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Suggest Treatment For Light-headedness And Nausea

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Posted on Mon, 5 Dec 2016
Question: My wife, who is in very good health normally, is experiencing severe light-headedness and nausea if she lifts her head from the pillow. She has a history of sinus problems and her ears plugging up. Her BP is 116/68. This has lasted for 24 hours.
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Answered by Dr. Scott Rebich (1 hour later)
Brief Answer:
Vertigo, please see a medical professional for treatment

Detailed Answer:
Hi there,

Thank you for posting to HCM.

I sounds like she is suffering from vertigo which is a sensation of movement ("room spinning") when no movement is actually occurring. It may be induced by medications or anxiety disorders, as well as may other medical conditions that involve the ear, brain, brain stem, etc. It is usually a benign condition that is related to position (such as laying flat or sitting up).

However, it is important to distinguish between vertigo, presyncope (feels like you are going to black out; vision and hearing may become obscured), disequilibrium (off balance), and light-headedness (vague, inconsistent symptoms, no rotational component) as they all have different treatments and work-ups.

Its sounds like she has benign positional vertigo which is described as a mechanical disorder of the inner ear characterized by a period of vertigo (lightheadedness, dizziness, and nausea) experienced when the position of the head is changed. It is caused by abnormal stimulation of the inner ear which is composed of salts and fluid. As the salts (also known as canalith) fall into abnormal positions, they cause over-stimulation of the inner ear which causes a feeling of constant movement.

I would recommend seeing a medical professional that can preform a Dix-Hallpike test to help diagnose vertigo. The test provokes the characteristic nystagmus (dizziness, nausea, and lightheadedness) associated with the symptoms of vertigo.

In addition, a medical professional will be able to provide the appropriate treatment. The treatment is based on canalith repositioning procedure or Epley maneuver which are a series of movements to help reposition the fluid and canalith in the inner ear which are causing the vertigo. Your medical provider will also be able to provide you with anti-nausea medication as well.
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Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Scott Rebich

Internal Medicine Specialist

Practicing since :2015

Answered : 283 Questions

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Suggest Treatment For Light-headedness And Nausea

Brief Answer: Vertigo, please see a medical professional for treatment Detailed Answer: Hi there, Thank you for posting to HCM. I sounds like she is suffering from vertigo which is a sensation of movement ("room spinning") when no movement is actually occurring. It may be induced by medications or anxiety disorders, as well as may other medical conditions that involve the ear, brain, brain stem, etc. It is usually a benign condition that is related to position (such as laying flat or sitting up). However, it is important to distinguish between vertigo, presyncope (feels like you are going to black out; vision and hearing may become obscured), disequilibrium (off balance), and light-headedness (vague, inconsistent symptoms, no rotational component) as they all have different treatments and work-ups. Its sounds like she has benign positional vertigo which is described as a mechanical disorder of the inner ear characterized by a period of vertigo (lightheadedness, dizziness, and nausea) experienced when the position of the head is changed. It is caused by abnormal stimulation of the inner ear which is composed of salts and fluid. As the salts (also known as canalith) fall into abnormal positions, they cause over-stimulation of the inner ear which causes a feeling of constant movement. I would recommend seeing a medical professional that can preform a Dix-Hallpike test to help diagnose vertigo. The test provokes the characteristic nystagmus (dizziness, nausea, and lightheadedness) associated with the symptoms of vertigo. In addition, a medical professional will be able to provide the appropriate treatment. The treatment is based on canalith repositioning procedure or Epley maneuver which are a series of movements to help reposition the fluid and canalith in the inner ear which are causing the vertigo. Your medical provider will also be able to provide you with anti-nausea medication as well.