What causes dizziness while having nasal allergy?
Meniere's disease seems likely and will have to be ruled out
Hello ma'am and welcome.
Thank you for writing to us.
I have gone through your query with diligence and would like you to know that I am here to help. Let me start from the basics and work my way up from there. The symptom you experience of the room spinning is called vertigo. I am sure you must have heard about it. Vertigo is defined as a sensation of spinning that is related to issues or abnormalities with the inner ear.
Now let me go ahead and list all the most common causes for vertigo, they are:
+Benign paroxysmal positional vertigo: One of the most common causes
+Meniere's disease: Caused due to fluid build up; also presents with ringing in the ear (called tinnitus)
+Labyrinthitis: Usually due to an infection
and a few other causes.
But as you can see, vertigo is only a symptom and not the cause. As you have been displaying a few other symptoms, ruling out an inner ear issue will be the wise next step, for which I would recommend a visit to your ENT specialist. Meniere's disease looks quite plausible and so I would recommend ruling it out/confirming it.
I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I would be more than happy to help.
I also want to mention that I started a new antidepressant (Lexapro) almost 4 weeks ago. I read that Lexapro can (rarely) cause tinnitus.
The reason I ask is, if tinnitus is suspected to be caused by the antidepressant, then discontinuation of the medication is advised. I talked with my psychiatrist this morning and she said I could try lowering my dose. But I only want to lower my dose if absolutely necessary though.
Given the other symptoms I've had, do you think it is more likely one of the conditions you mentioned?
2 possible options, choose either one to help find the exact cause
Hello once again ma'am.
My sincere apologies for the delay, it got really busy in the hospital.
As lexapro is also present in the picture, I cannot accurately say whether or not there could be an inner ear condition or not, so we can go about the following:
+Lowering the dose of lexapro, ensuring that the medication is still helping you and at the same time observing to see if the tinnitus and vertigo reduce
+Visit an ENT specialist to rule out all conditions of the inner ear that can cause a presentation similar to yours; this will help by helping us narrow down to cause to either lexapro (requiring a lowering of the dosage or a substitution) or an inner ear condition. If an inner ear condition is found, then we need not tamper with the lexapro at all; but if all conditions have been ruled out then we can work with regulating the lexapro
I hope you find my response helpful. Please feel free to write back to me for any further clarifications, I am always here to help.
Quite likely yes; but lets leave that for a doctor to rule out/confirm
Yes, there does exist a possibility, especially of fluid draining from the ear. I do feel that a ear abnormality is the more likely cause for your presentation, but I would still like for you to rule this out by a doctor and not otherwise, because a visual and physical examination is pivotal in such cases. :)