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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dizziness While Bending, Headache, Numbness In Mouth. History Of Low BP. Father Died Of Primary Amaloiditis. Suggestions?

My name is Ann. For the past few weeks I have been feeling dizzy when I got up or bent down then got up. I have a history of low blood pressure. I was taking duramine and venlafaxine Sandoz xr 75 mg at the time. The dizziness started to become worse so I stopping taking the duramine approx. 10 days ago. In the past two days the dizziness has become more intense as a
well as a feeling of being off balance, slight nausea and a slight headache. I stopping taking the venlafaxine two days ago. Today the dizziness has become worse as well as a feeling of being of being almost numb in my mouth. Also during my sleep last night I pulled a calf muscle. At this time I am under a lot of stress. My father died from primary amaloiditis and his symptoms started with dizziness. My neck is also a little sore. Regards Ann
Tue, 27 Aug 2013
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General & Family Physician 's  Response
Hello,
Welcome to Healthcaremagic.

I had gone through your query and understand your concern.

First of all i want to advise you some thing which is very important for your future life.
Never withdraw any chronic drug intake without physician advice.
As some drugs need progressive tapering of dose.

Then I come to your query.
I suspect you may have benign paroxysmal positional vertigo ( BPPV).
It is a small inner ear problem but distressing day to day life.
It usually cause dizziness while changing the position of head.

You have to understand something about this. There is a fluid in inner ear which contain calcium carbonate crystals. Dislodgement of these crystals cause BPPV.

It is best diagnosed by physical examination and normal examination of ear. But we need some basic investigations to confirm our diagnosis.

Audiogram, Neurological examination.
There is a specific test for BPPV called Dr.Hall pikes test. It will help in yielding diagnosis.
Electronystagmogram may be helpful.

All other symptoms like sleeplessness, numbness, pulled calf muscle feeling are due to withdrawal effects of venlafaxine sandoz xr.
You need the progressive tapering of venlafaxine.
If you suspect whether you have amyloidosis, then simple abdominal wall fat biopsy for amyloid deposits will be helpful. I do not think you may have amyloidosis.

Hope this helps.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.

Wishing you good health.

Regards,
Dr.Manjeth
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Dizziness While Bending, Headache, Numbness In Mouth. History Of Low BP. Father Died Of Primary Amaloiditis. Suggestions?

Hello, Welcome to Healthcaremagic. I had gone through your query and understand your concern. First of all i want to advise you some thing which is very important for your future life. Never withdraw any chronic drug intake without physician advice. As some drugs need progressive tapering of dose. Then I come to your query. I suspect you may have benign paroxysmal positional vertigo ( BPPV). It is a small inner ear problem but distressing day to day life. It usually cause dizziness while changing the position of head. You have to understand something about this. There is a fluid in inner ear which contain calcium carbonate crystals. Dislodgement of these crystals cause BPPV. It is best diagnosed by physical examination and normal examination of ear. But we need some basic investigations to confirm our diagnosis. Audiogram, Neurological examination. There is a specific test for BPPV called Dr.Hall pikes test. It will help in yielding diagnosis. Electronystagmogram may be helpful. All other symptoms like sleeplessness, numbness, pulled calf muscle feeling are due to withdrawal effects of venlafaxine sandoz xr. You need the progressive tapering of venlafaxine. If you suspect whether you have amyloidosis, then simple abdominal wall fat biopsy for amyloid deposits will be helpful. I do not think you may have amyloidosis. Hope this helps.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. Wishing you good health. Regards, Dr.Manjeth