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Suggest Treatment For Persistent Dizziness And Loss Of Balance

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Posted on Fri, 30 Dec 2016
Question: I have constant dizziness and imbalance. I have been seen by my Dr, had wax removed from an impacted ear but nothing is helping. I am afraid to walk without help with a walker because I am afraid of falling. I was in the hospital for this but they concentrated on my heart fibs. What do I try next? I am 86 yrs old.
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Answered by Dr. Olsi Taka (1 hour later)
Brief Answer:
Read below

Detailed Answer:
I read your question carefully and I understand your concern.

It is unclear from your account whether the doctors have reached some conclusion on the cause of the balance issues. I am saying that as both inner ear issues as well as brain issues like stroke can lead to loss of balance. Having atrial fibrillation you are someone at high risk for stroke. There are other brain conditions which can cause altered balance as well like tumors, neurodegenerative conditions, cerebellar atrophy etc. So a head MRI would be advised if not already done.

In terms of medication when an inner ear issue is suspected medication like meclizine or betahistine is used. Apart from medication it is also important to undergo physical therapy, more specifically vestibular rehabilitation therapy which includes exercises to reduce vertigo.

I remain at your disposal for other questions.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Olsi Taka

Neurologist

Practicing since :2004

Answered : 3673 Questions

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Suggest Treatment For Persistent Dizziness And Loss Of Balance

Brief Answer: Read below Detailed Answer: I read your question carefully and I understand your concern. It is unclear from your account whether the doctors have reached some conclusion on the cause of the balance issues. I am saying that as both inner ear issues as well as brain issues like stroke can lead to loss of balance. Having atrial fibrillation you are someone at high risk for stroke. There are other brain conditions which can cause altered balance as well like tumors, neurodegenerative conditions, cerebellar atrophy etc. So a head MRI would be advised if not already done. In terms of medication when an inner ear issue is suspected medication like meclizine or betahistine is used. Apart from medication it is also important to undergo physical therapy, more specifically vestibular rehabilitation therapy which includes exercises to reduce vertigo. I remain at your disposal for other questions.