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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Dizziness In A Hypertensive Person?

On 1st sept I was sleeping on floor of my house ...my stomach was full .At 11 pm I want to go to bed ..then suddenly I was unconscious and passed stool.I have hypertension and take silacar 10 and olsar 20. After a long investigation...csp ecg.eeg.halter monitoring.. scan.. head up tilt test...blood investigations nothing was found...what to do now?? I am 48 yr old and take alcohol every after 1 or 2 days...please advise...
Mon, 3 Jun 2019
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General Surgeon 's  Response
Hi,

As per the symptoms you have mentioned the cause can be related to the inner ear problem secondary to hypertension or medications itself or can have an independent problem.
Hence I would advise you the following: Consult a Neuro-Otologist for clinical evaluation and examination.
Further investigations as per the clinical evaluation.
Other causes also need to be seen for.
Cervical spondylitis and reduced vertebral artery reduced circulation.
Cerebellar problems.
Hence MRI of the suspected areas needs to be done.
Also, needed is to take symptomatic management with Cinnarizine and other medications.
Also watch for the stress anxiety as these can potentiate the problems.
Your tests of ECG, EEG, halter monitoring and scans are normal hence needs to be investigated in other direction and treated if the cause is found.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, ENT & General Surgeon
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What Causes Persistent Dizziness In A Hypertensive Person?

Hi, As per the symptoms you have mentioned the cause can be related to the inner ear problem secondary to hypertension or medications itself or can have an independent problem. Hence I would advise you the following: Consult a Neuro-Otologist for clinical evaluation and examination. Further investigations as per the clinical evaluation. Other causes also need to be seen for. Cervical spondylitis and reduced vertebral artery reduced circulation. Cerebellar problems. Hence MRI of the suspected areas needs to be done. Also, needed is to take symptomatic management with Cinnarizine and other medications. Also watch for the stress anxiety as these can potentiate the problems. Your tests of ECG, EEG, halter monitoring and scans are normal hence needs to be investigated in other direction and treated if the cause is found. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T Chandrakant, ENT & General Surgeon