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Neurology (Expert Forum)
Dizzy all day
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Dizzy all day
by Cory, Dec 20, 1999 12:00AM
I am 27 years old and for about the last 5 months I have had feelings of dizziness for almost 90% of the day. On some days the
dizziness is pretty severe in that I get nauseaous and I don't want to walk too much because I feel that I am going to fall down. In addition to the dizziness I also have blurred vision on occasions and a dull ringing in my left ear that only lasts from a few seconds to a couple of minutes. All of my symptoms, dizziness, nausea, ear ringing, seem to get worse when I have a headache. I don't have these headaches very often but they are very annoying. I have had my blood pressure monitored and it is within normal range(116/68 to 130/80). I have also had an ECG, MRI,and blood work done and all came back normal except for the blood test which showed that my red blood cell count was a little high(I was told 16.2 and I don't know what that means.). I don't smoke and I only drink on average 6 beers a month. I haven't come down frome the mountains, which seems to be a popular question when talking about my RBC. I guess what I am wanting to know is if you have any suggestions on what might be going on. I am going to a neurologist this week and whould like go in knowing what types of questions I might need to ask.
Sincerely,
Cory
dizziness is pretty severe in that I get nauseaous and I don't want to walk too much because I feel that I am going to fall down. In addition to the dizziness I also have blurred vision on occasions and a dull ringing in my left ear that only lasts from a few seconds to a couple of minutes. All of my symptoms, dizziness, nausea, ear ringing, seem to get worse when I have a headache. I don't have these headaches very often but they are very annoying. I have had my blood pressure monitored and it is within normal range(116/68 to 130/80). I have also had an ECG, MRI,and blood work done and all came back normal except for the blood test which showed that my red blood cell count was a little high(I was told 16.2 and I don't know what that means.). I don't smoke and I only drink on average 6 beers a month. I haven't come down frome the mountains, which seems to be a popular question when talking about my RBC. I guess what I am wanting to know is if you have any suggestions on what might be going on. I am going to a neurologist this week and whould like go in knowing what types of questions I might need to ask.
Sincerely,
Cory
Doctor's Answer
by CCF Neuro[P] MD, RPS, Dec 20, 1999 12:00AM
Dear Cory:
Dizziness is a common complaint, but by no means a trival diagnosis. The normal MRI is good and rules out alot of worrisome possibilities. Some questions to ask the neurologist is if you have lost some hearing, so a hearning test would be a good thing. The basic question is whether your dizziness is due to something peripheral (outside the brain, like cranal nerves) or inside the brain. A Hillpike-Dix test will also give a good indication if your lesion is central or peripheral. The MRI would lend me to believe that it is outside the brain. The next thing to address is whether you might have Meniere's syndrome or disease. The history is not very convincing for this entity though. The hearing test will come in handy on this. This might also help in defining if there is a vestibular problem. Did they do an MRA along with the MRI? It might be good to know if all the vascular entities are normal. If your dizziness is related to a central syncope or not will probably be discussed. A basic panel of blood test will likely be performed to see if there is another source, like a vasculitis or something could be undermining your vestibular system.
Depending on the results of the above, your neurologist will likely purse the likely causes. I hope I have helped.
Sincerely,
CCF Neuro MD
Dizziness is a common complaint, but by no means a trival diagnosis. The normal MRI is good and rules out alot of worrisome possibilities. Some questions to ask the neurologist is if you have lost some hearing, so a hearning test would be a good thing. The basic question is whether your dizziness is due to something peripheral (outside the brain, like cranal nerves) or inside the brain. A Hillpike-Dix test will also give a good indication if your lesion is central or peripheral. The MRI would lend me to believe that it is outside the brain. The next thing to address is whether you might have Meniere's syndrome or disease. The history is not very convincing for this entity though. The hearing test will come in handy on this. This might also help in defining if there is a vestibular problem. Did they do an MRA along with the MRI? It might be good to know if all the vascular entities are normal. If your dizziness is related to a central syncope or not will probably be discussed. A basic panel of blood test will likely be performed to see if there is another source, like a vasculitis or something could be undermining your vestibular system.
Depending on the results of the above, your neurologist will likely purse the likely causes. I hope I have helped.
Sincerely,
CCF Neuro MD
I have had this for a good 2 1/2 years. Any help would be greatly appreciated. It really concerns me when Doctors have no diagnosis and I feel all alone on this.
Kevin
I am not sure what to tell you. There are many reasons for lightheadiness and also for vertigo. I am not sure what you have. But, I think you should visit another neurologist. Take all your records, films, and plenty of questions. But, there are times when we just don't know what is the cause. Hopefully, this will not be the final decision in your case.
Sincerely,
CCF Neuro MD
through this battle, i've learned that some doctors lack ears. they take the dough, but don't take the time.
let me know if you find it's vestibular and if you found any treatments that work. take care--
dawn
***@****
Sometimes being dizzy can be associated with people who suffer from sinus problems. The sinuses cannot drain and start to swell causing headaches and pressure against the inner ear, making you feel dizzy all the time. I had the same exact syptoms as Cory along with muscle twiches and it turned out to be Sinusitis.
I also had all the tests done which came out normal.
Now Im on anti biotics, and take a nasal decongestant to alleviate some of the dizzyness.
My two cents:)
CCF Neuro MD
Thank you