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Remedy for spinning head and vomiting in morning - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
Doctor :   Hi Drxxx here
Doctor :   How can i help you?
User :   I am xxx. Age 40, Height 160 cm, wt 86 kg. I am having head reeling every day frequently. It is accute in the morning and is accompanied by vomiting. That without vomiting continues for 1 hr or more. What is the reason?
Doctor :   do u have any ringing in the ear ?
Doctor :   and is this dizziness starts as soon as you wake up , and get off the bed ?
User :   Yes, A low frequencey sound. Heearing is low . That is in my right ear.
User :   Yes. Dizziness
Doctor :   have u got your ears examined ?
Doctor :   ok
User :   Once I took the medicine and was ok. Now the same phenomena repeating
Doctor :   may i know what medicine you had taken?
Doctor :   have your blood tests been done any time ?
Doctor :   and have conditions like anaemia, been ruled out?
User :   Long back. 2 yaers back. Exactly I do not remember.
User :   Yes. Blood test shows normal esonophil and others
User :   No anaemia
Doctor :   ok
Doctor :   I am of the opinion, that you may be having BPPV (benign paroxysmal positional vertigo)
Doctor :   this is a very common condition, due to change in fluid levels in the inner ear canals
User :   I had heart burn, high blood pressure. I am taking medicine olmezest 40 for last 4 months after consulting with cardiologist. My BP for last three months under control 120-126/80
Doctor :   and can be treated with simple prescription medications
Doctor :   thats is ok,
Doctor :   this is not concerning the BP
Doctor :   this is totally different condition and is seen more commonly in women
User :   Yes in my opinion. BP is not the problem
Doctor :   there is nothing to be worried about BP here,
Doctor :   the way forward, is consult a ENT doc, who will see if there is any wax , or any infection in the ear
Doctor :   since your hearing is less, the most common cause could be wax in the ear
Doctor :   if thats not the condtion, the Diagnosis, BPPV, can be treated symptomatically as well
Doctor :   also, as soon as you wake up, try neck excercises, like moving your head front and back, side to side for 5 -10 mins before gettgin of the bed
Doctor :   Are u there ?
Doctor :   Are u following my advice?
User :   yes. Is there any problem in head(brain) do i need scan
Doctor :   at the moment, dont worry about any investigations
User :   Is it due to intracranial pressure
Doctor :   as your symptoms are due to benign vertigo
Doctor :   no, its not due to raised ICT
Doctor :   And please dont go about, articles on the net and worry about it
User :   Ok
Doctor :   just FOLLOW the excercises that i mentioned
Doctor :   for about a week
Doctor :   if you dont see any differance, then see your GP or a ENT doc, who will give you the needed help?
User :   Thank you doctor. I will come back to you after having check up with ENT specialist
Doctor :   but rest assured, that there is nothing serious with you
Doctor :   sure, thanks for consulting me
User :   Thanks a lot
Doctor :   please give your feedback as u log out
Doctor :   bye for now
User :   yes. I am loging out
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