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    What causes lightheadedness and balance issues while sitting?

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Posted on Tue, 24 May 2016 in Sleep Disorders
Question: What could be the cause or causes of slight light headed feelings and slight feelings of imbalances while sitting
doctor
Answered by Dr. Kaushal Bhavsar 44 minutes later
Brief Answer:
Possibility of brain related pathology is more.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Your symptoms like light headedness, imbalance etc are more suggestive of brain related pathology.
Causes for this are
1. Cerebellar pathology like embolism, ischemic stroke or mild hemorrhage.
2. Migraine can also cause similar symptoms.
3. Inner ear diseases like infection, post traumatic injury etc can also cause similar symptoms.
4. Electrolyte disturbances like hyponatremia can also cause similar symptoms.
5. Vitamin b 12 deficiency can cause similar symptoms also.
So better to consult doctor and discuss all these things. You may need clinical examination and reports to find out the cause for these symptoms.
Please let me know
1. Do you have diabetes?
2. Do you have hypertension?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 17 minutes later
Yes, do take medication for hypertension but it is controlled.
I do not have diabetes
Blood work last week did not show a b 12 deficiency.
doctor
Answered by Dr. Kaushal Bhavsar 2 minutes later
Brief Answer:
Since how many days you are having these symptoms?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So you are hypertensive and nondiabetic.
Please let me know, since how many days you are having these symptoms of imbalance?
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 38 minutes later
It began on Sunday morning with dizziness and subsequent light headed feelings that comes and goes.
Bp checked every 30 minutes or so on Sunday and was 148/70 to 162/78 before seeing Dr. Dr. checked and found it to be in the same range.
Did not see any stroke like symptoms.
doctor
Answered by Dr. Kaushal Bhavsar 1 hour later
Brief Answer:
Do you any alarming symptom before this episode?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
Yes, your blood pressure is controlled. So we can rule out possibility of stroke.
We should rule out migraine and other inner ear causes.
So please let me know
1. Do you have stressful life?
2. Do you experience any specific alarming symptom (like whistle in ear) before starting such episode?
3. Do you feel earache or Itching?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 1 hour later
My life is not stressful.
There is no alarming symptoms before starting.
No earache or itching.
doctor
Answered by Dr. Kaushal Bhavsar 11 minutes later
Brief Answer:
Have you tried any drugs for this?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I have to read our conversation in detail to guide you further.
I found out that you have symptoms in sitting position.
Are these symptoms only in sitting position?
Do you have any of these symptoms on standing or walking or on change of posture?
Please reply me answers of above asked questions, so that I can guide you better.
I will be happy to help you further. Wish you good health . Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 12 minutes later
No, not just sitting. These feelings comes when lying down as well.
Yes, ocassionally these felings do surface when changing positions. In fact, sometimes I change positions to feel better. When lying down and the feelings comes, I sit up and feel better.
doctor
Answered by Dr. Kaushal Bhavsar 28 minutes later
Brief Answer:
Are you taking any drugs for this?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So you are having positional change of symptoms.
This favour possibility of Vertigo more.
Are you taking any treatment (drugs) for this?
Please reply me answer of above asked question so that I can guide you treatment.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 15 minutes later
No, it just began on Sunday morning. I have not seen my Doctor for this. The Doctor that I sawwas seen in the ER.
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
Has he not prescribed you anything?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
So you are not taking anything for your symptoms.
Please let me know
1. Why you have not prescribed anything in emergency room (ER)?
2. What were the findings by doctor in emergency room? Had he/she put some diagnosis?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 13 minutes later
He was not sure of the issue, only concluded this as a posibility by deductive reasoning or by process of elimination.
doctor
Answered by Dr. Kaushal Bhavsar 6 minutes later
Brief Answer:
You should start vertin and stemetil tablets.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
In my opinion, you should start empirical treatment for vertigo.
Start vertin and stemetil MD (mouth dissolving) tablets.
Do you get over the counter drugs at your place?
Where do you live?
Please reply me answers of above asked questions, so that I can give you names of drugs.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 9 minutes later
Yes, I can get this. I live in SC.
doctor
Answered by Dr. Kaushal Bhavsar 13 minutes later
Brief Answer:
I forgot to ask you your weight and height.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
It's great that you get these drugs over the counter.
Sorry to say but I forgot to ask your weight and height.
These information will be needed to set the dose of these drugs.
Please tell me your weight and height.
I will be happy to help you further. Wish you good health. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Kaushal Bhavsar 3 hours later
I am 6'4" and weig about 290h
doctor
Answered by Dr. Kaushal Bhavsar 5 minutes later
Brief Answer:
Start Vertin 16 mg 1-1-1 and stemetil MD 5 mg 1-1-1.

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
So you will need these drugs in following dose.
1. Tablet Vertin (beta histine) 16 mg, three times a day. Better to take it on empty stomach.
2. Tablet Stemetil MD (mouth dissolving) (prochlorperazine) 5 mg thrice a day. Keep this tablet under your tongue or between cheek and gums. Let it dissolve by its own. Don't chew or swallow.
Take these drugs for 3 days.
You will mostly improve with all these.
Hope I have solved your query.
If you are not having further queries, then please close the conversation and rate my answer.
You can ask me directly on bit.ly/askdrkaushalbhavsar.
Wish you good health. It was nice talking to you. Thanks.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Kaushal Bhavsar

Pulmonologist

Practicing since :2008

Answered : 14651 Questions

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