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What Causes Heaviness In Head, Ears And Syncope Post Intake Of Emazen D?

Posted on Tue, 19 Apr 2016

Question: Hello doctor
I was down with cold and too much cough for 15 days from 7th jam to 22 nd XXXXXXX
I tool emanzen d and Allegra
Now I am always feeling pressure in head and ears and feel loss of consciousness
I am suffering from anxiety disorder so I took etilaam and lorazep few times and felt temporary relief
I am not understanding why j am feels heaviness in head and little loss of alertness
What can I do for it ?

Answered by Dr. Krunal Karade (45 minutes later)

Brief Answer:
You are most probably having sinusitis with eustachian tube blockage .

Detailed Answer:
Hi XXXXX ,
Thanks for the query.

I have read your query , reviewed your medications and understand your concern.

After reading your clinical history it appears that you are most probably having
sinusitis with eustachian tube blockage .
Pressure in head and ears is because of sinusitis with eustachian tube blockage. Loss of alertness is because of sedation induced by lorazep & etilaam. Consult your psychiatrist for dose adjustment .

If I were your treating Doctor for this case , I would advice
Investigation like CT Scan Nose with Sinuses to know extend of disease .
Till then use Steam Inhalation twice daily,
Saline nasal rinse or spray thrice ,
continue emanzen d and Allegra .

You will get relief .

Hope this information helpful to you .If you have any further questions I will be happy to help.

Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Krunal Karade (19 hours later)

Hello sir

Can lack of alertness be due to sleep apnea also?
I feel tired all day with heavy head and lack of alertness
I snore a lot and became very over weight
My weight is 100 and height is 5 feet 7 inch

I did some deep breathing and get temporary relief from lack of alertness ?

Answered by Dr. Krunal Karade (3 hours later)

Brief Answer:
You need to consult Obstructive sleep Apnea (OSA) specialist .

Detailed Answer:
Thanks for follow up query .

You need to consult Obstructive sleep Apnea (OSA) specialist for investigations & management .

As per your BMI , you are obese . Do daily regular exercise to decrease weight , avoid fast food & eat healthy food .

In your case , lack of alertness & heavy head is because of sleep apnea , lorazep & etilaam increasing this symptoms .

I would advice ,
Investigation like CT Scan Nose with Sinuses to know extend of disease ,
Drug Induced Sleep endoscopy to know exact site of obstruction causing sleep apnea ,
Sleep study &
Blood investigation like Thyroid profile ( Hypothyroidism result into increase weight ) .
Avoid car driving .

Follow up to me with investigations.

Hope this information helpful to you .

Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Krunal Karade (7 hours later)

Thanks doctor
I am getting my sleep apnea test tomorrow (overnight ploy sonography)
I took one modalert tablet today and my lack of alertness got better
Can treating sleep apnea treat my lack of alertness also ?

Answered by Dr. Krunal Karade (12 hours later)

Brief Answer:
Yes , treating sleep apnea will treat lack of alertness also .

Detailed Answer:
Thanks for Follow up query .

Yes , treating sleep apnea will treat lack of alertness also .

Polysomnography (Sleep Study ) will tell you about severity of sleep apnea .

Modalert tablet will help in sleep apnea, for this you need a prescription from your local doctor.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Krunal Karade (41 hours later)

Hello doctor
I just had sleep apnea test today and will get results by tomorrow
I just noticed one more thing that before sleeping in very silent room I feel something in my head
Can it be tinnitus ?
I just read about it online
In the day or even if I m awake and sitting I don't listen anything
Is it in my head ?
Does everybody feel something in head if in complete silence ?
If I don't feel anything through out the day can it still be tinnitus ?
Can u have some ear infection also as I had cold and flu last month ?
Also I m taking etilaam for anxiety , can it be some side effect ?

Answered by Dr. Krunal Karade (12 hours later)

Brief Answer:
Everybody has some tinnitus in complete silence .

Detailed Answer:
Thanks for follow up query .

Yes , it is tinnitus .

Everybody has some tinnitus in complete silence .

If you are not having any tinnitus in day time or night except in complete silence then no need to worry . You will get relief with above treatment plan .

Due to eustachian tube blockage mild tinnitus is common in complete silence .

It is less likely side effect of etilaam .

Revert back to me after investigations .

Hope this information helpful to you .

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Krunal Karade (9 hours later)

Hello doctor
I never realised about tinnitus recently
But now since I ve started focusing on it I have realised it before sleeping only
In the day I don't feel any tinnitus
At night before sleeping I feel little noise in my ears
Is it normal ?
Can no one feel complete silence ?
Can it be due to anxiety of any anxiety tablet

Answered by Dr. Krunal Karade (12 hours later)

Brief Answer:
If you start focusing on tinnitus , you will hear it . It is normal .

Detailed Answer:
Thanks for query .

If you start focusing on tinnitus , you will hear it . It is normal .

Use some Clock/Fan/Ac at night which makes some noise , you will not hear tinnitus .

In complete silence , everyone get some tinnitus because of blood flowing into vessels .

Anxiety will increase severity of tinnitus .

Thanks .

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Krunal Karade (52 minutes later)

Thanks doctor
So u mean to say that everybody feels something in head in complete silence
Then I don't think I need to worry about it ????

Answered by Dr. Krunal Karade (46 minutes later)

Brief Answer:
Yes , everybody feels something in head in complete silence .

Detailed Answer:
Yes , everybody feels something in head in complete silence because of own body systems sound .

No need to worry .

Thanks .

