Aa
dizziness
hello
writing this i am currently under panic. I am 24 years old. About a week ago, i started experiencing dizziness. No nausia, no blur vision, no headaches, no ear pain or weird sounds. After a week, i still
exprerience constant dizziness, especially when i stand up or sit on a chair but almost none when i lie down. i ve run some blood tests where it seemed nothing wrong. HC and HGB where normal,
and blood suger and urine where normal as well. Today i started a treatment taking "Antivom" and "Sibelium". Antivom seems to be working after an hour but only slightly and not for long.
Doctor said if no improvement is marked in a week, i should see a neurologist or even an oncologist since it could be a brain tumor, although it is rather rare. And i find myself under sheer
panic. Could it be a brain tumor?
writing this i am currently under panic. I am 24 years old. About a week ago, i started experiencing dizziness. No nausia, no blur vision, no headaches, no ear pain or weird sounds. After a week, i still
exprerience constant dizziness, especially when i stand up or sit on a chair but almost none when i lie down. i ve run some blood tests where it seemed nothing wrong. HC and HGB where normal,
and blood suger and urine where normal as well. Today i started a treatment taking "Antivom" and "Sibelium". Antivom seems to be working after an hour but only slightly and not for long.
Doctor said if no improvement is marked in a week, i should see a neurologist or even an oncologist since it could be a brain tumor, although it is rather rare. And i find myself under sheer
panic. Could it be a brain tumor?
it was a labyrinth problem after all. thank you for the help. i hope everything will go as well for you. :) or better. :)
Glad your symptom is being treated & hope they found the source of the dizziness also.
Oh, and please get your ferritin (iron stores and best indicator my doc says about iron) and blood iron levels checked- low iron, even with an normal CBC can cause symptoms- personal experience.
It would help me if you could tell me what was flagged low and what was flagged high with your blood counts- I have an old lab book here at home and would be happy to try to find out some info for you. I can see from an old lab result of mine that has ref. ranges that your RBC looks to be a little high. My book, A Manual of Laboratory Diagnostic Tests, second edition by Frances Fischbach gives some potential interfering factors that can cause high RBCs, like extreme exercise and excitement, high altitude and a couple of drugs they list. Other than that, they say clinical implications with increased values are:
"1. Polycythemia vera
2. Secondary polycythemia (seen in erythropoietin-secreting tumors, in renal disorders such as hypernephroma and renal cysts, and in cancer of the liver)
3. Severe diarrhea
4. Dehydration
5. Acute poisoning
6. Pulmonary fibrosis
7. During and immediately following hemorrhage"
Perhaps some on that list you can immediately rule out? Anyway, if you would like more info like this, please tell me what's flagged high and what's flagged low.
With your BP and pulse numbers you just gave, you likely don't have POTS (though you might try it again at different times of day- like in the wee hours of the morning if you wake up to use the facility then or in the time of day when you are feeling at your worst).
There are recommendations out there to look away from your computer and at some distant spot every so often. But perhaps you might want to take a trip to the opthamologist.
One of the tests the ear, nose and throat doctor tests in regards to your vestibular system is a VNG. Another test is called VAT. See PM for more info.
"1. Polycythemia vera
2. Secondary polycythemia (seen in erythropoietin-secreting tumors, in renal disorders such as hypernephroma and renal cysts, and in cancer of the liver)
3. Severe diarrhea
4. Dehydration
5. Acute poisoning
6. Pulmonary fibrosis
7. During and immediately following hemorrhage"
Perhaps some on that list you can immediately rule out? Anyway, if you would like more info like this, please tell me what's flagged high and what's flagged low.
With your BP and pulse numbers you just gave, you likely don't have POTS (though you might try it again at different times of day- like in the wee hours of the morning if you wake up to use the facility then or in the time of day when you are feeling at your worst).
There are recommendations out there to look away from your computer and at some distant spot every so often. But perhaps you might want to take a trip to the opthamologist.
One of the tests the ear, nose and throat doctor tests in regards to your vestibular system is a VNG. Another test is called VAT. See PM for more info.
one more thing. it seems that things are getting a LOT worse after a sit for a while in front of the pc screen (aprox 40 cm from it). While looking at the screen i feel no dizzy at all, when i turn my eyesite alone somewhere else i would feel it.
after lying for 10 mins: BP: 117/77 HR: 76
after standing for 3 mins: BP: 117/75 HR: 82
i have never done an echocardiogram. of course i wanna learn more about POTS you are welcome to send whatever may seem helpful.
almost all the blood indicators were off the normal (other higher and other lower than average) but just for a little.
