
Suffering From Extreme Dizziness And Head Is Falling. MRI And Agiogram Normal. Asked To Consult ENT. Suggest?

Question: My wife is suffering from extreme dizziness for the last 15 days. She is not able to stand properly for a few minutes as her head is falling off on all sides. We have consulted a Neuro Physician in Apollo Hospital Hyderabad and as per his direction took a MRI & MR Angiogram of the brain. The report is clear. The doc said there is nothing wrong in the brain and asked me to consult a ENT Vertigo Specialist. I want my wife to be cured asap and request your help.
Brief Answer:
I need more information
Detailed Answer:
Hello,
Your wife is suffering from dizziness x 15 days.
No neurological problem detected.
These all finding suggestive of ENT related disease. For near conclusion, I need answers of some questions-->
When your wife feels “dizzy” does she experience -Headache, Nausea or vomiting?
When did the dizziness first occur?
Is her dizziness constant?
How long does the attack last?
Has she any history of hearing loss?
Has she any history of ear discharge?
Has she any history of increased raised blood sugar?
Has she any history of fever within one month?
Please give me the answer of these questions, so that I could help you better.
Regards
I need more information
Detailed Answer:
Hello,
Your wife is suffering from dizziness x 15 days.
No neurological problem detected.
These all finding suggestive of ENT related disease. For near conclusion, I need answers of some questions-->
When your wife feels “dizzy” does she experience -Headache, Nausea or vomiting?
When did the dizziness first occur?
Is her dizziness constant?
How long does the attack last?
Has she any history of hearing loss?
Has she any history of ear discharge?
Has she any history of increased raised blood sugar?
Has she any history of fever within one month?
Please give me the answer of these questions, so that I could help you better.
Regards
Above answer was peer-reviewed by :
Dr. Shanthi.E


Hello Doc,
Please see the answers to your questions below:
1) When your wife feels “dizzy” does she experience -Headache, Nausea or vomiting?
Ans: She has headaches in a few occasions, Nausea is there in very rare cases and no vomiting. She actually has been diagnosed with Hiatus Hernia by the Gastroenterologist so she is taking her medicines for that.
2) When did the dizziness first occur?
Ans: The dizziness first occurred a year and a half back, she went to XXXXXXX a ENT doctor and was prescribed a medicine for vertigo, which she took, and felt better. The dizziness again started some time after she stopped taking the medicine but she ignored it and did not revisit any physician. This time it started very severely 15 days back and it is there for 24 hours. The neurologist gave a medicine Vertin 16 mg, she took it, however, the severity of the thing went down, however, its constantly there for 24 hours. We went to a ENT doctor yesterday in Apollo, he referred us to the vertigo clinic in Apollo, there is only 1 doctor who does all the vertigo related tests and we have got the earliest appointment of October 12, 2013, which is too far off.
3) Is her dizziness constant?
Ans: Its there for 24 hours, the severity is less if she takes the vertigo medicine.
4) How long does the attack last?
Ans: If medicine is taken it is most severe in the morning when she wakes up, also severe in the evening when she wakes up.
5) Has she any history of hearing loss?
Ans: No.
6) Has she any history of ear discharge?
Ans: No
7) Has she any history of increased raised blood sugar?
Ans: Blood sugar was tested on August 14, 2013, it was normal.
8) Has she any history of fever within one month?
Ans: She has minor fever very rarely.
Please help me doctor and if she requires some Vertigo tests, please suggest us some place to go in Hyderabad apart from Apollo.
Please see the answers to your questions below:
1) When your wife feels “dizzy” does she experience -Headache, Nausea or vomiting?
Ans: She has headaches in a few occasions, Nausea is there in very rare cases and no vomiting. She actually has been diagnosed with Hiatus Hernia by the Gastroenterologist so she is taking her medicines for that.
2) When did the dizziness first occur?
Ans: The dizziness first occurred a year and a half back, she went to XXXXXXX a ENT doctor and was prescribed a medicine for vertigo, which she took, and felt better. The dizziness again started some time after she stopped taking the medicine but she ignored it and did not revisit any physician. This time it started very severely 15 days back and it is there for 24 hours. The neurologist gave a medicine Vertin 16 mg, she took it, however, the severity of the thing went down, however, its constantly there for 24 hours. We went to a ENT doctor yesterday in Apollo, he referred us to the vertigo clinic in Apollo, there is only 1 doctor who does all the vertigo related tests and we have got the earliest appointment of October 12, 2013, which is too far off.
3) Is her dizziness constant?
Ans: Its there for 24 hours, the severity is less if she takes the vertigo medicine.
4) How long does the attack last?
Ans: If medicine is taken it is most severe in the morning when she wakes up, also severe in the evening when she wakes up.
5) Has she any history of hearing loss?
Ans: No.
6) Has she any history of ear discharge?
Ans: No
7) Has she any history of increased raised blood sugar?
Ans: Blood sugar was tested on August 14, 2013, it was normal.
8) Has she any history of fever within one month?
Ans: She has minor fever very rarely.
Please help me doctor and if she requires some Vertigo tests, please suggest us some place to go in Hyderabad apart from Apollo.
Brief Answer:
Further tests required
Detailed Answer:
Hello,
Thank you for follow up
According to your information, your wife may be suffering from either BPPV or vestibular neuronitis.
To reach the near diagnosis the following tests are needed -->
Pure tone audiometry
Impedance audiometry
Eye movement testing
Posturography testing
Rotatory chair testing
ENG
In Hyderabad you may consult the
Dr. Vinnakota Sriprakash MS ENT
Specialist ENT Head & Neck Micro Surgeon
WWW.WWWW.WW
If you have any doubt, I will be available for your query.
Wish you good health.
Regards
Further tests required
Detailed Answer:
Hello,
Thank you for follow up
According to your information, your wife may be suffering from either BPPV or vestibular neuronitis.
To reach the near diagnosis the following tests are needed -->
Pure tone audiometry
Impedance audiometry
Eye movement testing
Posturography testing
Rotatory chair testing
ENG
In Hyderabad you may consult the
Dr. Vinnakota Sriprakash MS ENT
Specialist ENT Head & Neck Micro Surgeon
WWW.WWWW.WW
If you have any doubt, I will be available for your query.
Wish you good health.
Regards
Above answer was peer-reviewed by :
Dr. Shanthi.E


