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Suggest Treatment For Benign Paroxysmal Positonal Vertigo
Question: I've been calorie counting for nearly 4 years now and you'll a few months ago, was sticking to 1200 calories a day. By doing this I has successfully gone from 99kg to 75kg in this time.
I've had no physical exercise and largely live a moderately active life at work as well as at home. I was also a moderately heavy smoker (about 12 - 15 cigarettes a day)
This last year (2015) has been rather crazy and hectic for me in the sense that the following have happened.
1. In the beginning of the year I started having what could only be described as palpitations and nervousness (the doctors said it was anxiety).
2. I quit smoking in January (relapsed for a few smokes mid year and then one occasional one a few weeks ago) but have kicked the habit.
3. I've been on setaline and beta blockers for the first 4 - 5 months of the year.
4. I've even developed bouts of vertigo / imbalance which would happen off and on in the beginning, then more frequent by mid year and now, for the past few weeks constant (I've been given Vertin for the same but it didn't kill the issues).
5. Im getting some ent checkups etc done for this.
6. Through the above I've successfully traveled to many cities across the year and struck deals with major clients sealing a great deal of business and revenue for my business.
7. I believe at the end of the year, I truly do feel extremely exhausted (after working endless nights and traveling hectic for a few months)
While all the above has been happening, I've gained a lot of weight. Around 10 kilos to be exact and am extremely devastated by it.
My diet is the same, activity level might actually be increased but I just seem to keep gaining weight.
And the vertigo (I don't know if it is vertigo) first started off as a bouncy feeling (felt like the floor was bouncy) and has, for the past few weeks become more of a imbalanced feeling like the floor is shaky.
The feeling is there constantly and is mild enough not to be alarming but enough to be a constant irritant.
I've been to one ent who said that my ears nose and throat look clear.
I've had vitamin tests done (b12 and D) a few months ago which all came clear.
Had an X-ray of my cervical spine done which shows a mild change in curvature and light spasms.
I've even had my lipid profiling done which seems clear.
Could you please shed some light on this.
Thank you!
I've had no physical exercise and largely live a moderately active life at work as well as at home. I was also a moderately heavy smoker (about 12 - 15 cigarettes a day)
This last year (2015) has been rather crazy and hectic for me in the sense that the following have happened.
1. In the beginning of the year I started having what could only be described as palpitations and nervousness (the doctors said it was anxiety).
2. I quit smoking in January (relapsed for a few smokes mid year and then one occasional one a few weeks ago) but have kicked the habit.
3. I've been on setaline and beta blockers for the first 4 - 5 months of the year.
4. I've even developed bouts of vertigo / imbalance which would happen off and on in the beginning, then more frequent by mid year and now, for the past few weeks constant (I've been given Vertin for the same but it didn't kill the issues).
5. Im getting some ent checkups etc done for this.
6. Through the above I've successfully traveled to many cities across the year and struck deals with major clients sealing a great deal of business and revenue for my business.
7. I believe at the end of the year, I truly do feel extremely exhausted (after working endless nights and traveling hectic for a few months)
While all the above has been happening, I've gained a lot of weight. Around 10 kilos to be exact and am extremely devastated by it.
My diet is the same, activity level might actually be increased but I just seem to keep gaining weight.
And the vertigo (I don't know if it is vertigo) first started off as a bouncy feeling (felt like the floor was bouncy) and has, for the past few weeks become more of a imbalanced feeling like the floor is shaky.
The feeling is there constantly and is mild enough not to be alarming but enough to be a constant irritant.
I've been to one ent who said that my ears nose and throat look clear.
I've had vitamin tests done (b12 and D) a few months ago which all came clear.
Had an X-ray of my cervical spine done which shows a mild change in curvature and light spasms.
I've even had my lipid profiling done which seems clear.
Could you please shed some light on this.
Thank you!
Brief Answer:
BPPV (benign paroxysmal positonal vertigo).
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having dizzy spells. I would like to ask you few more details.
- Is there any ringing sensation or hearing loss or ear discharge ?
Kindly get back to me with the details.
Based on your clinical details, it appears to be drug related or BPPV (benign paroxysmal positional vertigo).
I suggest you to follow these measures to overcome your issues.
1. Re-consult Your ent surgeon for vesibular tests (to differentiate between central or peripheral vertigo), if necessary CT scan of brain (to rule out any vascular abnormalities- aneurysms).
2. You need to consult a psychiatrist for adjusting the dosage of Sertraline (culprit for your constant weight gain) or for newer prescription.
3. Obesity is a familial one and runs in families. Weight loss is a difficult task in case of familial obesity. Obesity can fluctuate the blood pressure and can lead to dizzy spells. Anyway, you need to change your life style, food habits and stress free environment.
4. Kindly discuss with your treating doctor, about these suggestions and go ahead for the investigations.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
BPPV (benign paroxysmal positonal vertigo).
Detailed Answer:
Hi,
I had gone through your question and understand your concerns that you are having dizzy spells. I would like to ask you few more details.
- Is there any ringing sensation or hearing loss or ear discharge ?
Kindly get back to me with the details.
Based on your clinical details, it appears to be drug related or BPPV (benign paroxysmal positional vertigo).
I suggest you to follow these measures to overcome your issues.
1. Re-consult Your ent surgeon for vesibular tests (to differentiate between central or peripheral vertigo), if necessary CT scan of brain (to rule out any vascular abnormalities- aneurysms).
2. You need to consult a psychiatrist for adjusting the dosage of Sertraline (culprit for your constant weight gain) or for newer prescription.
3. Obesity is a familial one and runs in families. Weight loss is a difficult task in case of familial obesity. Obesity can fluctuate the blood pressure and can lead to dizzy spells. Anyway, you need to change your life style, food habits and stress free environment.
4. Kindly discuss with your treating doctor, about these suggestions and go ahead for the investigations.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Doctor,
I have very mild tinitus in yhe right ear and sometimes in both. I have no discharge and no hearing loss.
Ive had a hearing test from two different olaces both telling me that my hearing is perfect.
Ive also had a detailed eye exam feom a renowned doctor saying that my eyes are perfect.
Lastly, I am not currently on sertaline, I was from XXXXXXX to April and then I stopped.
Let me know if theres more you'd like to know.
I have very mild tinitus in yhe right ear and sometimes in both. I have no discharge and no hearing loss.
Ive had a hearing test from two different olaces both telling me that my hearing is perfect.
Ive also had a detailed eye exam feom a renowned doctor saying that my eyes are perfect.
Lastly, I am not currently on sertaline, I was from XXXXXXX to April and then I stopped.
Let me know if theres more you'd like to know.
Brief Answer:
vestibular tests.
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
As per your symptoms, it looks like BPPV (Benign paroxymal positional vertigo). You need vestibular tests or ENG (electronystagmography) from an ent surgeon to confirm.
Your weight gain could be due to sedentary life style or faulty feeding habits. You need to modify them with regular exercise and balanced diet. Kindly check out for pathlogical causes of obesity (diabetes, hypopthyroidism) before starting any exercise or diet programme.
All the best. Take care.
vestibular tests.
Detailed Answer:
Hello again,
Thanks for considering my answer and for your follow up.
As per your symptoms, it looks like BPPV (Benign paroxymal positional vertigo). You need vestibular tests or ENG (electronystagmography) from an ent surgeon to confirm.
Your weight gain could be due to sedentary life style or faulty feeding habits. You need to modify them with regular exercise and balanced diet. Kindly check out for pathlogical causes of obesity (diabetes, hypopthyroidism) before starting any exercise or diet programme.
All the best. Take care.
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. Prasad
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