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What Causes Severe Vertigo With Vomiting And Dizziness?

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Posted on Fri, 16 Jun 2017
Question: My husband has severe vertigo with vomiting and dizziness
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Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Central cause of vertigo should be looked for/ ruled out

Detailed Answer:
Hello and Welcome

I appreciate your concern

Vertigo is the sensation of movement in the absence of real movement. The type of vertigo needs to be determined to rule out a central cause. If the vertigo is central then brain imaging may be required to look for possible ischemia, bleed or a CNS lesion.

A neurological exam would look for associated mixed horizontal nystagmus , diplopia, development of visual field deficits, difficulty speaking, weakness in any of the limbs. All of these indicate a central cause. Blood pressure should also be measured and if elevated should be brought down gradually.

I would advise an ER consultation. If none of the above are found then peripheral causes like benign paroxysmal positional vertigo, Labyrinthitis etc can be worked up an treated accordingly.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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What Causes Severe Vertigo With Vomiting And Dizziness?

Brief Answer: Central cause of vertigo should be looked for/ ruled out Detailed Answer: Hello and Welcome I appreciate your concern Vertigo is the sensation of movement in the absence of real movement. The type of vertigo needs to be determined to rule out a central cause. If the vertigo is central then brain imaging may be required to look for possible ischemia, bleed or a CNS lesion. A neurological exam would look for associated mixed horizontal nystagmus , diplopia, development of visual field deficits, difficulty speaking, weakness in any of the limbs. All of these indicate a central cause. Blood pressure should also be measured and if elevated should be brought down gradually. I would advise an ER consultation. If none of the above are found then peripheral causes like benign paroxysmal positional vertigo, Labyrinthitis etc can be worked up an treated accordingly. Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil