What Causes Persistent Vertigo?

Posted on Fri, 26 Jun 2015

Question: I am 43 and suffering from reeling of head. It is not severe, but persistent. My BP is normal. I had a Cervical Spine X-ray done and there isn't too much of a problem there, apart from reduced gap between C3 to C6 and signs of early early degeneration.

Answered by Dr. Ajay Panwar (25 minutes later)

Brief Answer:
Please tell a few details-

Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If you would have presented to me as an outpatient,I would have asked you the following details in order to answer your query well-
1)Since when you are having this symptom?
2)Is it associated with hearing loss,tinnitus,double vision or headache?
3)Any ear related problem?History of ear discharge?History of exposure to loud sound?
4)Any history of a brain related problem?Any other past medical history?Anxiety or Depression?
5)History of any addictions?alcoholism?

Please follow-up with details so that I can answer your query well.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Ajay Panwar (2 hours later)

Thank you Dr. Panwar for responding to my query. My answers:
1. I am having this problem for the last 21 days.
2. I have no hearing loss, double vision, headache or other ear related problems as listed by you. No exposure to loud sound.
3. I have no history of brain related problem. I have not been treated for depression or anxiety, but I do have my share of work related stress.
4. I am a smoker, average 10 cigarettes/day. I drink moderately, twice a week.
Regards, XXXX

Answered by Dr. Ajay Panwar (2 hours later)

Brief Answer:
To be kept under observation/ENT evaluation if it persists.

Detailed Answer:
Hi XXXX,
Thanks for being in follow-up and providing the details.

With the present clinical history,there appears to be no obvious reason for which you should have persistent reeling of the head.
I suggest you to do mental relaxation exercises/meditation/yoga/cardio exercises regularly and maintain good hydration(at least 4 litres of fluids per day).I hope the symptoms will improve.Your stress factor can be one of the possible cause for this symptom.Regular exercise/mental relaxation will ease off the mental stress and hence is likely to improve the symptom.
Meanwhile,please continue taking tab.vertin 16 mg on sos(at the time of symptoms) basis.If the symptom still keep on persisting,please visit an ENT specialist for evaluation of vertigo.

PLEASE TAKE ALL MEDICINES UNDER A PHYSICIAN'S GUIDANCE.

Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else please close the thread,rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Raju A.T