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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Body Imbalance Along With Headaches And Insomnia Be Treated?

Hello, Think I need to see some type of specialty doctor but not sure what kind. My primary doctor doesn t think I need one, but I ve had an issue for about 3 years. I blacked out a few years ago on the street and had a small lash on the bottom of my head which needed about 5 or 6 stiches I think. They did an cat scan and said all was normal. Throught these years and lately I have had what I think are emotional and psychological and physical issues like: 1) Feeling imbalance alot especially around busy areas like casinos, malls, etc 2) Feeling intense that I might fall if I don t hold on or touch something that can hold me up like a wall 3) More frequent headaches than before 4) Insomnia (but always had that problem) 5) Anxiety Have an appointment with primary again tomorrow hoping she ll give me a referral to some type of Doctor whether a Psychiarist, or maybe an ENT to check for ear imbalance . She doesn t think I need an MRI
Tue, 14 Aug 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

The 5 points your noted are indicative of psychological problems more than the actual physical problems, like feeling of fall and all. But one needs to rule out the organic lesion affected the balance process like inner ear structures and cerebellum. Hence one should go for the MRI of brain and mastoids to rule out any cause. Also to go for EEG that is electroencephalogram. Other tests of blood like serum electrolytes, CBC, thyroid, liver and kidney functions and whichever is needed as per the clinical findings. If all the investigations are normal and an opinion of a Neurologist and/or an ENT Surgeon are normal then only you can consult a Psychiatrist. Also make a list of the factors, foods that instigate or enhance the problem and stop these altogether.

Hope I have answered your query. Let me know if I can assist you further.

Regards.
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How Can Body Imbalance Along With Headaches And Insomnia Be Treated?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The 5 points your noted are indicative of psychological problems more than the actual physical problems, like feeling of fall and all. But one needs to rule out the organic lesion affected the balance process like inner ear structures and cerebellum. Hence one should go for the MRI of brain and mastoids to rule out any cause. Also to go for EEG that is electroencephalogram. Other tests of blood like serum electrolytes, CBC, thyroid, liver and kidney functions and whichever is needed as per the clinical findings. If all the investigations are normal and an opinion of a Neurologist and/or an ENT Surgeon are normal then only you can consult a Psychiatrist. Also make a list of the factors, foods that instigate or enhance the problem and stop these altogether. Hope I have answered your query. Let me know if I can assist you further. Regards.