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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Lightheadedness?

My husband has symptons of lighted headedness and slightly dizzy. A week ago he was in the emergency room because he was weak and couldn t walk, got nauseated and broke out in a sweat. (Taken by ambulance to emergency room.) Stayed overnight in the hospital. They did a CT scan of head to determine if he had a stroke and that came back negative not even a mimi stroke. Also had chest exray, EKG, Eckogram and lots of blood tests. All came back negative and he still is not 100 per cent. Was tested for Lymes Disease and that also was negative. He had a stress test this past Tuesday and everything was OK. Now this weekend he had another spell of lightheadedness and felt a little dizzy. Any answers as what to do next.
Mon, 30 Nov 2015
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Internal Medicine Specialist 's  Response
Hello....
Light headedness and dizziness are symptoms commonly occur in Cardiovascular and Neurological disorders. you almost rule out Cardiovascular disorders by doing ECG, ECHO but my advise to go for 24 Hours Holter monitoring to rule out any Transient Dysrhythmia. You also did CT head to rule out Neurological disorder but my advise to go for Colour Doppler bilateral Carotid to rule out Tranisent Ischemic Attack. If both disorders were rule out then we keep the possibility of BPPV ( Benign Positional Postural Vertigo). It occurs at any age and etiology is unknown. So for this case, just give Betahistine with Stemetil along with Alprazolam for 7-14 days. You feel better.

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What Causes Dizziness And Lightheadedness?

Hello.... Light headedness and dizziness are symptoms commonly occur in Cardiovascular and Neurological disorders. you almost rule out Cardiovascular disorders by doing ECG, ECHO but my advise to go for 24 Hours Holter monitoring to rule out any Transient Dysrhythmia. You also did CT head to rule out Neurological disorder but my advise to go for Colour Doppler bilateral Carotid to rule out Tranisent Ischemic Attack. If both disorders were rule out then we keep the possibility of BPPV ( Benign Positional Postural Vertigo). It occurs at any age and etiology is unknown. So for this case, just give Betahistine with Stemetil along with Alprazolam for 7-14 days. You feel better. Thank You