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What Causes Persistent Dizziness, Poor Memory, Arm Pain And Fatigue?

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Posted on Tue, 8 Nov 2016
Question: I have been dizzy for 7 weeks. Bad memory, frequent itching, sore left arm (Shoulder to elbow) and fatigue,
I have had physiotherapy for dizziness but no resolution or definite diagnosis. Can you help, All blood tests are fine except raised triglycerides/ (I am cutting sugar and carbs,
doctor
Answered by Dr. Geeta Sundar (5 hours later)
Brief Answer:
Hi XXXXXXX welcome to HCM. I would want you to try the following-

Detailed Answer:
Hi XXXXXXX welcome to HCM. I would want you to try the following---

a preparation of Omeprzole 20 mg twice a day, Fexofenadine 120 mg once a day and a B-12 1500 micrograms once a day for a week. I hope to have you better. This a treatment for acidity and possible B-12 deficiency. However if you are already on B-12 supplements, you can avoid additional dose. Please continue physiotherapy/ exercises at home for neck and left limb--regards and wishing you the best.


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Geeta Sundar (3 hours later)
I am not troubled by acidity. I am constantly dizzy. the Physio was to move
crystals in my ear and a manoever was tried. It was unsuccessful as the physio told me that I did not appear to have that particular inner ear problem.
My B12 test and all other blood tests were good.
I am interested to know why you would suggest treatment for acidity.
I hoped you would suggest a diagnosis.
XXXX
doctor
Answered by Dr. Geeta Sundar (1 hour later)
Brief Answer:
Hi XXXXXXX I suggested acidity because I have had several patients of aci

Detailed Answer:
Hi XXXXXXX I suggested acidity because I have had several patients of acidity presenting only with dizziness, without gastric symptoms, who have responded to acid reducing drugs. Itching on skin can also be an external manifestation of increased acid secretion (Histaminic response).
I have had B-12 deficient patients presenting with dizziness, but your B-12 is normal.
Since middle ear problem has been ruled out, the possibility remains of Cervical spondylosis. That will explain the dizziness, and pain in left upper limb. Spondylosis is a condition where there is slight inflammation in the spine but no structural changes as happens in spondylitis. Treatment is gentle massage to back of neck with a pain balm, and exercises (slow neck movements). Oral Ibuprofen may be needed, if there is no response to local balms. The loss of memory does not fit into the diagnosis of cervical spondylosis. It may be an independent symptom. or a temporary one due to your dizziness.
I would still like you to try the Omeprazole and Fexofenadine along with local treatment for the spondylosis. Hope this answers your query. Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Geeta Sundar

Internal Medicine Specialist

Practicing since :1975

Answered : 1329 Questions

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What Causes Persistent Dizziness, Poor Memory, Arm Pain And Fatigue?

Brief Answer: Hi XXXXXXX welcome to HCM. I would want you to try the following- Detailed Answer: Hi XXXXXXX welcome to HCM. I would want you to try the following--- a preparation of Omeprzole 20 mg twice a day, Fexofenadine 120 mg once a day and a B-12 1500 micrograms once a day for a week. I hope to have you better. This a treatment for acidity and possible B-12 deficiency. However if you are already on B-12 supplements, you can avoid additional dose. Please continue physiotherapy/ exercises at home for neck and left limb--regards and wishing you the best.