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What Causes Dizziness, Black Spots In Vision And Cough While Inhaling?
Question: Hello,
Yesterday, I was playing tennis (I'm a fairly active 28 year old female) and I randomly felt very dizzy and off-balance. I stopped playing and it went away - I thought I was well-hydrated and had eaten too. Sometimes, when I get up quickly, I see black spots and feel very dizzy for a few seconds. Also, sometimes when I wake up from lying down, I feel a raspy kind of wheezing at the end of inhaling which causes me to cough. My BP is typically 110/70s and I have a history of anxiety. Figured this could be related to that but wasn't sure, feels physiological in origin.
Also, a few years ago, I had a panic attack and went to the ER for the cardiac-like symptoms, and received a full cardiac work-up then (treadmill stress test, ECG, etc) and everything came back negative.
Yesterday, I was playing tennis (I'm a fairly active 28 year old female) and I randomly felt very dizzy and off-balance. I stopped playing and it went away - I thought I was well-hydrated and had eaten too. Sometimes, when I get up quickly, I see black spots and feel very dizzy for a few seconds. Also, sometimes when I wake up from lying down, I feel a raspy kind of wheezing at the end of inhaling which causes me to cough. My BP is typically 110/70s and I have a history of anxiety. Figured this could be related to that but wasn't sure, feels physiological in origin.
Also, a few years ago, I had a panic attack and went to the ER for the cardiac-like symptoms, and received a full cardiac work-up then (treadmill stress test, ECG, etc) and everything came back negative.
Brief Answer:
Possibility of postural hypotension or BPPV
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Acute vertigo of seconds and with postural relation may be a presentation of benign paroxysmal positional vertigo(BPPV).
Other possibility will be postural hypotension if the symptoms occurs only from changing supine to sitting or standing position.
Is there any history of palpitation , sweating, impending blackout or loss of consciousness?
You need to take adequate fluids and salt.
Change your posture gradually.
You can consult a neurologist or ENT specialist for evaluation regarding BPPV.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Possibility of postural hypotension or BPPV
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Acute vertigo of seconds and with postural relation may be a presentation of benign paroxysmal positional vertigo(BPPV).
Other possibility will be postural hypotension if the symptoms occurs only from changing supine to sitting or standing position.
Is there any history of palpitation , sweating, impending blackout or loss of consciousness?
You need to take adequate fluids and salt.
Change your posture gradually.
You can consult a neurologist or ENT specialist for evaluation regarding BPPV.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Thank you for your quick response, I appreciate it. Just so I can cross off any cardiac concerns - if something was wrong with my heart, it would have been found a few years ago when all that testing had been done, correct? That's probably not something that would have changed in this amount of time, right? I was thinking postural hypotension - that can cause dizziness with exercise then?
Brief Answer:
Possibility of postural hypotension
Detailed Answer:
Hello XXXX,
Cardiac causes may be rhythm related and should be diagnosed on ECG.
If you have doubt you can get an ECG done .
The postural hypotension is aggravated on exertion, dehydration, humid conditions.
You need to take adequate hydration and salt intake.
If you vertigo is constant you can take vertin tablet as prescribed by doctor.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Possibility of postural hypotension
Detailed Answer:
Hello XXXX,
Cardiac causes may be rhythm related and should be diagnosed on ECG.
If you have doubt you can get an ECG done .
The postural hypotension is aggravated on exertion, dehydration, humid conditions.
You need to take adequate hydration and salt intake.
If you vertigo is constant you can take vertin tablet as prescribed by doctor.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
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