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Suggest Treatment For Dizziness, Headaches And Lack Of Energy
Question: I have been suffering from dizziness and hedaches and lack of energy for 2 1/2 months. An ENT diagnosed me with BPPV but a vestibular physiotherapist tested me and said I did not have that nor did I have Labyrithitis.
Four days ago my GP took an exray of my neck and said I had quite a few issues: vertebrae which were misalighned, loss of disc material but also that a vertebrae might be pushing against the vertebral artery which could be the cause of my dizziness..
My GP was set to go on holiday the next day for two weeks but he said when he came back he would refer me to a traumatologist or a rheumatologist. He also said I could wear a soft neck collar for a few hours a day and take one Naproxen a day.
I took a Naproxen one day and it made me very tired and a little bit dizzy. I slept most of the day. However the next day I felt and looked much better although I did not take any more due to the side effects mentioned.
My question is this: Should I take a Naproxen every day say for 10 days and hope that it will help the inflammation in my neck in spite of the side effects of being kind of knocked out by the drug? Or should I wait the two weeks until my GP comes back and wait to get advice from a specialist? I am suffering quite a bit and twisted my neck last night while sleeping and am in a bit of pain. I live in a small town in Spain and there is only an emergency clinic so would like some advice from a specialist.
I am taking 2 8mg serc a day as I cannot tolerate more and also Bromazpine and the statin called Crestor 10mg
Four days ago my GP took an exray of my neck and said I had quite a few issues: vertebrae which were misalighned, loss of disc material but also that a vertebrae might be pushing against the vertebral artery which could be the cause of my dizziness..
My GP was set to go on holiday the next day for two weeks but he said when he came back he would refer me to a traumatologist or a rheumatologist. He also said I could wear a soft neck collar for a few hours a day and take one Naproxen a day.
I took a Naproxen one day and it made me very tired and a little bit dizzy. I slept most of the day. However the next day I felt and looked much better although I did not take any more due to the side effects mentioned.
My question is this: Should I take a Naproxen every day say for 10 days and hope that it will help the inflammation in my neck in spite of the side effects of being kind of knocked out by the drug? Or should I wait the two weeks until my GP comes back and wait to get advice from a specialist? I am suffering quite a bit and twisted my neck last night while sleeping and am in a bit of pain. I live in a small town in Spain and there is only an emergency clinic so would like some advice from a specialist.
I am taking 2 8mg serc a day as I cannot tolerate more and also Bromazpine and the statin called Crestor 10mg
Brief Answer:
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. In cases of BPPV, there is spinning (vertigo) and it is related to change in position. It is better to perform the Brandt Daroff Exercises and the Semont's Maneuver at home initially, rather than an Epley's Maneuver, which can inadvertently convert a posterior canal into other canal types. In BPPV, the hearing is unaffected. In Labyrinthitis, hearing is also affected.
2. Your cervical spine changes are consistent with your age. Cervicogenic vertigo can lead to mild dizziness. To rule out the suggested Vertebro-Basilar Insufficiency (VBI), a neck Doppler Study and an MR Angiogram will be required. VBI is seen with high cholesterol levels. Other blood tests for coagulation may be required.
3. Both Bromazepam and Crestor can lead to dizziness, fatigue and weakness. Gastriris due to Naproxen can also cause dizziness. (Take the Naproxen it after meals, for the short term). Hence you need your physician to review your medication first.
4. Orthostatic hypotension should be ruled out as you have a history of low blood pressure.
5. You can have different causes for dizziness at the same time. Meanwhile, you may continue the Betahistine (Serc) till you can meet a specialist.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
As below:
Detailed Answer:
Hi,
Thank you for your query.
1. In cases of BPPV, there is spinning (vertigo) and it is related to change in position. It is better to perform the Brandt Daroff Exercises and the Semont's Maneuver at home initially, rather than an Epley's Maneuver, which can inadvertently convert a posterior canal into other canal types. In BPPV, the hearing is unaffected. In Labyrinthitis, hearing is also affected.
2. Your cervical spine changes are consistent with your age. Cervicogenic vertigo can lead to mild dizziness. To rule out the suggested Vertebro-Basilar Insufficiency (VBI), a neck Doppler Study and an MR Angiogram will be required. VBI is seen with high cholesterol levels. Other blood tests for coagulation may be required.
3. Both Bromazepam and Crestor can lead to dizziness, fatigue and weakness. Gastriris due to Naproxen can also cause dizziness. (Take the Naproxen it after meals, for the short term). Hence you need your physician to review your medication first.
4. Orthostatic hypotension should be ruled out as you have a history of low blood pressure.
5. You can have different causes for dizziness at the same time. Meanwhile, you may continue the Betahistine (Serc) till you can meet a specialist.
I hope that I have answered your queries. If you have any further questions, I will be available to answer them.
Regards.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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