Thanks for your advice, I've decided to give it a couple of week on the B12 injections and the increased anti-depressants and if that doesn't help I will seek advise from another Doctor. I'm starting to keep a diary of symptoms so I have something to show when I go back... although I've not kept track the last couple of days :-(
Hi
Welcome to the MedHelp forum!
Since you had a nose bleed, check and see if you have high blood pressure. This can cause nose bleed too and dizziness. Otherwise it could be due to a polyp in nose or due to heat. Vit B12 deficiency too can cause nose bleed and dizziness. It could be that loss of Vit B12 from your body is more than what is being replenished. Low intrinsic factor in gut that hampers absorption, pernicious anemia, parasites in the gut, diet poor in Vit B12, Crohn;s disease, IBS, or poor metabolism by liver are the causes behind it. Please consult a doctor to rule these out. Take a diet rich in Vit B12 which should include meat and animal products, cheese, such as beef, liver, salmon, cod, and eggs. Take B12 supplements and breakfast cereals fortified with vitamin B12. Finding the cause is important.
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.
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.
I think you should discuss these possibilities with your doctor. It is difficult to comment beyond this without examining. A comprehensive investigation is required keeping all the points in mind.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
First never let someone tell you its all in your head....(VERY UNPROFESSIONAL on that doctors part!) be your own advocate it is the only way things will get done, see someone eles, demand attention, after all who knows you better than your self. Find a doc. that will lisen and request to see specialist if problem can not be found by general family doc..GOOD LUCK, hope this is useful.