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Suggest Treatment For Extreme Dizziness

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Posted on Tue, 16 Dec 2014
Question: Hi, I am feeling extremely dizzy


doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (2 hours later)
Brief Answer:
syncope or vertigo

Detailed Answer:
Hello and Welcome

I appreciate your concern

Dizziness can be used to describe two different feelings.
Lightheadedness means you are about to faint though your surroundings aren't moving
•Vertigo is a feeling that you or your surroundings are moving when there is no actual movement by you.

Pre syncope/syncope requires a cardiac workup whereas vertigo requires a neurological workup.

temporary drop in blood pressure occurs when you get up too quickly from a seated or lying position (orthostatic hypotension) and it is the most common cause of a single / isolated incident with rapid recovery normally within seconds.

Blood pressure and metabolic profile including Blood sugar and electrolytes needs to be checked. Assessment should be done w.r.t history of any sedatives or other medications that can have adverse effects causing dizziness.

In case of vertigo you may empirically take betahistine dihydrochloride 16 mg or prochlorperazine for symptomatic relief.

You may ask a family member or friend to accompany you to a nearby hospital E.R to rule out any serious cause , first.

Let me know if you have any query

wishing you best of health

thanks

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Thank you for your reply. The doctor prescribed Stemetil 5mg three times a day. Nothing has improved since taking this but they do tend to make me sleepy so techinially I cant take three a day, I dont feel I would be able to function. I have stopped taking Citalopram sunndenly would this have caused it? My doctor thinks not. I feel like the world is moving around me and is exacerbated by rapid eye movement, or when I move round quickly. My trache has always been stable and the only other tablets I take are painkillers (co-codamol 30/50 on a good day and 50mg tramadol on a bad day) and losartan 10mg to keep my blood pressure at bay.

Also I have suffered problems with my ears at a young age and had gromets, been run over causing a fractured skull and suffered impact injury to my head in 1995. \ive never suffered with this before tho
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (10 hours later)
Brief Answer:
Posssible Peripheral vertigo

Detailed Answer:
hello again,

Based on the history which you described, the vertigo seems to be peripheral.

This however requires clinical confirmation to differentiate between central and peripheral vertigo mainly via looking for Nystagmus, Neighbourhood signs ( Diplopia, dysarthria etc) and by looking for hearing loss and tinnitus.

Meclizine and betahistine dihydrochloride are better options then stematil (prochlorperazine ) for vertigo. Please consult a neurologist to confirm the suspicion and initiate the appropriate treatment.


Let me know if you have any query

Thanks.



Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Extreme Dizziness

Brief Answer: syncope or vertigo Detailed Answer: Hello and Welcome I appreciate your concern Dizziness can be used to describe two different feelings. •Lightheadedness means you are about to faint though your surroundings aren't moving •Vertigo is a feeling that you or your surroundings are moving when there is no actual movement by you. Pre syncope/syncope requires a cardiac workup whereas vertigo requires a neurological workup. temporary drop in blood pressure occurs when you get up too quickly from a seated or lying position (orthostatic hypotension) and it is the most common cause of a single / isolated incident with rapid recovery normally within seconds. Blood pressure and metabolic profile including Blood sugar and electrolytes needs to be checked. Assessment should be done w.r.t history of any sedatives or other medications that can have adverse effects causing dizziness. In case of vertigo you may empirically take betahistine dihydrochloride 16 mg or prochlorperazine for symptomatic relief. You may ask a family member or friend to accompany you to a nearby hospital E.R to rule out any serious cause , first. Let me know if you have any query wishing you best of health thanks