moreover this is the second day i am under Betahistine. i feel a bit better today, but i dont know whether this is due to the medicine or some other disease is just fainting out. Today i dont
get dizzy all the time. and i dont even get dizzy when sitting. just when i stand and even then it is not constant like the previous days, but it comes in waves, especially when i turn
abruptly or bend. finally today i had a new symptom. my right ear has a weird feeling. not pain, but something like what you feel when you put your finger in it. sorry cant describe it
otherwise.
thank you going into trouble writing such an extended reply SurgiMenopause. :)
after standing for 3 mins: BP: 117/75 HR: 82
i have never done an echocardiogram. of course i wanna learn more about POTS you are welcome to send whatever may seem helpful.
almost all the blood indicators were off the normal (other higher and other lower than average) but just for a little.
moreover this is the second day i am under Betahistine. i feel a bit better today, but i dont know whether this is due to the medicine or some other disease is just fainting out. Today i dont
get dizzy all the time. and i dont even get dizzy when sitting. just when i stand and even then it is not constant like the previous days, but it comes in waves, especially when i turn
abruptly or bend. finally today i had a new symptom. my right ear has a weird feeling. not pain, but something like what you feel when you put your finger in it. sorry cant describe it
otherwise.
thank you going into trouble writing such an extended reply SurgiMenopause. :)
Your heart rate is increasing in an effort to keep your blood pressure from dropping further and potentially passing out. I looked up the definition of orthostatic hypotension, but it says the drop has to be 20/10 mmHg, which yours didn't fall by more than that.
Did you wait at least two to three minutes after standing to allow for your BP to stabilize (if it was going to)? If not, would you be willing to try it again, laying for ten minutes, take your blood pressure and pulse, stand for at least two to three minutes & take them again and tell me what numbers you get, because it's sounding like you are suffering from orthostatic intolerance. Also, have you had an echocardiogram to make sure your heart valves and structure look okay?
I have a condition called postural orthostatic tachycardia syndrome (POTS), which is diagosed using something called a tilt table test. With POTS, the heart rate increases by at least thirty beats per minute within a certain length of time after standing up from a laying down position, but the blood pressure typically (when you take it after two or three minutes) is pretty stable or increases (mine often increases). It is a form of "dysautonomia"- there's a forum on medhelp for dysautonomia, which is dysfunction of the autonomic nervous system, and your heart and blood pressure are a part of that system. My tachycardia is at its worse after I've been lying down sleeping and get up. There are some other criteria for diagnosing POTS as well and if you're interested, just let me know and I'd be happy to PM you more info on it.
When my iron has gone low and I had a normal CBC, my heart rate increased even more than usual with my POTS & I believe I experienced more shortness of breath and light headed and was definitely more fatigued. So, please get your iron and ferritin (doctor recently told me ferritin best indicator) checked for iron deficiency, because it can cause dizzy or light headed feelings, rapid heart rate and a lot more.
There are other vestibular disorders besides Meneire's and there is testing that the ear nose and throat doctor does to see if you have this type of problem, so you may want to explore that avenue at some point as well. Even a neck problem can affect your equilibrium.
You went to a lot of trouble it looks like, posting all those blood test results- were any flagged as outside normal range (high or low)?
Did you wait at least two to three minutes after standing to allow for your BP to stabilize (if it was going to)? If not, would you be willing to try it again, laying for ten minutes, take your blood pressure and pulse, stand for at least two to three minutes & take them again and tell me what numbers you get, because it's sounding like you are suffering from orthostatic intolerance. Also, have you had an echocardiogram to make sure your heart valves and structure look okay?
I have a condition called postural orthostatic tachycardia syndrome (POTS), which is diagosed using something called a tilt table test. With POTS, the heart rate increases by at least thirty beats per minute within a certain length of time after standing up from a laying down position, but the blood pressure typically (when you take it after two or three minutes) is pretty stable or increases (mine often increases). It is a form of "dysautonomia"- there's a forum on medhelp for dysautonomia, which is dysfunction of the autonomic nervous system, and your heart and blood pressure are a part of that system. My tachycardia is at its worse after I've been lying down sleeping and get up. There are some other criteria for diagnosing POTS as well and if you're interested, just let me know and I'd be happy to PM you more info on it.
When my iron has gone low and I had a normal CBC, my heart rate increased even more than usual with my POTS & I believe I experienced more shortness of breath and light headed and was definitely more fatigued. So, please get your iron and ferritin (doctor recently told me ferritin best indicator) checked for iron deficiency, because it can cause dizzy or light headed feelings, rapid heart rate and a lot more.
There are other vestibular disorders besides Meneire's and there is testing that the ear nose and throat doctor does to see if you have this type of problem, so you may want to explore that avenue at some point as well. Even a neck problem can affect your equilibrium.
