Dizziness

My father is 84, lives in Southern Florida and suffers from periodic dizziness (fainted twice).  It lasts only a few seconds each time and is always preceded by a feeling of pressure/burning/tingling that travels from his stomach up through his esophagus up to his head.  He has been fully tested by his cardiologist, gastroenterologist and internist and they cannot identify the problem.  He has chronic bronchitis and uses a nebulizer three times a day.  Also, he recently has swollen ankles.  Just today the dizziness has been repeating frequently (before this it was sporadic).  Any ideas what could be the problem?  Thanks you.

[Kevin Pho, MD]

There can be many diseases that can lead to the symptoms.  I would assume that the cardiologist has already evaluated him via a stress echocardiogram and event/Holter monitor.  A carotid ultrasound looking for stenosis can also be considered.  

Regarding GI causes, an upper endoscopy can be considered to look for upper GI diseases - such as GERD, inflammation or an ulcer.

At this time, a neurology referral can be considered.  A brain MRI can look for intracerebral causes of dizziness.

This option can be discussed with his personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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