Hello Doc,
Thank you so much for your prompt response.
Last question, are the tests you mentioned above related to Vertigo or are you suspecting something else?
Thank you so much for your prompt response.
Last question, are the tests you mentioned above related to Vertigo or are you suspecting something else?
Brief Answer:
Related to vertigo
Detailed Answer:
Hello,
Thanks for follow up
All these tests are related with vertigo - to help us arrive at the close diagnosis / causative factor.
If you have any doubt, I will be available for your query.
Wish you good health
Regards
Related to vertigo
Detailed Answer:
Hello,
Thanks for follow up
All these tests are related with vertigo - to help us arrive at the close diagnosis / causative factor.
If you have any doubt, I will be available for your query.
Wish you good health
Regards
Above answer was peer-reviewed by :
Dr. Prasad


Sorry doc, I guess I have one more question. I was told by the ENT doctor I consulted that my wife should not be taking Vertigo medicines if the tests are to be done in proper fashion. Is that right? If not, can we continue to give her the vertigo medicine?
Also, she is feeling extremely weak, is it also caused by Vertigo? Till the time we see the doctor you referred can we give her anything that will reduce the weakness?
Also, she is feeling extremely weak, is it also caused by Vertigo? Till the time we see the doctor you referred can we give her anything that will reduce the weakness?
Brief Answer:
Discontinue the medicine for vertigo
Detailed Answer:
Hello,
Thank you for follow up.
Yes, it is necessary to discontinue the medicine for vertigo for the tests are done in proper fashion.
If she is feeling extremely weak, then she may take the RX plus capsule once a day as I advised for our patient.
If you have any doubt, I will be available for your query.
Wish you good health for your family
Regards
Discontinue the medicine for vertigo
Detailed Answer:
Hello,
Thank you for follow up.
Yes, it is necessary to discontinue the medicine for vertigo for the tests are done in proper fashion.
If she is feeling extremely weak, then she may take the RX plus capsule once a day as I advised for our patient.
If you have any doubt, I will be available for your query.
Wish you good health for your family
Regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Shanthi.E

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