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Suggest Treatment For Severe Dizziness
Question: Hi doctor, for the last 2 nights i have had episodes of severe dizziness or vertigo - i cant tell - constant stomach burn, bloated stomach, heart palpitations.
By way of background, i was diagnosed with IBS a few years ago. Doctors have also recently found a nodule on my thyroid. My doctor doesnt thjnk i have a thyroid issue since my THR is 2 but that doesnt make sense to me. I have constantly swollen ankles and have never had this level of heart burn for this many days. My blood tests show no abnormalities (with what the doctor trsted for) wxcept for a marked increase in inflammation levels. Doctor said its not worth running tests because it could be anythjng.
By way of background, i was diagnosed with IBS a few years ago. Doctors have also recently found a nodule on my thyroid. My doctor doesnt thjnk i have a thyroid issue since my THR is 2 but that doesnt make sense to me. I have constantly swollen ankles and have never had this level of heart burn for this many days. My blood tests show no abnormalities (with what the doctor trsted for) wxcept for a marked increase in inflammation levels. Doctor said its not worth running tests because it could be anythjng.
Brief Answer:
vertigo usually related to inner ear causes
Detailed Answer:
Hi, thanks for using healthcare magic
Vertigo is the feeling as though you or the room/environment is spinning or moving.
The discomfort associated with vertigo can cause palpitations.
It is most commonly related to conditions of the inner ear though there are other causes as well.
It is not usually related to conditions affecting the stomach such as reflux, bloating which are linked.
Reflux can be treated with diet changes and medications such as prevacid, protonix, nexium, prilosec. These are in the same family of medications.
Vertigo inner ear causes- BPPV, meniere's disease, vestibular neuritis. None lifethreatening but can be very annoying.
Treatment with a short course of medication (eg dramamine, antivert, valium, benadryl) can be used.
If it is BPPV, there is a specific maneuver called the epley maneuver that your doctor would need to do for you.
There is a hormone released from the area of the brain called thyrotropin releasing hormone (TRH) and there is a test that measures how much TSH (another thyroid related hormone) is released when a person is given TRH.
Doing TSH test however is a much more common ways of checking the thyroid so doing this may be best.
I hope this helps, feel free to ask any other questions
vertigo usually related to inner ear causes
Detailed Answer:
Hi, thanks for using healthcare magic
Vertigo is the feeling as though you or the room/environment is spinning or moving.
The discomfort associated with vertigo can cause palpitations.
It is most commonly related to conditions of the inner ear though there are other causes as well.
It is not usually related to conditions affecting the stomach such as reflux, bloating which are linked.
Reflux can be treated with diet changes and medications such as prevacid, protonix, nexium, prilosec. These are in the same family of medications.
Vertigo inner ear causes- BPPV, meniere's disease, vestibular neuritis. None lifethreatening but can be very annoying.
Treatment with a short course of medication (eg dramamine, antivert, valium, benadryl) can be used.
If it is BPPV, there is a specific maneuver called the epley maneuver that your doctor would need to do for you.
There is a hormone released from the area of the brain called thyrotropin releasing hormone (TRH) and there is a test that measures how much TSH (another thyroid related hormone) is released when a person is given TRH.
Doing TSH test however is a much more common ways of checking the thyroid so doing this may be best.
I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. The TSH test is tbe only test that was conducted for the thyroid and that level was considered normal by the doctor. My concern is no other levels were checked. My reason for thinking my thyroid may be the issue is that I have urinary incontinence, anxiety when i am not an anxious person, depression where I am not normally a depressed person, inconsistent periods/ heavy periods with clotting, cold hands and feet despite the rest of my body feeling warm, agitation and nervousness...
Another thing that concerns me is the swollen ankles and what could be causing them. That combined with inflammation i fear could be heart related.
As for the dizziness, my ears have a sound of white noise i guess is rhe best way i can describe it when i am lying down. My sinuses also feel a bit stuffy. And when i move my jaw ro the side my ears make a whooshing sound.
I am a mess! Sorry Doc.
Another thing that concerns me is the swollen ankles and what could be causing them. That combined with inflammation i fear could be heart related.
As for the dizziness, my ears have a sound of white noise i guess is rhe best way i can describe it when i am lying down. My sinuses also feel a bit stuffy. And when i move my jaw ro the side my ears make a whooshing sound.
I am a mess! Sorry Doc.
Brief Answer:
consider meniere's disease
Detailed Answer:
HI
The tsh is the baseline test that is normally done. This is the hormone that is released from the pituitary in the brain. It then goes to stimulate the thyroid gland to stimulate the of release thyroid hormones.
If a person has high thyroid hormones from the thyroid gland a message goes back to the pituitary saying ' this person has too much thyroid hormone a , stop releasing TSH'
Less TSH then less effect on the thyroid gland.
This means that if you or anyone has hyperthyroidism there would be a low TSH.
TSH is a good test to check the thyroid, other tests are only done if the TSH is abnormal.
Your TSH is within normal range.
The tests for inflammation are non specific but if very high other tests should be done based on symptoms. eg check for infection, autoimmune disorders
Swelling of the ankles can be heart related but there is normally a history of heart disease or risk factors for heart disease (high blood pressure, diabetes, smoking, obesity, high cholesterol).
Also be other symptoms such as chest pain
Other causes of swelling- venous disease (very common, most common reason), side effect of medication, liver or kidney disease, trauma.
The noise in the ears mean that the dizziness may be due to your sinusitis affecting the ears or meniere's disease (treated with meds mentioned, low salt diet and diuretics if needed)
Please feel free to ask any other questions
consider meniere's disease
Detailed Answer:
HI
The tsh is the baseline test that is normally done. This is the hormone that is released from the pituitary in the brain. It then goes to stimulate the thyroid gland to stimulate the of release thyroid hormones.
If a person has high thyroid hormones from the thyroid gland a message goes back to the pituitary saying ' this person has too much thyroid hormone a , stop releasing TSH'
Less TSH then less effect on the thyroid gland.
This means that if you or anyone has hyperthyroidism there would be a low TSH.
TSH is a good test to check the thyroid, other tests are only done if the TSH is abnormal.
Your TSH is within normal range.
The tests for inflammation are non specific but if very high other tests should be done based on symptoms. eg check for infection, autoimmune disorders
Swelling of the ankles can be heart related but there is normally a history of heart disease or risk factors for heart disease (high blood pressure, diabetes, smoking, obesity, high cholesterol).
Also be other symptoms such as chest pain
Other causes of swelling- venous disease (very common, most common reason), side effect of medication, liver or kidney disease, trauma.
The noise in the ears mean that the dizziness may be due to your sinusitis affecting the ears or meniere's disease (treated with meds mentioned, low salt diet and diuretics if needed)
Please feel free to ask any other questions
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. Chakravarthy Mazumdar
Answered by
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