dizziness. Amitriptyline helps with dizziness too. Any medication that may trigger dizziness should be found out if you are using any . Use of B1 vitamin ( thiamine ) should be considered too as you have history of alcohol and that could be the cause of neuropathy. Use support or stick while walking to prevent tripping from dizziness . Get some vestibular functions assessed and see what lies there. Consult an otolaryngologist and let them decide what is best for you.
I hope it helps. Take good care of yourself and dont forget to close the discussion please.
Regards
Khan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What is retaliating and can you get over the counter?
Retaliating not retaliating.
Betahistine not retaliating
Retaliating not retaliating.
Betahistine not retaliating
Brief Answer:
Betahistines and amitriptyline
Detailed Answer:
Thank you for getitng back to me
I believe you meant ritalin. Its a methylphenidate and not used for dizziness, its for ADHD purposes. I did not mention this medicine to you. I said betahistina, it is a kind of diuretic and helps reduce the water collection specially in the inner labyrinth and helps reduce the dizziness .No its not available over the counter, You will need a prescription for that. The other medicine i mentioned is amitriptyline which is commonly used in dizziness and works very well too along with over the counter meclizine / antivert. Amitriptyline is also not available over the counter and needs prescription.
Please consult your local physician and let them help.
Regards
Khan
Betahistines and amitriptyline
Detailed Answer:
Thank you for getitng back to me
I believe you meant ritalin. Its a methylphenidate and not used for dizziness, its for ADHD purposes. I did not mention this medicine to you. I said betahistina, it is a kind of diuretic and helps reduce the water collection specially in the inner labyrinth and helps reduce the dizziness .No its not available over the counter, You will need a prescription for that. The other medicine i mentioned is amitriptyline which is commonly used in dizziness and works very well too along with over the counter meclizine / antivert. Amitriptyline is also not available over the counter and needs prescription.
Please consult your local physician and let them help.
Regards
Khan
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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