question-icon

What causes persistent dizziness in an over weight smoker?

default
Posted on Fri, 13 May 2016
Question: hi for the last 4 yrs i have had a problem were i feel faint or dizzy i went to doctor they have said or done nothing im 50 overweight smoker that has severe sleep apnea im am going for my 2nd sleep study but lately ive had blurred vision and dizzy attacks my doctor did a mri as was told i have c2 c3 c4 bulging disc i also did a test were they put me on a board and titled me up and down that doctor said i was having a reaction of dizziness when i went up or down i also have bad allergies i drive a car for a living and am very scared i might pass out and crash and kill me or sombody else please help
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your medical history and would explain that your symptoms are related to different disorders:


- positive Head Up tilt test is indicative of orthostatic intolerance. This disorder can cause your blood pressure to lower when standing up from seating position, leading to dizziness and vertigo during this changes in body position. You should take a lot of fluids and avoid abrupt standing up or body movement to minimize these changes in blood pressure.

- the bulging cervical discs also contribute in dizziness and neck pain. A cervical collar may be helpful time after time if you have neck pain.

- sleep apnea can cause low blood oxygenation and increased sleepiness, leading to low oxygen to the brain and thus dizziness and vertigo. If sleep apnea is confirmed, it should be treated properly to avoid increased cardio-vascular risk and dizziness. A PAP device during sleep would be really helpful in this situation.

Besides, I would also recommend consulting with the ENT specialist and perform labyrinthine tests to exclude a possible inner ear disorder.

Thyroid tests would also help exclude possible thyroid imbalance, which can be the cause of persistent vertigo.

Meanwhile, I would recommend starting Dimenhidrynate 25-50mg three times daily, which is an antihistamine, which can help you also against allergies. From the other hand it can exacerbate orthostatic hypotension, thus it should be started in low doses and increased slowly based on your tolerance. It can help you prevent and manage the episodes of dizziness.

Another treatment option would be betahistine 24mg twice daily.

You should discuss with your doctor on the above treatment options.

Hope you will find this answer helpful!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8277 Questions

premium_optimized

The User accepted the expert's answer

Share on
What causes persistent dizziness in an over weight smoker?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your medical history and would explain that your symptoms are related to different disorders: - positive Head Up tilt test is indicative of orthostatic intolerance. This disorder can cause your blood pressure to lower when standing up from seating position, leading to dizziness and vertigo during this changes in body position. You should take a lot of fluids and avoid abrupt standing up or body movement to minimize these changes in blood pressure. - the bulging cervical discs also contribute in dizziness and neck pain. A cervical collar may be helpful time after time if you have neck pain. - sleep apnea can cause low blood oxygenation and increased sleepiness, leading to low oxygen to the brain and thus dizziness and vertigo. If sleep apnea is confirmed, it should be treated properly to avoid increased cardio-vascular risk and dizziness. A PAP device during sleep would be really helpful in this situation. Besides, I would also recommend consulting with the ENT specialist and perform labyrinthine tests to exclude a possible inner ear disorder. Thyroid tests would also help exclude possible thyroid imbalance, which can be the cause of persistent vertigo. Meanwhile, I would recommend starting Dimenhidrynate 25-50mg three times daily, which is an antihistamine, which can help you also against allergies. From the other hand it can exacerbate orthostatic hypotension, thus it should be started in low doses and increased slowly based on your tolerance. It can help you prevent and manage the episodes of dizziness. Another treatment option would be betahistine 24mg twice daily. You should discuss with your doctor on the above treatment options. Hope you will find this answer helpful! Kind regards, Dr. Iliri