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What Causes Imbalance And Heaviness In My Head?

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Posted on Thu, 2 Apr 2015
Question: evening doctor, i have been suffering from imbalance ,head heavyness. even sitting some time shaking front,back
doctor
Answered by Dr. Sumit Bhatti (29 minutes later)
Brief Answer:
Describe the dizziness in detail along the points given below:

Detailed Answer:
Hi,

Thank you for your query.

1. I will be able to guide you better about the possible cause if you can provide me more details of your dizziness like:
a. The exact moment when it all started,
b. How often and how long do the episodes last? Is it continuous?
c. Any other associated symptoms, such as nausea, vomiting or sweating?
d. I need to know if your hearing is normal. Does it fluctuate? Do you get any sounds (tinnitus) or fullness in the ear?
e. Is the dizziness true vertigo (spinning of the surrounding) or only unsteadiness.
f. Is the dizziness only when there is change of position (such as lie down or sit up)? Can you walk without support? Do you get dizzy when you turn in bed or look up while climbing stairs?
g. Is your vision clear or blurred? Is there any tendency to blackout?
h. Do you have any history of illness - ear / neck related problems or head injury? Any headaches or migraine? Any hyperacidity or recent cold?

2. Get your blood pressure and blood sugar and hemoglobin levels checked.

3. An examination by a doctor who can check your eyes for any abnormal movements (nystagmus), ears for any signs and prescribe medication for settling the dizziness.

Awaiting your reply.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (2 hours later)
1. I will be able to guide you better about the possible cause if you can provide me more details of your dizziness like:
feeling mind black but i can identify any
a. The exact moment when it all started,
except sleeping
b. How often and how long do the episodes last? Is it continuous?
when i wake up from sleeping it is continue as time go on
c. Any other associated symptoms, such as nausea, vomiting or sweating?
NO, some time feel anxious (stomach pulled inside and hold at that time short breathing,feel falling,head turning and discomfort) i have gas problem at that time burfed
d. I need to know if your hearing is normal. Does it fluctuate? Do you get any sounds (tinnitus) or fullness in the ear?
hearing is normal but sound irritate. in my ears also feel blank.

e. Is the dizziness true vertigo (spinning of the surrounding) or only unsteadiness.
only unsteadyness

f. Is the dizziness only when there is change of position (such as lie down or sit up)? Can you walk without support? Do you get dizzy when you turn in bed or look up while climbing stairs?
while sitting,walking feel dizzi, i can walk with out support but feel unsteadiness ( falling,heavy head, particulary in crowed , limited space heavy head, dizzi,no comfort free movement (how normal person move and act suddenly)
g. Is your vision clear or blurred? Is there any tendency to blackout?
Vision is clear but contiuous activity by seeing give unclear reading
h. Do you have any history of illness - ear / neck related problems or head injury? Any headaches or migraine? Any hyperacidity or recent cold?
NO, i suffering from gas(burfing,full XXXXXXX tight)
2. Get your blood pressure and blood sugar and hemoglobin levels checked.
Yes , BP 120/80 i am on Medication since 3 months( power 5/50) , HB level 15, recently gone under surgery for internal Heamarroid(stapling). sugar level are normal in range

3. An examination by a doctor who can check your eyes for any abnormal movements (nystagmus), ears for any signs and prescribe medication for settling the dizziness.
I taken treatment with MD internal medicine for 3months later he suggested to consult neurophysian, he prescribed on month medicine for imbalance,giddiness,anxiety.

here i am attaching the reports

doctor
Answered by Dr. Sumit Bhatti (2 hours later)
Brief Answer:
Rule out PPV(Phobic Postural Vertigo)/early Meniere's with a Neurotologist.

Detailed Answer:
Hi,

Thank you for writing back.

1. Your description seems to be more like Phobic Postural Vertigo (PPV) or early Meniere's Disease.

2. This imbalance seems to be made worse by acid reflux, dehydration and anxiety. Do you have any exposure to tobacco or alcohol?

3. A Neurotologist will be able to conduct all the hearing, central (brain related) and imbalance tests to narrow down the diagnosis.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (1 hour later)
Doctor,
suddenly upper part of stomach under the chest feel that pulled in side and hold at that time short breathing if not take breath feel faint,feeling taking dry air easily and passing airline also dry.if walking (or) doing activity at the time feel imbalance,discomfort,fainting and un easyness in head and breathing.
i try to send out air from mouth that is not smelly,burning etc.
if i sit or stand with out any motion in body ,i get shaky,falling front suddenly with legs. in crowd ,narrow spaces and road crossing situation also movements are not normal as normal person react quickly, feel that pulling back,release.
while sleeping my both hand ring finger and small get numbling
2. This imbalance seems to be made worse by acid reflux, dehydration and anxiety. Do you have any exposure to tobacco or alcohol?

i had exposure to smoking and alcohol, now i quit both
doctor
Answered by Dr. Sumit Bhatti (6 hours later)
Brief Answer:
Acidity, anxiety. Tests need to be done. If normal, likely PPV/Neurologic

Detailed Answer:
Hi,

Thank you for writing back.

1. These seem to be more of acidity and anxiety symptoms (like a panic attack).

2. I would also recommend an Ultrasound (USG) Abdomen, Chest X-rays and a Neurologist's opinion. Lung Function Tests, an ECG and 2D Echo should be done.

3. If these are all normal, the cause is most likely to be PPV.

4. Interestingly, PPV improves with activity an small amounts of alcohol. Have you noticed anything like this?

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
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. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2685 Questions

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What Causes Imbalance And Heaviness In My Head?

Brief Answer: Describe the dizziness in detail along the points given below: Detailed Answer: Hi, Thank you for your query. 1. I will be able to guide you better about the possible cause if you can provide me more details of your dizziness like: a. The exact moment when it all started, b. How often and how long do the episodes last? Is it continuous? c. Any other associated symptoms, such as nausea, vomiting or sweating? d. I need to know if your hearing is normal. Does it fluctuate? Do you get any sounds (tinnitus) or fullness in the ear? e. Is the dizziness true vertigo (spinning of the surrounding) or only unsteadiness. f. Is the dizziness only when there is change of position (such as lie down or sit up)? Can you walk without support? Do you get dizzy when you turn in bed or look up while climbing stairs? g. Is your vision clear or blurred? Is there any tendency to blackout? h. Do you have any history of illness - ear / neck related problems or head injury? Any headaches or migraine? Any hyperacidity or recent cold? 2. Get your blood pressure and blood sugar and hemoglobin levels checked. 3. An examination by a doctor who can check your eyes for any abnormal movements (nystagmus), ears for any signs and prescribe medication for settling the dizziness. Awaiting your reply. Regards