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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Spurts Of Dizziness, Nausea, Tingling In Tongue. History Of Migraines. Worried ?

For the past few days I have been experiencing some weird symptoms. I have spurts of feeing dizzy and like im going to pass out. I get nauseous as well during these episodes. Then today during my spells i started to experience a tingly feeling on my tongue . I am very concerned. I have a history of severe migraines (was born with them) but they do not know the underlying cause to them. I also have depression and anxiety . Should I go to my primary physician about these spells I am having. I am worried it could be something serious.
Wed, 21 Nov 2012
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General & Family Physician,  's  Response
Dear Concerned.,
Thanks for writing to us.
You may be suffering from Vascular/Cluster Head aches and it requires a complete work up by a Neurologist to rule out any organic causes and then only you may consult a psychiatryst for your anxiety and depression.
The triad of migraine are the (A)presence of prodromal symptoms such as above indicating that you may get an attack of migraine.An aura accompanying the imminent attack.(B)Presence of similar type of Headache in first degree relatives.ie., family history positive(C)Vomitting almost always relieves the symptoms.
The reason for migraine has been found to be increased secretion of Neurotransmitters such as Serotonin in certain areas in brain leading to increase in blood supply and congestion and resultant throbbing headache.
Various Medicines have been tried to control the same, few are (1)Ergot group of Alkaloid sold as vasograine in India(2) Flunarizine-sold as Sibelium //phenothiazine group of medicines with varied results.
Kindly consult a Neurologist and a thorough work up including CT/MRI and pin point the root cause before taking up therapy.
Wishing you a speedy recovery.,
Best regards.,
Dr Lt Cdr ASN Bhushan.
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Spurts Of Dizziness, Nausea, Tingling In Tongue. History Of Migraines. Worried ?

Dear Concerned., Thanks for writing to us. You may be suffering from Vascular/Cluster Head aches and it requires a complete work up by a Neurologist to rule out any organic causes and then only you may consult a psychiatryst for your anxiety and depression. The triad of migraine are the (A)presence of prodromal symptoms such as above indicating that you may get an attack of migraine.An aura accompanying the imminent attack.(B)Presence of similar type of Headache in first degree relatives.ie., family history positive(C)Vomitting almost always relieves the symptoms. The reason for migraine has been found to be increased secretion of Neurotransmitters such as Serotonin in certain areas in brain leading to increase in blood supply and congestion and resultant throbbing headache. Various Medicines have been tried to control the same, few are (1)Ergot group of Alkaloid sold as vasograine in India(2) Flunarizine-sold as Sibelium //phenothiazine group of medicines with varied results. Kindly consult a Neurologist and a thorough work up including CT/MRI and pin point the root cause before taking up therapy. Wishing you a speedy recovery., Best regards., Dr Lt Cdr ASN Bhushan.