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Dizziness and feeling of off balance while walking. Neurological problem? - Online Doctor Chats

Date : 30-May-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
User:Hello Doctor,

For the last one month, I am feeling tired and getting off balance too. My bp level and sugar are normal. can you please suggest what could be the reason and what should i do?

Warm Regards, XXXXXXX
Doctor:Dr. XXXXXXX here
Doctor:May I know your age and gender?
User:37 and male
Doctor:Since when are you having these symptoms?
User:for the last one month
Doctor:Do you have fever?
Doctor:Do you have dizziness or difficulty while walking?
Doctor:Do you have nasal congestion, sorethroat, headache?
Doctor:Are you there?
User:in between i got a call
User:yes, i have dizziness when i am doing some activity
User:including walking
User:sometimes i go off balance while walking for some stretch
Doctor:Do you mean you sway while walking?
Doctor:Have you fallen any time?
User:and after walking few steps if i stop and turn, i dont have full control
Doctor:Do you have nasal congestion, sorethroat or headache?
Doctor:Have you had similar symptoms in the past?
Doctor:Do you have history of diabetes, high blood pressure, hear ailment or thyroid disturbances?
User:i had fever may be two months back and i was very tired during the fever
Doctor:Are you on any regular medication?
Doctor:Do you feel dizzy upon changing posture, turning the head?
User:no.. but when i get up, i used to feel
User:but more i feel, while i am walking
User:sitting in one place, i dont feel any probnlem
Doctor:Let me brief you.
Doctor:The symptoms you describe does not look concerning.
Doctor:Sometimes we do see few patients suffering with post infection syndrome lasting for few months.
Doctor:The symptoms you have had could be related to your last infection.
User:ok.. when you mentioned about this, i remember i had a similar problem few months back
User:when i had fever and i felt very tired and was loosing weight and then too, the doctor suggested that i could be post infection syndrome
User:after taking rest for two more weeks, it was ok
Doctor:This can be corrected with plenty of fluids, vegetables, multivitamin pills and some drugs like cinnarizine.
User:ok.. but last time, i was not getting off balanced..
Doctor:Though the symptoms feel similar to post infection syndrome, a few other conditions needs to be ruled out.
Doctor:They include
Doctor:1. A fresh infection (viral)
Doctor:2. Positional vertigo
Doctor:3. Metabolic abnormalities (Sodium, potassium disturbances)
Doctor:Hence in opinion
Doctor:you would need to try these measures
Doctor:1. Drink plenty of water, fresh fruits and vegetables.
Doctor:2. A course of multivitamin pills like Cap zivit
Doctor:one capsule a day for 1-2 weeks.
Doctor:3. Avoid physical strain and strenuous physical exercise.
Doctor:4. If dizziness and off balance are severe
Doctor:a brief course of antivertigo pills can be tried.
Doctor:5. Repeat blood test to exclude anemia and metabolic abnormalities may need to be done.
User:ok.. is it anything to do with nuero?
Doctor:The tests could include complete blood counts, serum electrolytes and so on.
Doctor:Since the symptoms are in paraoxysm and not continuous AND
Doctor:since you do not have associated symptoms such as vomiting, headache, limb weakness
Doctor:the symptoms are unlikely to be related to a neurological problem.
Doctor:So do not worry about neurological issues.
User:ok.. i have general weakness not just the limb
Doctor:You are probably having a benign condition which can be corrected.
Doctor:That is another point against neurological condition.
Doctor:A localising symptom, persistent symptoms associated with severe vomiting and so on are suggestive of neurological illness.
Doctor:And you DO NOT have these symptoms
User:Thank you doctor, it was really helpful..
User:i will take the medication suggested by you and will try for couple of weeks
User:Have a nice day. Once again thanks and Bye :)
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