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Have High Blood Pressure. Noticed Ear Infection, Feeling Lightheaded And Dizzy. Related To Sinusitis?

Posted on Mon, 18 Feb 2013

Question: Hey been have a couple of things going on found out my Bp high back before Christmas but I went in because of lightheadness and was told that BP change could do that. By the way my BP have went down to the point where he told me to only take half of pill and that's from changing my diet. I then went back because of the lightheaded was still there and tingering and numbness which he said was from low potiusim and the water pills tend to do that n Told me to eat more bananas n things. And notice a middle ear infection so long story short still feel the lighthead dizzy feeling went to the ENT and he said the ear wasn't infected anymore but it was a little inflamed and that the tube that connect from the nose can be the reason for the dizzy feeling and gave me meds for Vetigo but I recently noticed a bump/lump or whatever about left ear on my head and read up on cancer and been having headaches i thought could be sinuits and I'm so nervous any ideas please thanks

Answered by Dr. Anantharamakrishnan (1 hour later)

Hi friend,
Welcome to Health Care Magic

Ear is the first suspect.
The body's balancing mechanism is in the inner ear.

If it is from getting up from bed, it may be from postural hypo-tension – especially when on treatment for pressure. Check BP lying and standing...
It can be from anaemia.
An arrhythmia could be responsible...
Hopefully, ECG, blood pressure, blood tests are normal...

If the ear doctor excludes its role, you have to be seen by a neurologist.
Problem in the lower brain or its blood supply could be responsible.
MRI brain may be needed.
MRA (MRI angiography) shows blood vessels and is generally done at the same sitting.

A bump outside may not have any relation to this.
The only way to shed light is an examination by a General Surgeon,

Low potassium needs correction.
The diuretic (water pill) can be stopped.
A medicine from another class can be substituted.
There is a wide choice, nowadays, to treat pressure.

Take care
Wishing speedy recovery
God bless
Good luck

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anantharamakrishnan (16 minutes later)

So Doc where should I test since those are alot of test to chose from should I see if the ear was the prob since you noted that that's the first. And I also forgot to add that be took me off the water pill and switched me to lisinopril-HCTZ 20/12.5
Also does the bump/lump on head seem to be a cause of corcern are am I prob over thinking things it's pretty small to the point I can't hard it at time any ideas

Answered by Dr. Anantharamakrishnan (1 hour later)

Hi

YOU ARE STILL ON WATER PILL!
There are two medicines in your single pill.
The HCTZ part in your tablet is a diuretic!
HCTZ is Hydro-Chloro-Thia-Zide - it is a diuretic (water pill).

The other one is Lisinopril.
It is Angiotensin Converting Enzyme Inhibitor (ACEI).
It can help to conserve potassium.
Still, a change may be better - say a calcium channel blocker (CCB) like amlodipine may be better than a diuretic.
Discuss with your doctor.

Since you have already seen ENT doctor before, see a neurologist now.
He will be able to rule out the role of nervous system, if any.
Naturally, he will have a look at the bump and suggest an approach.

Relax
You are young / you are managing well so far > means there is less likelihood of anything of serious or immediate concern

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar