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Suggest Treatment For Light-headedness, Fatigue And Imbalance

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Posted on Thu, 9 Feb 2017
Question: For the past three weeks I have been suffering from a strange condition that makes me feel light headed, tired (on occasion) and a feeling or sensation that I have a balance bias to the left. That is, that I will fall or stumble to the left if sitting or standing up, or that when walking I will veer off to the left. However I never fall, stumble or veer to the left. I also have what is best described as a feeling of being foggy in the head; like I’m a bit spaced out.

3 weeks ago I had a vertigo attack where my whole world was spinning, so I stayed home from work, rested, and it eventually resolved. However since that time I have had the issues I describe above. I have suffered a vertigo attack before, a few years ago, much worse than this one.

I also have chronic neck and right shoulder muscle problems and have been getting vague headaches. On a scale of 1 to 10 these headaches rate a 2 or 3. They don’t stop me from doing anything and usually resolve on their own. They may come and go during the course of a day. They never wake me in the night and I rarely wake with a headache. I do not experience any nausea or vomiting in association with this. My eyesight and hearing is normal with no double or blurred vision, strange hearing sensation or anything else suggestive of a problem.

When I had the vertigo attack 3 weeks ago, I went and saw my doctor about it, and to discuss the headaches. I was particularly concerned about the possibility of a brain tumour. He did a series of tests on me involving eyesight, shining a light deep into my eyes, hearing, touch, walking with one foot in front of the other, walking forwards on my toes and then backwards on my heels, and another one I can’t remember. He said I was fine and that the headaches are probably tension headaches caused by stress in association with my neck and shoulder issues, and that the vertigo should hopefully clear on its own.

I should point out that this “thing” doesn’t stop me from doing anything. If I am physically active, like doing house/yard chores I do not seem to be bothered by it (or notice it). Tiredness could be due to the Xmas/NYE cycle with late nights and a fair bit of alcohol consumption. Now that I’m back at work I’m limiting alcohol intake to weekends only and resumed going to bed at my normal work week time. The headaches, if I have them, don’t seem to be aggravated by anything in particular. For example, yesterday I developed a headache, that worsened as the day progressed. This is nothing abnormal for me. Occasionally it felt like it was reaching down behind my right eye and circling my eye. I woke this morning without a headache.

I have caught myself out on a couple of occasions struggling to string a coherent sentence together. I am not sure if this is due to tiredness, confusion due to the vertigo-whatever, or something else. Doesn’t happen often but I’ve noticed it. Perhaps I am over-thinking it and trying to make an association with something that isn’t there.

The light headedness and “bias to the left” issue is not resolving and I’d like a second opinion. I have moved house and am not able to easily go back to the doctor I saw last time.
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Answered by Dr. Prof. Kunal Saha (4 hours later)
Brief Answer:
An audiometry needs to be done.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone through your query and understand your concerns. The organ of hearing lies in our inner ear (vestibulocochlear apparatus) and is also associated with the sense of balance. Sensorineural degenerative changes or even certain viral infections can give rise to such presentations as you have described. vestibulocochlear stabilizing agents like cinnarizine or betahistine might be needed. Please discuss with your treating physician whether they would be right for you.

I need to ask you if you have caught a cold. There is a thin tube on each side connecting between the inner throat and the middle ear (Eustachian tubes). The purpose of these tubes is to equalize the air pressure inside the middle ear cavity. Mucus block of these tubes leads to pressure imbalance leading to indirectly affecting the vestibulocochlear apparatus. An audiometry needs to be done to understand the exact nature of the problem. Steam inhalation should help as water in form of vapor will reach deep inside. It would help in diluting the mucus, thus providing relief.

Let me know if I could help further.

Regards
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Light-headedness, Fatigue And Imbalance

Brief Answer: An audiometry needs to be done. Detailed Answer: Thanks for asking on HealthcareMagic. I have gone through your query and understand your concerns. The organ of hearing lies in our inner ear (vestibulocochlear apparatus) and is also associated with the sense of balance. Sensorineural degenerative changes or even certain viral infections can give rise to such presentations as you have described. vestibulocochlear stabilizing agents like cinnarizine or betahistine might be needed. Please discuss with your treating physician whether they would be right for you. I need to ask you if you have caught a cold. There is a thin tube on each side connecting between the inner throat and the middle ear (Eustachian tubes). The purpose of these tubes is to equalize the air pressure inside the middle ear cavity. Mucus block of these tubes leads to pressure imbalance leading to indirectly affecting the vestibulocochlear apparatus. An audiometry needs to be done to understand the exact nature of the problem. Steam inhalation should help as water in form of vapor will reach deep inside. It would help in diluting the mucus, thus providing relief. Let me know if I could help further. Regards