Hi there. Dizziness could be due to heart conditions like hypotension and hypertension, rhythm disturbances, cardiomyopathy, metabolic causes like diabetes, hypothyroidism, neurological causes like brain tumor, cerebral aneurysm, etc. Consult your neurologist to investigate multiple sclerosis in you. cervical myelopathy and radiculopathy should also be checked for with MRI spine as compression of spinal cord and nerve rootscould cause these dizziness symptoms. MS has multiple symptoms and signs and is a diagnosis of exclusion. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs. Bowel and bladder symptoms include frequency of micturition, urine leakage, eye symptoms like double vision uncontrollable rapid eye movements, facial pain, painful muscle spasms, tingling, burning in arms or legs, depression, dizziness, hearing loss, fatigue etc. The treatment is essentially limited to symptomatic therapy so the course of action would not change much whether MS has been diagnosed or not. Apart from clinical neurological examination, MRI shows MS as paler areas of demyelination, two different episodes of demyelination separated by one month in at least two different brain locations. Spinal tap is done and CSF electrophoresis reveals oligoclonal bands suggestive of immune activity, which is suggestive but not diagnostic of MS. Demyelinating neurons, transmit nerve signals slower than non-demyelinated ones and can be detected with EP tests. These are visual evoked potentials, brain stem auditory evoked response, and somatosensory evoked potential. Slower nerve responses in any one of these is not confirmatory of MS but can be used to complement diagnosis along with a neurological examination, medical history and an MRI in addition, a spinal tap. Hope this helps. Take care.
The next should be to have an MRI of your head/brain done. The dizzines is either coming from your inner, your brain or something vascular is going on.
Are you taking anything for the dizziness? Serc? Betahistine?
Any history of heart or vascular problems?
An ECG or EKG is to check the rhythm of your heart.
going back to ENT today.....just really scared and need some answers on what to do, or what the next step is
how long does vertigo usually last?.....its been 3 months now and im still dizzy
thank you SO much for your reply.....i havent stopped crying in 2 days cause im just very scared
i have had 2 cat scans and 3 blood test done.....when i get real dizzy i will check blood sugar and that come back normal....
i went to ENT and had a VNG balance test and allergy test but those also came back normal
what does a ECG test?
going to see a neurologist on monday to see if he can find something out.....do you think that is the dr i need to see?
Hello,
First and foremost, regular estimation of blood sugar is important as hypoglycemia can lead to dizziness. Also get your blood pressure monitored as orthostatic hypotension due to sudden decrease in systolic BP can also cause dizziness.
Sometimes, there are partial or complete blockages in the arteries that supply the brain with blood. These blockages can cause a temporary loss of blood flow (called transient ischemic attack, or TIA for short), or permanent loss of blood flow (called stroke; also called cerebrovascular accident).This can lead to impaired blood flow through these arteries and so dizziness.
Ear infections and other causes like Meniere’s disease or inner ear diseases can lead to dizziness. If there is any ear pain or tinnitus along with then it may be the possibility.
Get the blood sugar evaluated and an ECG done. CT brain is also useful if a brain injury is suspected to be the cause of dizziness. The choice of treatment will depend on the diagnosis.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For exact diagnosis, you are requested to consult your doctor. I sincerely hope that helps. Take care and please do keep me posted on how you are doing.