Hello Mr. XXXXXXX

Thanks for the query to H.C.M.Forum.

First, we will take medical history.

Giddiness and vomiting present, remains for 3-4 hours.
Increase in blood pressure (mentioned in history that there is hypertension, but blood pressure is always normal, presumed that blood pressure is normal by medicines)
Left Ventricular Hypertrophy (L V H) along with gastritis.
You have cough when you take milk as it is mentioned in history.

In 2008, you got a trauma due to waterfall over your head and you developed GIDDINESS & VOMITING.
These complaints repeating after 15 days or one-month interval.

You consulted every type of specialists, which is mentioned in your query.

Each and every reports were normal except as,
2 D ECHO , which shows L V H ( left ventricular hypertrophy).
There is tachycardia (108 heart beat) ,mild degree of tachycardia ,may be due to anxiety of test, so need not to worry.
Your left ventricular function is 60 % and that is a very nice thing and normal function.
MRI suggestive of vascular loop traversing the LEFT 7th/8th nerve complex at root entry. Here is LEFT side, please note it.

Nystagmography report suggest that,

Nystagmus is not increasing with various neck movement or positions ( VERY IMPORTANT FOR DIAGNOSTIC PURPOSES)
Interpretation hyperventilation induced worsening of nystagmus.
Probably suggestive of ephatic transmission in the RIGHT vestibular nerve.

Nystagmography suggests that right vestibular nerve is involved.
MRI indicts LEFT 7th/vestibular nerve.
This indicates that both side nerves are involved.

Giddiness occurs if you see fast moving objects, congested area, no circulation is there, if no sleep, hungry.

All above mentioned things are mentioned in your query and reports.

Vertigo is usually due to a disturbance in the vestibular system.
Vestibular system maintain the posture of body.

If any dysfunction in this system, there is giddiness or dizziness (vertigo).

VERTIGO may be many types as,

Physiologic vertigo,
Pathologic vertigo===most common cause of pathologic vertigo is vestibular dysfunction involving labyrinth ,nerve or central connections.

This type of vertigo accompanied by,
nausea,
nystagmus ( jerk type),
postural unsteadiness,
gait ataxia ( staggering gait)

Labyrinthine ischemia ( less supply of blood to labyrinthine branch), This is usually due to some trauma over head as in your case during waterfall in 2008.

PSYCHOGENIC vertigo fear of heights,
Crowds,
Air suffocation.

So please mention about the situation of NYSTAGMUS ( TO-AND-FRO OSCILLATION OF THE EYES), during attack of vertigo?

Physical examination by a doctor will find out the exact nature of vertigo.

Doctor will adjust a proper dose, and will decide the nature of vertigo.

Treatment of L V F is good and keep it up.

Hope I have answered your query.
If you have any more queries, I will be happy to answer.
Good luck.
Dr. HET

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Hello, XXXXXXX

Once again, thanks for posting the question to H.C.M.Forum.

Since you are a very young fellow and according to you, your blood pressure always remains normal.
In my opinion, get in blood pressure examination daily for one month and please record this in a file.
If it is normal ( suppose to be ), please don't take any medicine.

If possible send a scan of X XXXXXXX chest PA view, so that we will be able to judge the depth of L V H ( Left Ventricular Hypertrophy).
Still there is no need of any treatment for L V H, as you are so young so not necessary.
2nd query is about medicine for vertigo.
Low salt diet will benefit you both in vertigo as well LVH.

Regular exercise will increase your immunity+ stamina + concentration.
As above mentioned three things are very important for you as these will control your both problems.
Prochlorperazine may help you.
Hope I have answered your query.
If further any question I will be happy to help.
Good luck for healthy life.
Dr. HET

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