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