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What Causes Dizziness,shaking And Weakness In The Morning?
Question: Every morning after being awake for 2 hours or so, I get shaky, weak, spaced and so dizzy sometimes I feel like I am going to fall over. I can't concentrate on anything and then of course I begin to panic. What is wrong with me!!??
Brief Answer:
Please read the detailed response
Detailed Answer:
Dear XXXXXXX
Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.
I can understand your concerns about your health.
After reading your symptoms, I would put forth the following diffential diagnosis:
1) situational syncope
2) arrhythmia
3) transient ischemic attack
4) panic attack.
5) Vertigo
To pin point exactly the cause, we need the following investigations:
ECG, orthostatic BP changes, holter monitoring, MRI Brain with angiography.
Can you please get these investigations done and inform me the reports? in the mean time we can recommend you betahistine. However the rules of the website do not permit me to prescribe a particular drug.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.
Please read the detailed response
Detailed Answer:
Dear XXXXXXX
Greetings from health care magic!!! I am Dr Thakker and shall be answering your question.
I can understand your concerns about your health.
After reading your symptoms, I would put forth the following diffential diagnosis:
1) situational syncope
2) arrhythmia
3) transient ischemic attack
4) panic attack.
5) Vertigo
To pin point exactly the cause, we need the following investigations:
ECG, orthostatic BP changes, holter monitoring, MRI Brain with angiography.
Can you please get these investigations done and inform me the reports? in the mean time we can recommend you betahistine. However the rules of the website do not permit me to prescribe a particular drug.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.
Above answer was peer-reviewed by :
Dr. Yogesh D
Hello, I was told I did have Vertigo and an irregular heart beat (I have an extra beat every so often) I didn't think to mention them as I didn't think they could be worse in the morning. My doctor says that the antibiotics for both the vertigo and irregular heart beat are more hassle than benefit however he doesn't see what I go through everyday. Situational syncope symptoms sound like what I go through exactly. I have never fully fainted but I have fallen over. I get very pale and begin to shake uncontrollably. Then I start to sweat and the room starts to spin. If there is a chance it is caused by Vertigo, I will approach my doctor about the medication you recommend as well as the medication for my heart. If you can think of anything else let me know. Also I will ask him about looking into the other possibilities. Thank you
Brief Answer:
HOLTER monitoring, hallpike test
Detailed Answer:
Dear XXXXXXX
Thank you for your reply.
I would suggest you to have a holter monitoring done to detect missed beats, arrhythmia as a cause of syncope.
Hallpike test is used to diagnose vertigo. An ENT specialist can do that.
I would suggest you to take betahistine for symptomatic relief. It does not have many side erects and it fairly safe.
There is no treatment for situational syncope. A beta blocker maybe helpful to deal with the anxiety and panic attacks.
The rules of the website do not permit me to prescribe you a particular drug. Hope you don't mind that.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.
HOLTER monitoring, hallpike test
Detailed Answer:
Dear XXXXXXX
Thank you for your reply.
I would suggest you to have a holter monitoring done to detect missed beats, arrhythmia as a cause of syncope.
Hallpike test is used to diagnose vertigo. An ENT specialist can do that.
I would suggest you to take betahistine for symptomatic relief. It does not have many side erects and it fairly safe.
There is no treatment for situational syncope. A beta blocker maybe helpful to deal with the anxiety and panic attacks.
The rules of the website do not permit me to prescribe you a particular drug. Hope you don't mind that.
I hope this helps you out. If you have any more questions, please do not hesitate to write back to me.
Yours sincerely,
Dr Thakker.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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