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What Causes Dizziness?

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Posted on Wed, 30 Apr 2014
Question: HI ive been feeling dizzy for about 4 days and I have a thick head what can this be.
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Answered by Dr. Michelle Gibson James (49 minutes later)
Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic Dizziness can sometimes be associated with vertigo with is the feeling as though the person or the room is spinning or moving. There are different possible causes. (1) decreased fluid intake or increased loss of fluids can cause dizziness (2) reduced blood pressure on standing- this is called orthostatic hypotension (3)it can also be related to conditions of the inner ear such as : (a) meniere's disease- in this case there is normally ringing or other abnormal noises in the ear, hearing loss and the dizzy episodes last minutes to hours (b)BPPV- this stands for benign paroxysmal positional vertigo- in this case, the dizzy feeling lasts a few seconds to minutes and can be associated with certain head positions (c) vestibular neuronitis-in this case, the episodes last for hours or days at a time Normally to determine the exact cause, your doctor will take a history and examine you. Treatment (1) if related to decrease fluids then this is easily rectified (2)decreased blood pressure on standing is treated by increased fluid intake and standing slowly to allow blood pressure to normalise. If this is not enough then medication may be needed (3)Meneire's is treated with a low salt diet and the use of diuretics. Medication can also be used for a short time to decrease the dizziness but it is not used for long periods because it stops the inner ear from repairing itself if possible Examples of helpful medications that can be used for a short time are: dramamine and antivert (4)BPPV- this is treated by the doctor going through specific moves in the office called epley or semont maneuvers. Again medication can be used for a short time Summary: there are different possible causes and the treatment would vary slightly with the cause I hope this helps,feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (24 hours later)
why am I getting a thick head, and I cant concentrate and still feeling dizzy.I have no ringing in my ears but I feel dizzy, and its as if I have fog in my head. Feel mentally drained by this thick head. Any further advice would be helpful XXXX
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Answered by Dr. Michelle Gibson James (6 hours later)
Brief Answer: possibly BPPV and vestibular neuronitis Detailed Answer: Hi Sorry about the late reply Dizziness can have different causes. If there is no ringing or hearing loss then it may be due to BPPV (benign paroxysmal positional vertigo) or vestibular neuronitis. If it last seconds to minutes then it is likely BPPV If it lasts for hours then it is likely vestibular neuronitis. You would need to consider visiting your doctor for an assessment if possible unfortunately the only way to accurately determine the exact cause would be physical examination. Please feel free to ask anything else
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16808 Questions

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What Causes Dizziness?

Brief Answer: different possible causes Detailed Answer: HI, thanks for using healthcare magic Dizziness can sometimes be associated with vertigo with is the feeling as though the person or the room is spinning or moving. There are different possible causes. (1) decreased fluid intake or increased loss of fluids can cause dizziness (2) reduced blood pressure on standing- this is called orthostatic hypotension (3)it can also be related to conditions of the inner ear such as : (a) meniere's disease- in this case there is normally ringing or other abnormal noises in the ear, hearing loss and the dizzy episodes last minutes to hours (b)BPPV- this stands for benign paroxysmal positional vertigo- in this case, the dizzy feeling lasts a few seconds to minutes and can be associated with certain head positions (c) vestibular neuronitis-in this case, the episodes last for hours or days at a time Normally to determine the exact cause, your doctor will take a history and examine you. Treatment (1) if related to decrease fluids then this is easily rectified (2)decreased blood pressure on standing is treated by increased fluid intake and standing slowly to allow blood pressure to normalise. If this is not enough then medication may be needed (3)Meneire's is treated with a low salt diet and the use of diuretics. Medication can also be used for a short time to decrease the dizziness but it is not used for long periods because it stops the inner ear from repairing itself if possible Examples of helpful medications that can be used for a short time are: dramamine and antivert (4)BPPV- this is treated by the doctor going through specific moves in the office called epley or semont maneuvers. Again medication can be used for a short time Summary: there are different possible causes and the treatment would vary slightly with the cause I hope this helps,feel free to ask any other questions