Hello, My name is Vinay. I'm so sorry to hear about your daughters troubles. Let me see if I can give you some basic information that will help you make better decisions when it comes to managing this
dizziness issue.
So basics first. Your sense of balance is the system that gets messed up and causes dizziness. So in your daughters case.. the idea is to find out what is interfering with her sense of balance.
Balance is governed by 3 major senses and is put together and interpreted by a few different parts of your brain. Interfering with any of these senses or irritating the brain can cause dizziness.
3 Senses: 1) Vision: Your vision is very important to your sense of balance, especially when you are standing up. Now, from the information you have given me, I don't think that your daughter is having issues with her vision. If my assumption is wrong.. please contact me and set me straight. It will help with the Differential Diagnosis.
2) Inner Ear: Apart from hearing, your ears contain very sensitive organs called semicircular canals. Their main job is to detect movements of the head and the body and transmit that information to the brain.
Alot of people who have ear issues (infections, blockages, allergies etc) will notice that these issues also affect their balance. Most of the time this is because the irritated ear also manages to irritate the semicircular canals.
Dizziness at rest or in bed is very commonly associated with issues in the inner ear. But not always. A good Ear Nose and Throat Doctor (ENT) should be able to make sure that there are no issues with system.
3)
Proprioception (Fancy way of referring to joint sensations): All the movable joints in your body are constantly sending back information to the brain to help you balance yourself. Again damage to this systems can cause alot of stumbling and dizziness. The fact that your daughter is having this issue while trying to get up may point to irritation of this system. BUT it's not a very common problem, there is something else that causes this kind of positional dizziness that I will get into in just a bit.
So all of these sensations get trafficked to your Brain and are put together into a kind of subconcious 3D map pf the world around you. Any interference with the brain (irritations, infections, low blood pressure) can temporarily mess this map up and cause dizziness.
In your daughters case 2 pieces of information lead me to believe that your daughter might be suffering from Either:
A)
Orthostatic Hypotension (a fancy way of saying low blood pressure when trying to get up, the
LOW BP causes poor blood flow to the brain.. makes the person dizzy and they fall down again so that blood can flow more easily to the brain). This can be caused by fevers, blood loss and poor nutritional intake among other things. The High Sed rate makes me think along these lines as well.. Let me ask you? Has she had a fever or any kind of inflammatory issue recently? If she has the theory is strengthened a bit.
B)Benign Positional Vertigo: This is a problem with the Semicircular canals where one of the tiny particles that float around inside the canals gets stuck and makes the person feel like they are in motion.. ie spinning.. even when they are not. This kind of a problem has to be dealt with in the ER or at the doctors office. There are a series of manuevers which can be attempted to try and dislodge the particle and there are medications to make the overall dizziness more bearable.
The last piece of info.. the high ANA? That is a pretty sensitive test, but its not very specific. The test is associated with the diagnosis of a range of illnesses including Autoimmune Diseases. But a positive test doesn't necessarily mean that our young patient really has an autoimmune problem. The best person to speak to is a
Rheumatologist in this regard. Now CAN the ANA be related to the Dizziness... yes. I could find a very long and loopy way of making it either agree or disagree with what i'm thinking.. That's the problem with the test, it can be very misleading and immune system experts are the best to tell you how to interpret them.
At this point.. If your daughter is having this issue on a daily basis and its not getting better I believe it would be prudent for you to take her to her
Pediatrician and get a full workup done. If your daughter has any existing Heart, Lung or
Kidney problems then I strongly advise you to take her to the Pediatrician immediately. From there, the Primary can decide whether an ENT or a Rheumatologist is really necessary and have them get in touch with you.
I sincerely hope this information will be of use to you and I hope your daughter beings to feel better soon. If you feel I can be of any further assistance to you feel free to contact me through HCM. Thank you.
Vin