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Suggest Treatment For Pericarditis And Lightheadedness

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Posted on Sat, 7 Mar 2015
Question: I am 81 years old and developed pericarditis 1 year ago. The anti-inflammatories prescribed caused kidney failure. After hiospitalization I was light-headed and an STILL light=-heade, even in bed when I tuirn on my right side. A CT scan proved negative. @ years ago I had a concussiom but no bleed. What is wrong with me? Colticione (sp?) cured my pericarditis and other symptoms cleared uop - except the light-headedness which uis sometimes worse than others. An angiogram was also negative..


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Answered by Dr. Sudhir Kumar (17 minutes later)
Brief Answer:
Suggestive of peripheral vertigo.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms. They are mostly suggestive of peripheral vertigo, which usually occurs due to a problem in ear. Symptoms may include dizziness, lightheadedness or giddiness, which are made worse with head or neck movements.

In view of past history of pericarditis, we also need to exclude a low cardiac output, or poor pumping of blood from heart. This can be assessed by doing an echocardiogram.

For relief of symptoms, you can take betahistine tablets. If there is no improvement despite this, an MRI scan of brain may be done, as CT scan of head may not pick up minor problems of brain such as ischemia (lack of blood flow to brain).

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in


Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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Suggest Treatment For Pericarditis And Lightheadedness

Brief Answer: Suggestive of peripheral vertigo. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms. They are mostly suggestive of peripheral vertigo, which usually occurs due to a problem in ear. Symptoms may include dizziness, lightheadedness or giddiness, which are made worse with head or neck movements. In view of past history of pericarditis, we also need to exclude a low cardiac output, or poor pumping of blood from heart. This can be assessed by doing an echocardiogram. For relief of symptoms, you can take betahistine tablets. If there is no improvement despite this, an MRI scan of brain may be done, as CT scan of head may not pick up minor problems of brain such as ischemia (lack of blood flow to brain). I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in