Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

127 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes dizziness,palpitations and nubness in foot?

Answered by
Dr.
Dr. Shafi Ullah Khan

General & Family Physician

Practicing since :2012

Answered : 3614 Questions

default
Posted on Mon, 11 Aug 2014 in Brain and Spine
Question: Hello, I have been having periods of lightheadness and dizziness for a couple of years now. I have had a holter monitor that just showed some tachycardia, and I also had a echo of the heart that was normal and a normal MRI. Recently however in addition to the general lightheaded feeling, I will have surges of extreme lightheadedness and it will be difficult to talk or walk and sometimes I will get weakness or numbness, then it will get a little better, however I will not feel right for the rest of the day. I also have a lot of facial flushing on the bridge of my nose and cheeks. My cbc with differentials have all come back normal. I also would like to mention I will sometimes have upper back pressure. I literally can not do anything at this point because I feel so out of it, sometimes dizzy, and will also have intermittent foot numbness. The symptoms are worse when sitting and standing and my blood pressure can sometimes be a little low, but not always low when symptomatic. My heart-races when I stand and I just don't feel right... any suggestions? Is it possible that I could have some sort of an abdominal aneurysm?
doctor
Answered by Dr. Shafi Ullah Khan 6 hours later
Brief Answer:
Needs management & clinical corrlation

Detailed Answer:
Thank you for asking
Vertigo has many causes some are peripheral and some are central.to rule out central causes a complete neurological assessment of cranial nerves 7 and 8 specially and cerebellum and looking for any underlying pathology like tumor infection trauma or multiple sclerosis. Migraines headaches also cause such vertigo.
Some peripheral causes are inner ear troubles like meniere disease or any inner ear infection or cardiac causes which have already been ruled out.
Now your vertigo is posture related and worse on sitting and standing position makes it worth assessment for BPPV benign paroxysmal positional vertigo. 20 % of us population presenting with vertigo has this etiology and also most likely in your case.
Some other rare possibilities are POTS postural ortho static tachycardia syndrome as you mentioned racing heart beat on standing. A reflex tachycardia classic for POTS and ganglion blockers help.
Also do t forget that a simple anemia anxiety and headaches and migraines can also cause these symptoms and I am getting suspicious that anxiety might have also role in your case too.
Nutshell , get vestibular functions assessed. You need a team if neurologist and otorhinilaryngologist for further management and narrowing down the cause.
I hope it helps. Take good care of yourself and don't forget to close the discussion please.
May the odds be ever in your favour.
Regards XXXXXXX
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Lab Tests ,  
Medical Topics

Recent questions on  Lightheadedness

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...FIVE WEEKS AGO HAD DI0REAH FOR 4 DAYS ONLY DRINKING WATER AND CRACKERS. SINCE THEN HAVE BEEN FEELING POORLY, COLD FOR SEVERAL HOURS THEN HOT. TIRED AND SOMETIMES LIGHT HEADED. FEEL NOT TOO BAD ONE DAY THEN VERY LOW ANOTHER SYMPTOMS COME ANG GO.

doctor1 MD

My 14 yr. old is having extreme burping, we have been to the ER and got no results. She was previously diagnosed with a Lyles Heart murmur or musical murmur. She is 5 9 , 138 pounds, active with basketball and dance. She complains of lightheadedness, chest pain in upper left quadrant, left arm pain and she says she feels like her heart is racing at random times. She can t inhale or exhale deeply without burps, and they are constant and persistant. She has had a normal sonogram of the liver, kidneys, gall bladder. Do you have any suggestions? We are frustrated. In the ER she had low potassium and low BUN, she has also been diagnosed with chillblains on the fingers and toes, negative antigen test for Lupus and Rheumatoid arthritis.

doctor1 MD

I have experienced rapid heartbeat, and adrenaline rush, lightheadedness, dizziness during daily routines (for example today during giving the dog a bath). I have been treated with migraines and my doctor is wheening me off amitriptyline. but I have experienced this before the wheening started.

doctor1 MD

my blood presure was 77/44 last night i was unable to move my head without my head spinning and the room moving, the only way i could stop feeling like this is by lying completly still, today i feel shaky and light headed. can you tell me whats wrong.

doctor1 MD

Hello, i used the CLR cleaner to clean my sink afterwards sprayed it with bleach once the clr was washed away. had lightheadedness for about 15 minutes afterwards. The smell is gone and i feel better. Do i have anything to worry about?

doctor1 MD

I’ve been experiencing severe vaginal itching . Internal and external. Also, little white pieces of discharge in and out of my vagina. started bleeding this morning, 9 days too early for s period but it may be early. Also, I cleaned my ears and...

doctor1 MD

I am currently taking Trazadone 50mg for depression and sleep problems, Klonopin .05mg for anxiety disorder and essential tremors in my hands, and Nortriptyline for debilitating Gi tract spasms 50 mg. I have had a lot of dizziness and light headed...