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Lightheaded;dizzyness; ear blocked
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Lightheaded;dizzyness; ear blocked

i always had this feeling of sleepy, then dizzy and lightheaded... then theres an instance that i feel that my ears are blocked and dizzy... why do i feel it...? it has something to do with allergy, high blood pressure or what...?
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Avatar dr m tn
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.

Without the ability to examine and obtain a history, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.

I am not sure what you mean by the term dizziness. When some people use the term dizziness, they often mean vertigo, or room-spinning. Others mean a light-headed, whoozy feeling.

If by dizziness you mean vertigo (room-spinning), the causes could be either the inner ear or the brain. Inner ear causes of vertigo most commonly include benign positional vertigo (BPPV), which is due to small particle in the inner ear that moves out of place, and can be repositioned with simple head maneuvers. The symptoms often include vertigo that occurs with turning of the head, often while turning over in bed. Another cause, if your symptoms are associated with tinnitus (ear ringing) and hearing loss is called Meniere’s disease and can be treated with medications and sometimes surgery. And so on, several other causes from inner ear problems exist.

Vertigo can also be due to problems in the brain (which are MUCH rarer than inner ear or psychological causes of vertigo). The most common is a benign tumor called a schwanoma (also called acoustic neuroma). This is diagnosed by MRI of the brain. Multiple sclerosis can cause vertigo, but often, other symptoms are present as well. A normal MRI of the brain excludes multiple sclerosis. Thyroid problems can also lead to vertigo.

If by dizziness you mean light-headedness, causes could include low blood pressure such as due to dehydration or autonomic dysfunction, cardiac problems, and several other non-neurologic causes. Anemia can cause light-headedness as well.

Lastly, anxiety can cause a feeling of dizziness. This is a psychological and physiological condition with a multitude of symptoms. They include heart palpitations, muscle tension, fatigue, nausea, chest pain, shortness of breath, headaches, and GI symptoms such as diarrhea to name a few. Anxiety can also be accompanied with panic attacks such as a feeling of impending doom or death.

You should visit your primary care physician to discuss your symptoms. It would be important to get basic labs performed to ensure that your blood counts, chemistry and thyroid are normal. Also, orthostatic vitals would be important. After a careful discussion, you and him/her will then need to decide on future diagnostics and management.

Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.

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