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Migraine with vertigo problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Headache and Migraines
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Questions about vestibular system
Doctor :   go ahead please ?
User :   i've had constant imbalance for almost a year now, and have been to hospital and they ran a bunch of tests and everything came back normal and diagnosed me with migraine associated vertigo. Have you heard of this
Doctor :   may i know your age and gender please ?
User :   31, male
Doctor :   and have you been on any medications ?
User :   My main question is if inner ear problems only cause a spinning type of vertigo
Doctor :   yes i have heard about the condition
User :   I was on nortrptaline for 2 months without success
User :   i've never had spinning vertigo
User :   only rocking feeling and tilt to the right
Doctor :   vertigo can be spinning as we as the tilting as you are telling me
Doctor :   and its not necessarily that inner ear problem
Doctor :   there are many conditions that can cause it
User :   they did the test with the water in the ear and was normal. and some other balance tests that came out normal. does this mean the inner ear is perfectly normal
Doctor :   and yes migraine being one of them
Doctor :   do you have any other medical problem ?
User :   so my problem probably cerebellum or brain stem
User :   no
User :   plus never had a migraine headache in my life or motion sickness
Doctor :   so you never had a headache ?
Doctor :   no migraine attack ?
User :   i like to think I'm pretty well educated on the migraine thing now days
User :   no heavy pain but slight pain i notice on the right side from time to time
Doctor :   migraine is a severe headache
User :   not mine
User :   never severe
Doctor :   were any CT or MRI tests done ?
User :   yes
User :   all normal
User :   ct and mri and mra
Doctor :   this imbalance you have, is it constant ?
Doctor :   what makes it better and what makes it wosre?
User :   everyday never goes away
User :   it's worse if i do some jogging
Doctor :   have you experienced any hearing loss ?
User :   right ear seems a little funny, but all the tests are good, no hearing loss
User :   I was diagnosed at u of m hospital
User :   michigan
User :   I have a history of anxiety and a few panic attacks in my life
Doctor :   and its been 2 months you are on medications ?
User :   no, i dumped the nort in mid december after 2 months
Doctor :   you should not stop medication without medical supervision
User :   strange eneough, when i was weaning off nort for two weeks, i actually felt normal again for about 3-4 days
User :   yea, my doc got me off them
Doctor :   ok and at this moment are you on any medication ?
User :   no, i've been reading a ton on the benefits of exercise and it soundsl like consistant aerobic type of exercise can be just as beneficial as antidepressants if you stay conisistant
User :   and healthy diet of course
Doctor :   that is absolutely correct
Doctor :   you are right on that
User :   so my plan is to eat healthy and exercis 5 days a week and see what happens
User :   but if my inner ear isn't working right, then it won't matter if I exercise, that won't fix it right?
Doctor :   thats as a matter of fact is the right approach and i can assure you , you will benefit form it
Doctor :   it will as some times vertigo can be also due to low circulation
User :   the exercise makes it slightly worse
Doctor :   and exercise actually helps in that
User :   I've also notice my right ear only, gets red at times, not the left
Doctor :   you should consult a ent PHYSICIAN
Doctor :   it might be minor infection
User :   all my problems seem to be right sided
Doctor :   as that too can cause it
User :   i've seen 2 of those already
User :   they all say inner ear is good
User :   i don't know why i have a hard time believing them
Doctor :   ok then i guess you should exercise a shot
Doctor :   as all your tests are normal
User :   my next ? is what is migraine mechanism of action
User :   i've read that it swells your blood vessels
Doctor :   migraine is due to the opening and narrowing of blood vessels in the head.
User :   almost like a stroke?
Doctor :   cause is related to genes that control the activity of some brain cells
Doctor :   no not exactly a stroke
Doctor :   the pain is very severe
User :   if I take nitric oxide pills, they are suppose to dialate your blood vessels, could that maybe work
Doctor :   they dont work on the vessels in your brain
User :   it seems I'm not getting the right supply of blood to areas of the brain, but not little eneough to cause real problems
Doctor :   but in your body
User :   oh
Doctor :   so thats not the correct medication
User :   what about lipoflavanoids
User :   it's suppose to get more blood to inner ear
User :   but if inner ear is normal, then that wouldn't matter right
Doctor :   there are medications that are specific for crebral vessels
User :   what kinds
Doctor :   exercise works 100% on every vessel of the body
User :   then theres my answer
Doctor :   the medications are always TARGET specific
User :   If I was fully confident exercise is the best option and should fix all than i wouldn't have such back and forth thoughts about exercise treatment
Doctor :   thats right
Doctor :   a healthy body leads to a healthy mind
Doctor :   they are interconnected
User :   so it would be safe to say after all my tests, that the inner ear is just fine, should start the exercise process
User :   and see what happens after a few months
Doctor :   the tests you underwent are highly specific and highly sensitive and are diagnostic
Doctor :   and they coming normal is that there is nothing to worry about
User :   i just don't know why exercising would make this condition worse
Doctor :   dont exert too much to begin with
Doctor :   step up slowly
Doctor :   and you will be fine
User :   maybe worse at first then gradually get better
User :   i do take magnesium citrate daily
User :   500 mg
Doctor :   thats fine
User :   i've had a shit diet for many years and sometimes wonder if that caused this in the first place
User :   i eat pizza on a daily basis
User :   i know i shouldn't but i do
Doctor :   yes you should not
Doctor :   eat healthy
User :   have you ever heard of dizziness like mine before
User :   kind of unexplained,
User :   I've only got the migraine diagnose cause they ruled out everything else
User :   they actually told me that
User :   i've seen lots of people online and most of there docs just give them anitdepressants for depresion or anxiety and they've said it goes away
Doctor :   well lets follow this exercise regime now
User :   I'd rather do that any day than be back on any meds.
User :   well thanks for all your help.
Doctor :   your most welcome
Doctor :   take care of your self
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