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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Vertigo And Nausea?

Sir, I am having mild virtigo and nausea from last 4 months.This started with me before 4 years when I was diagonised with ulcerative colotis. After re scopy before 1 year found normal colon.But still virtigo and nausea is present .Kindly suggest what would be the cause.My family physician refered me to a psycatrist & then for a year I was on PAROXETINE which my psycatrist tapered and now from last 3.5 months I am not taking any medicine.I do not think it would be psycological. Please guide do i need to have any further investigation / tests. Dhiraj D Rathi 0000
Tue, 29 Sep 2020
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General Surgeon,  's  Response
Hi,

Noted your history of ulcerative colitis that got better but the vertigo and nausea continued for which your Family Doctor advised for Psychiatrist.
Nausea with vertigo has 3 important causes:
- Any problem with the ears like vestibulitis, fluid imbalance in the semicircular canals that have balancing function.
- Cerebellar that is part of brain at the back of skull problems.
- Cervical sponditlitis, reduced blood supply through the vertebral arteries.
Hence I would advise you the following in such a situation:
- Consult a Senior ENT Surgeon to start with for proper clinical evaluation.
- Get CT and MRI as combo-study of mastoids and brain.
- All studies may lead to the cause.
- If above studies are normal then MRI with angiography of cervical spine and vertebral arteries.
- Second opinion of a Neurologist.
All these will lead to a proper diagnosis and thus allow a specific treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. T. Chandrakant, ENT & General Surgeon
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What Causes Chronic Vertigo And Nausea?

Hi, Noted your history of ulcerative colitis that got better but the vertigo and nausea continued for which your Family Doctor advised for Psychiatrist. Nausea with vertigo has 3 important causes: - Any problem with the ears like vestibulitis, fluid imbalance in the semicircular canals that have balancing function. - Cerebellar that is part of brain at the back of skull problems. - Cervical sponditlitis, reduced blood supply through the vertebral arteries. Hence I would advise you the following in such a situation: - Consult a Senior ENT Surgeon to start with for proper clinical evaluation. - Get CT and MRI as combo-study of mastoids and brain. - All studies may lead to the cause. - If above studies are normal then MRI with angiography of cervical spine and vertebral arteries. - Second opinion of a Neurologist. All these will lead to a proper diagnosis and thus allow a specific treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, ENT & General Surgeon