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What causes constant dizziness?

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Posted on Fri, 9 May 2014
Question: I have been getting dizzy spells for over 2 years now, have had CT scans and MRI's and Blood tests are all fine, Dr's have no idea. sometimes the dizzy spells are like I actually black out for 2-3 seconds Drs said to check my BSL and BP when I have them to see if this is cause but its not as today for eg I had one and BSL was 5.6 and BP was 120/72 so all good..... I was wondering could it be to do with my back/spine as I do have bone spurs and do alot of computer work or maybe even sinus as I do get hayfever and nose blocks up at night when sleeping almost year round.. I dont get these all time time and I have good days/bad days and terrible days please I really need help I need these fixed so I can live a normal life.... oh forgot also when I get the dizzy spells they are sometimes just lightheaded or a bit unsteady on feet when walking not always to the feeling faint stage but when it does get to that stage i get breathless with it.
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Answered by Dr. Anshul Varshney (14 minutes later)
Brief Answer: I need more details. Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. By reading your description following differentials come to my mind: 1.Syncope 2.Carotid Artery Thrombosis 3.Focal Seizures 4. Postural drop This type of episodes don't occur with cervical / spine bone spurs I need further information: 1. Since how long are you having these symptoms? 2. Any tongue bite? 3. Any Frothing from mouth? 4. How many episodes till date? 5. What were you doing just prior to it? 6. For how many seconds or minutes do you experience this? 7. Any history of rash / itching / papules on body? 8. Ever you got unconscious? 9. Any relation while getting up or lying down? This is my personal opinion based on details available here. Reply with answers of these questions preferably in point wise manner only. Stay Healthy. Dr Anshul Varshney , MD
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anshul Varshney (27 minutes later)
Have been getting these on and off since Dec 12, so I cant count the amount of eposides to date there is no link to want I was doing before hand I might have been sitting and stode up, I might have already been walking for a few mins its not postural drop or vertigo have seen nurologist and these have been ruled out. No tongue bite, no frothing from mouth the really bad black out ones only last seconds but the light head.unsteady ones can last hours or days. no rash or itching no relation to lying down and no I have not goine unconscious. cant really find any link to it I have also had stress test done and other tests on heart all good.
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Answered by Dr. Anshul Varshney (8 hours later)
Brief Answer: recurrent TIA is a possibility Detailed Answer: Dear Friend. I am just worried about Transient Ischemic Attcak( TIA ). Reading your query, i would advise you following investigations: 1. Carotid Artery Doppler 2. Four Vessel Angiography 3. 2-D Echocardiography. Also discuss with your doctor regarding starting you on a combination of Aspirin and Atorvastatin. This might be a life saving drug for you. Get the investigations done, and review with me. If you have any further query, please ask me, Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Anshul Varshney (7 hours later)
My Dr said the best way to check for bleeding on brain etc was the MRI the other tests cant be done easily or cheaply not covered by medicare and not recommneded espcially no 1 it can cause more trouble then its worth and the MRI showed no signs of bleed or XXXXXXX strokes or anything like that infact all good. one thing i noticed this morning when i was in shower i closed my eyes and was swaying also I am very tired lately even though i have had ample sleep (no not sleep apnea) not sure if this could be related but am thinking now maybe middle ear but i am not getting any rining etc other symptoms that usually go with middle ear problems.
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Answered by Dr. Anshul Varshney (6 hours later)
Brief Answer: Detail Follows. Detailed Answer: Dear Friend. Swaying to one side on closing eyes is usually due to Cerebellar Problems or Vestibular Problems. MRI brain is initial modality and your doctor is right as it is considered the best modality. I would like to add that in high risk persons (diabetics and hypertensives) every such symptom should be evaluated initially by MRI and if it comes out to be normal and suspicion is there we advice 4 vessel angiography. Currently I would advice you to get an ENT evaluation done as it can also be a cause for your symptoms. Also discuss with your doctor about starting you on Aspirin and Atorvastatin as bleed has been excluded. Also get an ECG done. I would like you to get back to me once you have got your ECG and ENT evaluation. If you have any further query please ask me, else close the discussion and rate it.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3072 Questions

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What causes constant dizziness?

Brief Answer: I need more details. Detailed Answer: Dear Friend. Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern. By reading your description following differentials come to my mind: 1.Syncope 2.Carotid Artery Thrombosis 3.Focal Seizures 4. Postural drop This type of episodes don't occur with cervical / spine bone spurs I need further information: 1. Since how long are you having these symptoms? 2. Any tongue bite? 3. Any Frothing from mouth? 4. How many episodes till date? 5. What were you doing just prior to it? 6. For how many seconds or minutes do you experience this? 7. Any history of rash / itching / papules on body? 8. Ever you got unconscious? 9. Any relation while getting up or lying down? This is my personal opinion based on details available here. Reply with answers of these questions preferably in point wise manner only. Stay Healthy. Dr Anshul Varshney , MD