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Treatment for dehydration due to vertigo problem - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1723 Questions
User :   My brother is experiencing vertigo and stiffness in toungue. He is a BP Patient, had suffered de-hydration the day before yesterday and since then the vertigo problem is there.
Doctor :   HI
User :   Hi Doc.
User :   My brother is , 27 years
User :   My brother is experiencing vertigo and stiffness in toungue. He is a BP Patient, had suffered de-hydration the day before yesterday and since then the vertigo problem is there.
User :   Current blood pressure is 135/110
Doctor :   What medicines he is on now?
User :   Morning:Loprsar XL 50, Night: Losar A 5/50
User :   These are for BP.
Doctor :   Ok
User :   What is the cause of dizziness?
Doctor :   Dehydration or diarrhoea can cause dizziness
User :   And now the tongue is getting stiff..
User :   when he speaks, it sounds like he is chewing something.
Doctor :   The BP you said is high
Doctor :   and the symptoms are something warrants a physical examination by a doctor
User :   ok.
Doctor :   There can be electrolyte imbalance
Doctor :   We need to run lot of tests
Doctor :   I suggest for an immediate appointment with his treating physician
User :   Have done blood tests, CT scan today
User :   CT Scan was normal
User :   Do you need any info from the blood test?
Doctor :   Did you consult the doctor and taken any opinion?
Doctor :   Yes
User :   We consulted for Dehydration.
User :   At that time there was bit of vertigo..
Doctor :   Dehydration can result in vertigo
User :   but that was supposed to go - as was suspected due to weakness.
Doctor :   Yes it should go but time line varies
User :   The doctor has prescirbed the following: Doctor :   Were electrolytes done in the blood
User :   Emeset 4mg, Cyclopan
Doctor :   Ok
User :   let me check
Doctor :   These are for vomiting and abdominal pain mainly
User :   I am having the blood test report in my hands now.
User :   what should I look for?
User :   There are two reports here: 1) Complete Haemogram, 2) Liver Function Test
User :   Would these contain information you might seek to detect Electrolyte imbalance?
User :   Are you there?
Doctor :   Yes
Doctor :   These do not contain the electrolyte
Doctor :   Were these tests ordered by the treating doctor or self referral
User :   The treating doctor.
Doctor :   Any thing abnormal in the tests
User :   I am writing the impressions from the Haemogram here: User :   Normocytic Normochromic Blood Picture with mild relative neutrophilia
Doctor :   Ok that is fine
User :   What should I do now?
User :   being a sunday, I cant get hold of a Specialist.
User :   Should I refer a physician and get a check on the symptoms?
User :   Bro is already on medications of BP, Dehydration and mild depression..
Doctor :   Can you call up the same treating doctor as he has examined your brother and ask about this new symptoms of tongue stiffness?
User :   ok.
Doctor :   His BP is high, I think it should be constantly monitored and noted in a book along with Pulse Rate
Doctor :   Are you sure he has no temperature right now?
User :   Temprature is fine.
Doctor :   IF you are able to connect to that doctor, follow as he says, otherwise my suggestion is to see at Emergency
User :   ok..
User :   Any precautions that should be taken?
User :   something to take care in diet, posture?
Doctor :   Ample water with electral
Doctor :   Electral Satchets
Doctor :   Let him get complete bed rest
Doctor :   Fluid diet
User :   Dalya, porridge?
Doctor :   yeah
Doctor :   coconut water, barley water, kichdi, daliya
Doctor :   are fine
User :   Fresh Orange Juice?
Doctor :   yes
Doctor :   All fresh fruit juices are recommended without salt and sugar
User :   ok
User :   Thanks doctor.
Doctor :   I think these should help him
User :   Should I wait till morning ?
Doctor :   Is there anything else I can nnswer for you
Doctor :   You can wait till morning under observation
Doctor :   any other symptoms should sense you to reach emergency at any local hospital
User :   ok
User :   Should pranayam be done to help with vertigo?
Doctor :   Not now
Doctor :   After he gets better
Doctor :   he can continue with Pranayamam
User :   ok.
User :   Thanks doctor.
User :   He had Dal roti for lunch
Doctor :   Thank you for consulting me
User :   that got vomitted out.
Doctor :   Restrict solid food
Doctor :   Only semisolid or liquid diet
User :   ok.
User :   Thanks doctor.
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