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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Loss Of Body Balance And Vomiting In An Elderly?

My husband, who is 67 has been falling a lot and when he does, he typically vomits after his fall. He has not his head or broken anything, he just loses his balance and topples over. Then a few minutes later, vomits. Then after about 20 minutes he is fine. What could be going on?
Mon, 5 Jan 2015
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General & Family Physician,  's  Response
Hello
As per your description I feel that following could be the reasons for this present situation.
1. The pathology for these symptoms could be in the brain ( specifically cerebellum, which controls gait ). Hence you need to do a MRI scan of the brain to rule out any pathology.
2. The other probability is that there may be a nerve root compression arising from the spinal cord ( specifically dorso-lumber or lumbo-sacral regions ). Hence you need to do a MRI scan of the spine too.
3. Lastly, there may be some local pathology involving the joints or muscles of the lower limb.
My opinion is please visit a Neurologist or an Orthopedic surgeon for further evaluation and management.

Thank you.
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What Causes Loss Of Body Balance And Vomiting In An Elderly?

Hello As per your description I feel that following could be the reasons for this present situation. 1. The pathology for these symptoms could be in the brain ( specifically cerebellum, which controls gait ). Hence you need to do a MRI scan of the brain to rule out any pathology. 2. The other probability is that there may be a nerve root compression arising from the spinal cord ( specifically dorso-lumber or lumbo-sacral regions ). Hence you need to do a MRI scan of the spine too. 3. Lastly, there may be some local pathology involving the joints or muscles of the lower limb. My opinion is please visit a Neurologist or an Orthopedic surgeon for further evaluation and management. Thank you.