You went to a lot of trouble it looks like, posting all those blood test results- were any flagged as outside normal range (high or low)?
these are my blood tests, run 4 days ago:
sugar: 95 mg/dL
Urine : 36.7 mg/dL
Transaminase ALT (SGPT) : 29.2 U/L
HCT : 39.3%
HGB 12.7 gr/dL
RBC 5.96 M/ml
MCV 65.9 fl
MCH 21.3 pg
MCHC 32.3 gr/dL
RDW-CV 19.2%
NEUT 59.2%
LYM 28.5%
MONO 7.3%
EOS 4.9%
BASO 0.1%
PLT 279 K/ml
PCT 0.34%
MPV 12.3 fl
PDW 20.6 %
sugar: 95 mg/dL
Urine : 36.7 mg/dL
Transaminase ALT (SGPT) : 29.2 U/L
HCT : 39.3%
HGB 12.7 gr/dL
RBC 5.96 M/ml
MCV 65.9 fl
MCH 21.3 pg
MCHC 32.3 gr/dL
RDW-CV 19.2%
NEUT 59.2%
LYM 28.5%
MONO 7.3%
EOS 4.9%
BASO 0.1%
PLT 279 K/ml
PCT 0.34%
MPV 12.3 fl
PDW 20.6 %
there is also another symptom i have noticed (not even sure if it is a symptom at all). the dizziness is greater when i have laid down for a longer period. especially after sleep or long time lying on the bed. furthermore the day i went to the doctor, i went on bicycle. i was dizzy at first, but after an hour or so i was feeling perfect. then i went back home, i laid down on the bed and when i got up again i was dizzy.
no wait. actually there is something wrong going on as far as blood pressure is concerned. these are the steps.
lying down: blood pressure: 124/83 heart pulses: 73
standing up : BP : 116/73 HP : 103
i dont find it the logic of the blood pressure droping while the heartbeat rising.
lying down: blood pressure: 124/83 heart pulses: 73
standing up : BP : 116/73 HP : 103
i dont find it the logic of the blood pressure droping while the heartbeat rising.
when i am standing i have a pressure of 146 whereas when iam lying down my blood pressure drops to 136 after a few seconds.
i dont know whether what i experience can be named as vertigo. i feel what i was feeling after a good drinking. no faint or blackout symptoms though.
i havent checked my iron and feritin specifiacally since the hematocrite was proven to be alright.
I havent seen any ear nose and throat specialist i must admit. but from what i was told the therapy i am currently under is targeted for Meniere syndrome with betahistine hydrochloride.
i dont know whether what i experience can be named as vertigo. i feel what i was feeling after a good drinking. no faint or blackout symptoms though.
i havent checked my iron and feritin specifiacally since the hematocrite was proven to be alright.
I havent seen any ear nose and throat specialist i must admit. but from what i was told the therapy i am currently under is targeted for Meniere syndrome with betahistine hydrochloride.
Well, you should get checked, particularly since your doctor suggests it.
But have you had any testing by an ear nose and throat specialist to see if you have a vestibular issue, which can affect your sense of balance. Also, Meneire's disease (ear problem) can cause dizziness.
You say you are more dizzy when you sit or stand- have you had orthostatic blood pressures and pulses taken- laying, sitting and standing? Do you have a drop in blood pressure when you stand (which can make a person feel lightheaded)- called orthostatic hypotension, sometimes caused by not drinking enough. Is the dizziness more of a light headedness or is the room spinning (vertigo) when you sit or stand?
You might check out the dysautonomia forum, because lots of us there suffer from what a lot of people would call dizziness - it's worse when not laying down. The pulse rate can go up dramatically between laying and standing in those like me, who have postural orthostatic tachycardia syndrome. I can get light headed and even have my vision start to go gray or white, like I'm about to faint.
Also, did you get your iron and ferritin (iron stores) tested? Because a person can have symptoms of iron deficiency, even if it has not yet caused their CBC, including hemoglobin and hematocrit, to go outside normal range.
But have you had any testing by an ear nose and throat specialist to see if you have a vestibular issue, which can affect your sense of balance. Also, Meneire's disease (ear problem) can cause dizziness.
You say you are more dizzy when you sit or stand- have you had orthostatic blood pressures and pulses taken- laying, sitting and standing? Do you have a drop in blood pressure when you stand (which can make a person feel lightheaded)- called orthostatic hypotension, sometimes caused by not drinking enough. Is the dizziness more of a light headedness or is the room spinning (vertigo) when you sit or stand?
You might check out the dysautonomia forum, because lots of us there suffer from what a lot of people would call dizziness - it's worse when not laying down. The pulse rate can go up dramatically between laying and standing in those like me, who have postural orthostatic tachycardia syndrome. I can get light headed and even have my vision start to go gray or white, like I'm about to faint.
Also, did you get your iron and ferritin (iron stores) tested? Because a person can have symptoms of iron deficiency, even if it has not yet caused their CBC, including hemoglobin and hematocrit, to go outside normal range.
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