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Vertigo over four months.

I have been suffering from vertigo for over four months now.  It had caused me to fall a few times.  I've been through 2 CAT scans and an VNG which came back normal.  There was some easement of my constant dizziness two weeks ago, at times I almost forgot I had it till I made a sudden move or bent over.  Then my ENG put me on Vestibular Exercises.  After the first week I noticed my vertigo was returning.  By the eleventh day I woke up to find I was much, much worse and I was vomiting.  My ENG was out of town but another Dr. in her clinic told me to take meclazine again (my ENG had told me to stop) and call my ENG.  The vomiting stopped and the vertigo eased a bit after two days but not back to where I was.  I can't get past my ENG's voicemail or receptionist yet and am still waiting for a return message. ( I know you will say find another Dr. but I am on medicare and have limited to no choices on Dr.s in my small home town and I am unable to drive anyway.  Finding transportation is difficult. I am a widow and live alone.)  I have had severe migraines for over ten years.  One of my triggers is air pressure changes and this time of year is always the worst. I also have general anxiety disorder  I'm just plain misrable and, frankly, scared and depressed.  Until my ENG finally gets back to me do you have any opinion as to what is going on?
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
If ear is the cause of vertigo (rotator movement of self or environment) then it could be due to benign positional vertigo, Meniere's disease, vestibular neuronitis and labyrinthitis. Other causes of dizziness are otitis media, trauma, side effects of drugs, and fluid in ear. All these causes will have to be ruled out one by one by your ENT through specialized test. If it is blocked Eustachian tube, then doing a valsalva maneuver (Done by taking a deep breath and blowing while pinching your nostrils and closing your mouth) will help. This will help clear the secretions in the tube that connects the back of your throat with your ear.
There are many causes of dizziness, lightheadedness, passing out, blackouts etc. It is difficult to comment without examination. I am just enumerating the possible causes. You can discuss this with your doctor and get yourself examined. Dizziness could be due to postural hypotension (blood pressure falling with change of position), internal ear problems and cervical spondylitis or compression of cervical spinal nerves. All these cause dizziness when you get up from lying down position or when you change position that results in a change in the level of your head. Cervical spondylitis and ear problems also cause dizziness on changing the position of the neck.
Other causes are anemia, claustrophobia, GERD, hypoglycemia or low sugar and some endocrine problems. Endocrine problems, such as an underactive thyroid (called hypothyroidism), overactive thyroid (called hyperthyroidism), adrenal insufficiency (called Addison's disease), low blood sugar levels, and in some cases, diabetes, may lead to hypotension and hence lightheadedness and an off balance feeling.
Certain types of epilepsies and seizures too can cause similar symptoms. If you have an accompanying headache then you must also look at benign intracranial hypertension. Heart problems too should be ruled out in your case. If all other tests are normal, maybe an ECHO should be done to rule out mitral valve prolapse. Patent foramen ovale too could be the cause (commonly known as hole in the heart). It can also be chronic fatigue syndrome if all other causes are ruled out. A brain lesion too can cause dizziness but often there are other neurological signs such as numbness, tingling, loss of function of a limb etc.
Please consult your PCP for primary examination followed by proper referral.
Hope this helps. Take care!


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Avatar universal
my dr told me it was vertigo, cant turn my head fast or look up or down it starts it,but went to ent dr, said i have meniere's disease,inner ear also, sounds like you might have the same. have you seen one yet?
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Avatar universal
Thanks.  Will do.
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Avatar universal
Okay... I've only herd of this once or twice but have you ever been on a boat? even maybe.. 10 years ago? If you can't drive because of this you will find that it feels better to drive because you are constantly changing. It's this pulling and pushing evening out. Look up mystery diagnosis and then try vertigo. It was a lady and her story seems VERY simmilar.
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