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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for vertigo and nausea while having Addison's disease

Answered by
Dr.
Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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Posted on Mon, 29 Aug 2016 in Brain and Spine
Question: I am feeling very sick. Very nauseous. I have Addison's disease, but I am not sure it is related to that. I've been having this sensation (on and off) whenever I move my eyes, what do you think it is?
doctor
Answered by Dr. Shehzad Topiwala 22 minutes later
Brief Answer:
Possible vertigo

Detailed Answer:
Sorry to learn about your bothersome symptoms.

Vertigo can have symptoms like the one you are experiencing. However considering your Addison's history, most doctors would be worried about this. This is potentially an emergency as you may know ('Addisons crisis').

You must contact your endocrinologist in-person so this distinction can be made with certainty.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shehzad Topiwala 10 minutes later
I'm not sure it is vertigo, since it is something I've been facing for a long time and as I explained it comes and goes. Maybe I'm not explaining well what I feel. Whenever I move my eyeballs or head in any direction I get this strange sensation. I'm so desperate that I've been trying to read about the possible causes of my symtoms. Could it be something else? Perhaps a problem in the nerves? I was reading about Multiple Sclerosis, and I don't want to think about it - but knowing that I'm prone to other autoimmune diseases, I don't know what to think.
doctor
Answered by Dr. Shehzad Topiwala 13 hours later
Brief Answer:
Follow up

Detailed Answer:
Yes it could potentially represent a nerve condition. You will need to undergo a thorough in-person examination by a Neurologist to know for sure if this is nerve related.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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