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What Causes Dizziness Post Prolactinoma Surgery?
Question: Hi Sir,
My dad got a prolactinoma(pituatory macrodenama) surgery. He lost vision in his left eye before the surgery. The tumour is removed completemly and its benign. he is now feeling that his head is spinning when he turns his side while sleeping.Bp is normalHis he feels dizziness, pls advice, is it serious?
My dad got a prolactinoma(pituatory macrodenama) surgery. He lost vision in his left eye before the surgery. The tumour is removed completemly and its benign. he is now feeling that his head is spinning when he turns his side while sleeping.Bp is normalHis he feels dizziness, pls advice, is it serious?
Brief Answer:
It is due to peripheral vertigo.
Detailed Answer:
Hi,
Thank you for getting back.
I have noted your dad's new symptoms. First of all, I would like to reassure you that there is no need to worry, as these do not suggest any serious illness.
The symptoms are suggestive of peripheral vertigo, due to a condition called as BPPV- benign paroxysmal positional vertigo. In this condition, there are minor problems in the inner ear, and dizziness occurs with changes in head or neck position.
The symptoms would improve with medications such as betahistine (vertin) tablets, and vestibular adaptation exercises would also help.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://XXXXXX
It is due to peripheral vertigo.
Detailed Answer:
Hi,
Thank you for getting back.
I have noted your dad's new symptoms. First of all, I would like to reassure you that there is no need to worry, as these do not suggest any serious illness.
The symptoms are suggestive of peripheral vertigo, due to a condition called as BPPV- benign paroxysmal positional vertigo. In this condition, there are minor problems in the inner ear, and dizziness occurs with changes in head or neck position.
The symptoms would improve with medications such as betahistine (vertin) tablets, and vestibular adaptation exercises would also help.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://XXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
He is telling that he is getting pain in the scalp and his heart beat is 110. Please advice
Brief Answer:
Medications would help.
Detailed Answer:
Thank you for getting back.
For pain, he can take ETOSHINE (etoricoxib) 90 mg tablets.
Heart rate is slightly high, may be due to anxiety. If it remains high, he can be shown to a general physician.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Medications would help.
Detailed Answer:
Thank you for getting back.
For pain, he can take ETOSHINE (etoricoxib) 90 mg tablets.
Heart rate is slightly high, may be due to anxiety. If it remains high, he can be shown to a general physician.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
sir is it normal or serious? I am sorry that i am troubling u by asking lot of questions. Are those common things happens ayfter pituatory tumor surgery? Can i again get his hormones tested? May be its happening because of cabergoline. the day he takes cabergoline , he feels weak next day
Brief Answer:
These symptoms are common after surgery.
Detailed Answer:
Thank you for getting back.
These symptoms are common after pituitary surgery and are not serious.
You can get his hormones tested under the guidance of an endocrinologist.
Cabergoline may cause mild weakness.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
These symptoms are common after surgery.
Detailed Answer:
Thank you for getting back.
These symptoms are common after pituitary surgery and are not serious.
You can get his hormones tested under the guidance of an endocrinologist.
Cabergoline may cause mild weakness.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
he vomitated after drinking milk, hbe is complaining, his left eye is paining bit
Brief Answer:
Symptomatic treatment may be given.
Detailed Answer:
Thank you for getting back.
He can be given zofer (ondansetron) tablets 8 mg to prevent further vomiting.
Please also get his serum electrolytes (sodium and potassium) checked to exclude any derangements.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Symptomatic treatment may be given.
Detailed Answer:
Thank you for getting back.
He can be given zofer (ondansetron) tablets 8 mg to prevent further vomiting.
Please also get his serum electrolytes (sodium and potassium) checked to exclude any derangements.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
is it serious sir? Any home remedy as i got endroconologist appointment on Monday only, before that what shall i do?he just vomitated once
Brief Answer:
Not serious.
Detailed Answer:
Thank you for getting back.
As suggested, please give zofer tablets to control vomiting.
If vomiting does not recur, you can wait.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Not serious.
Detailed Answer:
Thank you for getting back.
As suggested, please give zofer tablets to control vomiting.
If vomiting does not recur, you can wait.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Brief Answer:
Please increase salt intake in the diet.
Detailed Answer:
Thank you for getting back.
Sodium level is slightly low, please increase salt intake in his diet.
TSH is slightly low, so, the dose of thyroid medication may have to be reduced. However, please check with his endocrinologist before reducing the dose.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Please increase salt intake in the diet.
Detailed Answer:
Thank you for getting back.
Sodium level is slightly low, please increase salt intake in his diet.
TSH is slightly low, so, the dose of thyroid medication may have to be reduced. However, please check with his endocrinologist before reducing the dose.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
hI Sir,
Is there any need to worry? water intake should be more or less?he is taking
thyronom 100 mcg. have you seen that haemoglobin and all report in the 2nd page?
Please advice
Is there any need to worry? water intake should be more or less?he is taking
thyronom 100 mcg. have you seen that haemoglobin and all report in the 2nd page?
Please advice
Brief Answer:
Hemoglobin is slightly low.
Detailed Answer:
Thank you for getting back.
There is no need to worry.
Water intake can be normal.
For low hemoglobin, iron supplements may be used.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Hemoglobin is slightly low.
Detailed Answer:
Thank you for getting back.
There is no need to worry.
Water intake can be normal.
For low hemoglobin, iron supplements may be used.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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