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Dizziness due to change in position, nausea, pressure in eyes. Had swelling in neck and back of the ear

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Internal Medicine Specialist
Practicing since : 1998
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I have light dizziness, mostly when I turn in bed to the left side. Sometimes I feel a little nausia, inside pressure on my eyes, recently have got a bit of salty taste. Reminds me some of the symptoms I had couple of years ago, at that time I also had light soft swelling of my neck below and at the back of left ear. At that time doctor said it is some kind of infection. It is going already for about 2.5 month. Otherwise I think I am healthy, do not suspect heart problems, going to the gym. Appreciate your thoughts.
Posted Mon, 23 Apr 2012 in Ear, Nose and Throat Problems
Answered by Dr. Jasvinder Singh 49 minutes later

Thanks for posting your query.

From the details provided, few important possibilities that I can think of causing dizziness when turning the head to the left, nausea, salty taste in mouth and pressure behind the eyes are:

1) BPPV (benign paroxysmal positional vertigo) caused by problems in the inner ear. Its symptoms are repeated episodes of positional vertigo which is a spinning sensation caused by changes in the position of the head.

2) The second possibility is of sinusitis. What happens is that during sinus infection, the sinuses get congested and this causes a pressure sensation behind the eyes, salty taste in mouth and maybe dizziness.
The swelling that you had earlier was most likely a swollen lymph node in response to an infection.

3) The third possibility is of acid reflux which can cause salty taste in mouth and nausea.

These conditions may be existing individually or together in some people leading to symptoms similar to yours.

You may find the following changes useful:

1) Drink plenty of fluids throughout the day and try steam inhalation. Inhaling steam from a bowl of hot (but not boiling water) may help to soften, and loosen, the buildup of mucus in your nose. This will lessen the dizziness and nausea. So do it 2-3 times a day.

2) Try raising the head of your bed about four inches with blocks.

3) It also might help to avoid eating or drinking for two hours before you lie down.

4) Also avoid taking two or three heavy meals. Instead, take regular frequent small meals.

5) Avoid taking tea or coffee prior to bedtime and concentrate more on a healthy diet.

6) To help control the stomach acid, one should not drink alcohol or drinks with caffeine in them, or eat chocolate or spicy or greasy foods.

7) Further, avoid eating any junk food or oily, spicy food. Take a healthy, balanced and nutritious diet consisting more of fruits, salads, soups and raw vegetables (after proper washing).

8) Also increase the protein content in your diet instead of carbohydrates and fats. An advice from a dietician will be helpful.

9) Also take some antacid but if the symptoms are severe, then you may need PPI inhibitors like omeprazole. Both antacid and omeprazole is available over the counter.

In addition to the aforementioned measures, it might be wise to consult an ENT surgeon (if you haven't met yet) to narrow down the possibilities. Specific management if any can be suggested after the initial consult.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wish you good health.


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