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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness, Nauseated, Exhausted, Feeling Week. Reason?

I got up one morning and I was so dizzy (the room was spinning) that I felt nauseated. I had to lie down in order for the dizziness to go away. However, I was extremely exhausted after that and could not put food in because of the nausea. The dizziness continued for half a day. It is now gone, but I feel extremely weak. This has never happened to me before. I am 48.
Fri, 8 Jun 2012
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ENT Specialist 's  Response
Hello,

Thanks for posting your query.

From the details provided, few important possibilities that I can think of causing dizziness are:

1. BPPV: caused by problems in the inner ear. Its symptoms are repeated episodes of positional vertigo which is a spinning sensation caused by changes in the position of the head. This typically occurs in the morning and last for few secs. But makes u dizzy again with change of position.BPPV can be diagnosed by doing a simple bedside test called Dix Hallpike test preferably by Vertigo specialist. If positive, most effective treatment is a procedure called "Epley's maneuver,"

2.Dizziness or vertigo is a common complaint among migraineurs, and can be seen in one third of them suffering from migraine. It can occur with or without headache. Response to migraine medication is the only way to prove the diagnosis.

3. It could also be the first episode of Meniere's disease which makes u feel dizzy, nauseated and exhausted.

4. Get your BP checked considering your age

It is advisable to meet the ENT specialist to verify the exact cause of the dizziness, he might do basic examination and audiological evaluation and determine the cause. It is important to rule out other causes so a MRI maybe asked.

I thank you again for the query. I hope you found my response to be helpful and informative. I you have any additional concerns I would be happy to address them.


Regards.

Dr Divya
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Dizziness, Nauseated, Exhausted, Feeling Week. Reason?

Hello, Thanks for posting your query. From the details provided, few important possibilities that I can think of causing dizziness are: 1. BPPV: caused by problems in the inner ear. Its symptoms are repeated episodes of positional vertigo which is a spinning sensation caused by changes in the position of the head. This typically occurs in the morning and last for few secs. But makes u dizzy again with change of position.BPPV can be diagnosed by doing a simple bedside test called Dix Hallpike test preferably by Vertigo specialist. If positive, most effective treatment is a procedure called Epley s maneuver, 2.Dizziness or vertigo is a common complaint among migraineurs, and can be seen in one third of them suffering from migraine. It can occur with or without headache. Response to migraine medication is the only way to prove the diagnosis. 3. It could also be the first episode of Meniere s disease which makes u feel dizzy, nauseated and exhausted. 4. Get your BP checked considering your age It is advisable to meet the ENT specialist to verify the exact cause of the dizziness, he might do basic examination and audiological evaluation and determine the cause. It is important to rule out other causes so a MRI maybe asked. I thank you again for the query. I hope you found my response to be helpful and informative. I you have any additional concerns I would be happy to address them. Regards. Dr Divya