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Krunal Karade (2 hours later)

Thanks doctor
Can u explain what is that sound that everybody feels ?
Actually I m feeling anxiety about getting tinnitus
And feeling that
Thanks again

Answered by Dr. Krunal Karade (1 hour later)

Brief Answer:
Everybody feels & describes tinnitus differently .

Detailed Answer:
Hi ,

Everybody feels & describes tinnitus differently . Most of times it is hissing, swishing , ringing , rustling & clicking type of noise .

No need for too much worry about tinnitus .

You will get relief .

Thanks .

Above answer was peer-reviewed by : Dr. Naveen Kumar

Follow up: Dr. Krunal Karade (28 minutes later)

Thanks doctor

I want to describe what I am feeling

1) no noise or tinnitus in the day as well as any party or my office or in the car.

2) no tinnitus at home while watching TV or being in the house if there is little bit noise also

3) if I close my ears and focus on something I don't hear any noise but if I don't focus I feel some noise in my head ?

4) only while sleeping if I don't feel sleepy in bed and in utter silence I feel something like very mild cricket sound type
Is this normal ?
Am I just freaking out about tinnitus

Also my last question to conclude abnormal tinnitus
Does a person has to feel this noise all the time ?

Answered by Dr. Krunal Karade (16 hours later)

Brief Answer:
In my opinion , you are too much worrying about tinnitus due to anxiety .

Detailed Answer:
Thanks for follow up query .

I have read your query and understand your concern.

In my opinion , you are too much worrying about tinnitus due to anxiety . Consult psychiatrist for evaluation & management of excess anxiety .

Everyone hears some noise when ears are closed . In complete silence , tinnitus is common in most persons . It is normal . No need for freaking out about tinnitus . You will get relief .

Get the Hearing tests done from Audiologist . If hearing tests are normal with no sensorineural hearing loss , you will not feel this noise all the time . It is temporary due eustachian tube blockage .

Regards.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Krunal Karade (10 hours later)

I just got my ears checked they are

perfectly ok

Now the only thing I feel is in my head I don't know if it is tinnitus or not but I feel it everyday when I m in complete silence while sleeping
I never thought or heard about it since two days ago
Can it just be my mind that is playing with me as u already told me that little tinnitus is always there in complete silence ?
Can u explain me if possible what tinnitus is there in complete silence ?

Answered by Dr. Krunal Karade (6 hours later)

Brief Answer:
If your hearing test are perfectly ok , it is just in your mind & thought

Detailed Answer:
Hi XXXX ,

If your hearing test are perfectly OK , it is just in your mind & thought .

You are too much worrying about tinnitus , which is in your mind & thought . There is no need to concern about it .

Being your doctor , i would advice kindly consult your psychiatrist as soon as possible . Now you are developing symptoms of Obsessive-Compulsive Disorder along-with severe anxiety . I think you need psychiatrist's help as soon as possible .

Thanks .

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Krunal Karade (15 hours later)

I consulted a physiatrist today

He told me tinnitus sound is high and if I had tinnitus then I would be feeling the tinnitus sound when I was sitting in his cabin in the afternoon as tinnitus sound is quiet audible to the person who has it
Also he told me people suffering from tinnitus feel tinnitus all the time 24 hours a day
Is it true ?
Secondly at night in my closed room I feel
'eeee "sound
from my brain if there is silence
Is it normal ?
Does all People feel that ?
Even my friend was feeling it today when he was in the silent room

Answered by Dr. Krunal Karade (7 hours later)

Brief Answer:
Tinnitus due to ear diseases is high & it is heard all the time .

Detailed Answer:
Hi XXXX ,

Tinnitus due to ear diseases is high & it is heard all the time . Tinnitus is more annoying in quiet surroundings, particularly at night, when the masking effect of ambient noise from the environment is lost.

In complete silent room , everyone hear tinnitus . The degree of silence vary from person to person to hear tinnitus . It is normal .

Hope your psychiatrist make dose adjustment in your medication . You are more concerning about tinnitus which is Obsessive-Compulsive behaviour .
I would again suggest not to worry about it.

Thanks .

Above answer was peer-reviewed by : Dr. Deepak

Follow up: Dr. Krunal Karade (12 hours later)

Thanks doctor I completely understand this is compulsive behaviour
But when I went for hearing test and was wearing ear phones in the complete sound proof room
I could hear eeee sound in my head
Is it completely normal to listen to that sound in silence ?
I was focusing more on this sound than the beep they were playing in my ear

Answered by Dr. Krunal Karade (18 hours later)

Brief Answer:
It is completely normal to hear tinnitus (eeee) in sound proof room

Detailed Answer:
Hi ,
XXXX ,

It is completely normal to hear tinnitus (eeee) in sound proof room after wearing ear phones . It is like complete silence . Most people hear similar sound in sound proof room after wearing ear phones .But they don't focus on this sound .

You are focusing more on this sound than the beep because of Obsessive-Compulsive Disorder .

Wish you good health .

Thanks .

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Krunal Karade (2 days later)

I just tried something doctor
I was in complete silent room and I was hearing eeee sound and when I started talking to my cousins in the same room I was not able to hear that
If I had actually tinnitus can it go with focusing somewhere else

Answered by Dr. Krunal Karade (22 hours later)

Brief Answer:
Any type of tinnitus can go with focusing somewhere else .

Detailed Answer:
Hi ,
XXXX ,

Any type of tinnitus can go with focusing somewhere else .

You will not hear tinnitus , if you talk to someone because of hearing own voice .

Your are focusing more on tinnitus because of psychological disorder which normal person will not do .

Thanks .

Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj