Thank you for your question. Dizziness can be caused by a variety of different things. Blood loss and
dehydration are more serious causes. Neurological problems are a potential source with strokes and
TIAAlzheimer’s disease
Blood differential
Bronchitis and normal condition in tertiary bronchus
Chem-20
Chem-7
Dementia
Essential hypertension
Essential tremor
Group b streptococcal septicemia of the newborn
Gynecomastia
Incontinentia pigmenti on the leg's as potential causes. Inner
earEar barotrauma
Ear discharge
Ear emergencies
Ear examination
Ear tube insertion
Ear tube insertion - series problems such as labrinthitis (an infection of the inner
earEar barotrauma
Ear discharge
Ear emergencies
Ear examination
Ear tube insertion
Ear tube insertion - series) and Mineniers disease ( a progressive degeneration of the inner ear) as possible causes. Migraines are a possible cause of dizziness. Medication side-effects are common causes of dizziness with many different medications causing this complaint. Autonomic dysfunction, more common in older men, can lead to dizziness. Cardiac causes of dizziness are usually due to fast or slow arrhythmias. A diagnosis of psychogenic dizziness should be made only after all other causes have been excluded.
The work-up for dizziness is guided by the symptoms and the suspicions of the doctor. It may include an ECG or Holter monitor test for heart rhythms, a tilt-table test may be used to exclude autonomic dysfunction, scans (MRI, CT) can be done to evaluate possible neurological causes as well as other neurologic tests that can be used. A good medication review and basic blood work is usually a good idea.
In summary, many things may cause dizziness and a good internist should be able to work through them to find the source.