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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness Along With Appetite Loss And Nausea?

Hi doc I am feeling this for about 5 days now lightheaded , off balance when I walk I find myself feeling as if am going to fall I now walk near railing or walls just in case , nausea comes and goes no vomiting yet and loss off appetite , no pain any where besides my lower back which was sore be for I felt these other symptoms besides I think the pain on lower back is due to my job which requires me to bend often , I have been to my company nurse and she checked blood pressure , sugar and temperature bit all was normal ? could u please help tthanks from ebrahim
Thu, 4 Jun 2015
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General & Family Physician,  's  Response
Dear Ebrahim,

Considering the fact that your blood pressure and sugar levels are within normal limits, any metabolic cause for your symptoms can be ruled out.

Under such circumstances, the symptoms as mentioned in your post can be due to either a disturbance in the Vestibular apparatus (it is present in inner ear & maintains the body posture & balance), inadequate hydration status & electrolyte imbalance of the body or dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B 12, Folic acid, etc. which help in blood formation & nerve conduction.

Symptomatic relief can be obtained by intake of:
1. Vestibular sedatives like Betahistine preparations (to be taken only under the guidance of a Physician)
2. Pantoperazole + Domperidone (to be taken 30 min before meals)
3. Multivitamin & multimineral supplements including iron, calcium & Vitamin D

Also take precautions of getting up from bed slowly & avoid sudden head movements.
Wishing you a Good Health
Take care.
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What Causes Dizziness Along With Appetite Loss And Nausea?

Dear Ebrahim, Considering the fact that your blood pressure and sugar levels are within normal limits, any metabolic cause for your symptoms can be ruled out. Under such circumstances, the symptoms as mentioned in your post can be due to either a disturbance in the Vestibular apparatus (it is present in inner ear & maintains the body posture & balance), inadequate hydration status & electrolyte imbalance of the body or dietary deficiencies of certain nutrients like Iron, Calcium, Vitamin D, Vitamin B 12, Folic acid, etc. which help in blood formation & nerve conduction. Symptomatic relief can be obtained by intake of: 1. Vestibular sedatives like Betahistine preparations (to be taken only under the guidance of a Physician) 2. Pantoperazole + Domperidone (to be taken 30 min before meals) 3. Multivitamin & multimineral supplements including iron, calcium & Vitamin D Also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health Take care.