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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Dizziness And Occasional Nausea That Occurs While Bending?

10 weeks ago I became overcome with dizziness while golfing. I never felt spinning sensation, like vertigo, just very dizzy and light headed. I tried to drive home but had to pull over and have my eife pick me up. I ended up going to the ER and after blood work, EKG, and CAT scan, the determined Nothing seriously wrong. I followed up with ENT and he diagnosed me with vestibular neuritus. He said in 3-8 months it should go away. For about 3-4 weeks I could do nothing...no work, no driving, etc... Bit by bit I eased my way back into driving and work, but it s still a challenge, especially on the expressway and in heavy traffic. I also have trouble in big open spaces and when I lean to the left or look down then up I feel dizzy and at time nauseous. Is this normal? Do I need to give it more time or should I get a 2nd opinion? I also have anxiety which I don t think is helping any, especially with driving, since I keep worrying that I will get dizzy and have to pull over again. I m doing as much as I can to try and retrain my brain, and my ENT doesn t recommend VET, just to be patient. It s all very frustrating and I m hopeful I m on the right track but I m starting to question if that s the case.
Fri, 11 Jan 2019
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General Surgeon 's  Response
Feeling lightheaded and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests.

One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness.

Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms.

Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well.

If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration.

The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones.

So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG.

I remain at your disposal for other questions.
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What Causes Persistent Dizziness And Occasional Nausea That Occurs While Bending?

Feeling lightheaded and ill is not a very specific finding, meaning it could be a manifestation of many different conditions, so more info or tests might be necessary. Also it is not clear since when have the issues appeared and whether you have had any tests. One possibility for light-headedness would be anemia, which commonly manifests with dizziness andtiredness. Heart rhythm and function abnormalities would also lead to insufficient blood supply to the brain and other organs so would also justify those symptoms. Another possibility would be metabolic alterations, like diabetes, altered kidney or liver function, electrolyte abnormalities. Hormonal causes like thyroid dysfunction or nutritional ones like vitamin B12 deficiencies must be considered as well. If the symptoms have appeared only very recently it might be a simple transitory viral infection which are generally transitory and need only rest and hydration. The list can go on for long, as I said those symptoms can be found in numerous conditions, only listed some of the most common ones. So I would start evaluation with some routine cheap tests to screen for anemia, infections and metabolic issues like complete blood count, erythrocyte sedimentation rate, glucose, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 levels, EKG. I remain at your disposal for other questions.