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Suggest Treatment For Vertigo

Posted on Tue, 23 Aug 2016

Question: For the last 10 -15 days my wife has been doing some household chores like,brooming and mopping the floor,she was also on metrogyl 400 (2daily)for 4 days for her dental,treatment and had her menstural periods also since five days.she also started her gym after 1 month .she had a tough vigirous session.she has been complaining of blur vision for the last 10 days and today she had some sweating and started with severe vertigo while driving.i had to drive her back from the place she stopped beacuse of vertigo,she had some coffee and felt better but again after 1 hour the spinning started,what could be the cause and what is the treatment?

Answered by Dr. Neeraj Kumar (22 minutes later)

Brief Answer:
Take rest and treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.

The cause of vertigo may be vestibular neuronitis or benign paroxysmal positional vertigo.

Is there any history of low pressure?
Blurring visual and vertigo may be due to these.
You should give adequate fluids, rest.
Any history of headache?

You may opt for cinnarizine or betahistine for vertigo after obtaining prescription from your local physician.
Hope you found the answer helpful.

Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (36 minutes later)

Yes she has had problems with low bp!she also has occasional migraine,few days back she just complained of severe pressure in the head but with in a few minutes she was fine.do we need any tests or simply rest and vertigo medicibes?

Answered by Dr. Neeraj Kumar (2 minutes later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
Best treatment at present will be good amount of Fluids.
For migraine pain killers can be taken as it may also present with visual symptoms if visual aura is present.
Prophylaxis for migraine is needed if episodes are recurrent.
Take amitryptiline for sleep, headache and anxiety.
Wishing good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (9 hours later)

Good morning sir,today also
As she woke up she is having alot of spining,she also has stiffness in the neck and when she is lifting her arms she has slight pain!as intold you yesterday she did excerises involving the arms and back like abs do you think that could also be a cause!who is the best doctor for this ?

Answered by Dr. Neeraj Kumar (30 minutes later)

Brief Answer:
Visit a neurologist and take treatment as advised

Detailed Answer:
Hello,
You can give her pain killers with muscle relaxant like etoricoxib or Aceclofenac with thiocholchicoside or tizanidine.
For vertigo take Fluids, dizitac twice daily.
You should consult a neurologist.
Wishing good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Neeraj Kumar (23 hours later)

Good morning sir!my wife is feely almost normal after rest,1.can she start with the aerobic excersises from today?
2.she had some stiffness and swelling in the collar area with some pain in her shoulders.
Do you think the dizzeness could be because of cramps there!any further investigation required?

Answered by Dr. Neeraj Kumar (10 hours later)

Brief Answer:
Continue rest, take pain killers if required

Detailed Answer:
Hello,
I would advise to abstain from any gym or vigorous exercises.
Avoid movement of neck.
Vertigo may be due to migraine or low blood pressure.
Take pain killers if needed.
Regards
Dr N Kumar
Neurologist

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

Follow up: Dr. Neeraj Kumar (25 hours later)

Sir we got an mri done and this is the report!what is your suggestion.except slight blurness there is no problem with my wife now!

Answered by Dr. Neeraj Kumar (1 hour later)

Brief Answer:
Mri is not related to vertigo

Detailed Answer:
Hello,
I have gone through the Mri report.
The findings described are not the area involved in vertigo.
The Mri findings are incidental and old.
Nothing to worry.
Just get blood pressure measured.
Some white matter changes may be found in migraine too.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad