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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness, Nausea, History Of An Open Heart Surgery. Anything To Worry?

Hello, I woke up this morning extremely dizzy, as in the room was spinning extremely fast. I was shaking and at times I would feel a little nauseous. I also became very pale. I am not taking any medication and I have been eating normal. Also, I had open heart surgery when I was 4 I am now 23. but my cardiologist told me things to watch for and I am worried this may be one of them.
Mon, 7 Oct 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

You ought to see a doctor!
You need examination / and probably investigation...

     It may be from postural hypo-tension.. Did you check your BP – standing and lying?
     It can be from anaemia – what is your haemoglobin?

     The body's balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear.

     If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting.

     If there are no clues, you have to be investigated by a Cardiologist! EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary for further assessment and assistance.
     
     In the meantime, medicines like betahistine or flunarazine alone or in combination may help

The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care     
Wishing all well
God bless
Good luck
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Dizziness, Nausea, History Of An Open Heart Surgery. Anything To Worry?

Hi friend, Welcome to Health Care Magic You ought to see a doctor! You need examination / and probably investigation... It may be from postural hypo-tension.. Did you check your BP – standing and lying? It can be from anaemia – what is your haemoglobin? The body s balancing mechanism is in the inner ear. An ENT (Ear Nose Throat) specialist is the one to see - they have special tests to confirm or exclude the contribution of the ear. If the ear is excluded, you have to be followed up by a neurologist. / MRI may be needed. MRA (MRI angiography) shows blood vessels and is generally done at the same sitting. If there are no clues, you have to be investigated by a Cardiologist! EKG / HOLTER (24 to 48 hour ambulatory monitoring – for arrhythmia) / ECHOcardiogram (for clot) / TMT (Treadmill exercise ECG – for ischemia) / LABORATORY work-up – may all be necessary for further assessment and assistance. In the meantime, medicines like betahistine or flunarazine alone or in combination may help The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Wishing all well God bless Good luck