Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Can Be Done To Treat Postural Dizziness?
Question: female age 75 ,5'7'', weight about 145 lbs. she becomes dizzie ,depanding on her sitting position it become worst,very tried, always shackey on the inside and feels that she is about to jump out of her skin and on the outside appearscalm but extiemely tired and has to lay down.
Hi,
Thanks for posting your query.
Important points of your query:
• Old age of patient
• Chief complaints: postural dizziness, shaky on the inside, feeling that she is about to jump out of her skin, extreme tiredness and has to lay down
• Average general health
Shaky on the inside represents restlessness and feeling that she is about to jump out of her skin represents anxiety and apprehension which are important symptoms of anxiety and depressive disorder.
Following information are needed further to understand this case better:
• Total duration of symptoms
• Any past and family history of psychiatric illness
• History of stroke/paralysis, forgetfulness and unusual behavior
• Is she well orientated to time, place and person or she always behaves confused to look for dementia
Waiting for further information from you.
Regards
Thanks for posting your query.
Important points of your query:
• Old age of patient
• Chief complaints: postural dizziness, shaky on the inside, feeling that she is about to jump out of her skin, extreme tiredness and has to lay down
• Average general health
Shaky on the inside represents restlessness and feeling that she is about to jump out of her skin represents anxiety and apprehension which are important symptoms of anxiety and depressive disorder.
Following information are needed further to understand this case better:
• Total duration of symptoms
• Any past and family history of psychiatric illness
• History of stroke/paralysis, forgetfulness and unusual behavior
• Is she well orientated to time, place and person or she always behaves confused to look for dementia
Waiting for further information from you.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
the female is 75 years old, she has one daughter that is bypoler. this has been going on for at less two months, local doctor does not know why she is dizzie ans feels so nervous in the inside. she does have some lower back probles and can noy walk very fall without haing to sit doen unless she has a cart to walk behind. what kind of tests should she have to better understand her condition. this person has always been up and going and does not know why she is so tired
Hi,
Thanks for the additional information sent.
Patient has multiple risk factors for depression like: Family history of Bipolar illness (episodes of mania and depression), presence of medical co-morbidity (lower back pain) and old age.
Apart from that she has dizziness, low mood (nervous), restlessness and extreme tiredness. All these symptom complex indicate toward the presence of depression.
It is difficult to judge the cause of lower back pain as it may occur in depression and also in the presence of physical illness. In such cases physical illness needs to be rule out first.
Following steps will help in management of patient:
• MRI spine will help to rule out local pathology in spine.
• Liver/kidney function test and complete blood count for general wellbeing of patient
• Inform your physician about the presence of psychological symptoms and family history of psychiatric illness to seek psychiatric opinion
Hope this will help you.
Regards,
Thanks for the additional information sent.
Patient has multiple risk factors for depression like: Family history of Bipolar illness (episodes of mania and depression), presence of medical co-morbidity (lower back pain) and old age.
Apart from that she has dizziness, low mood (nervous), restlessness and extreme tiredness. All these symptom complex indicate toward the presence of depression.
It is difficult to judge the cause of lower back pain as it may occur in depression and also in the presence of physical illness. In such cases physical illness needs to be rule out first.
Following steps will help in management of patient:
• MRI spine will help to rule out local pathology in spine.
• Liver/kidney function test and complete blood count for general wellbeing of patient
• Inform your physician about the presence of psychological symptoms and family history of psychiatric illness to seek psychiatric opinion
Hope this will help you.
Regards,
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
