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What causes sudden dizziness,hearing loss and nausea?

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Posted on Mon, 28 Jul 2014
Question: Hello, i am a healthy 59 yr old female. in the last 3 months i have had 3 episodes of sudden dizziness, vertigo, loss of hearing in my right ear, mild feeling of nausea, loss of balance after bending over and mildly straining, perhaps holding my breath momentarily. Some background - 40 years ago I broke my jaw and the disc in my jaw joint on the right side was dislocated, I've had head and some facial numbness since. I am very healthy, low blood pressure, non-smoker, yogi, not overweight. The episodes usually pass within 5 minutes, although today I still feel queasy 5 hours later. Could this relate to a problem with the vagus nerve? Any ideas as to what is going on? Should I see a doctor sooner than 2 weeks from now? Thank you.
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Answered by Dr. Prasad (8 hours later)
Brief Answer:
Not purely vagal response... See a doctor...

Detailed Answer:
Hi,

The spectrum of symptoms described above definitely suggest transient brain hypoperfusion state. The hypoperfusion caused by straining can be explained by vagal reflex phenomenon. In addition symptoms after bending may also be due to positional vertigo or a cervical spine pathology.

I am glad that you have planned to see a doctor shortly. During the appointment please discuss about the other two possibilities that I mentioned. The doctor will know about the various tests that should be performed to arrive at a diagnosis.

You can wait the 2 weeks to see a doctor. In the meanwhile, I would recommend you avoid strenuous physical activities. Avoid sudden position changes. No bending/lifting activities. If you have history of constipation or cough treat it with appropriate measures.
If you have more of those attacks, it is advisable to prepone the scheduled appointment.

Hope I have answered all your questions. Let me know if you need clarifications.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Prasad

General & Family Physician

Practicing since :2005

Answered : 3606 Questions

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What causes sudden dizziness,hearing loss and nausea?

Brief Answer: Not purely vagal response... See a doctor... Detailed Answer: Hi, The spectrum of symptoms described above definitely suggest transient brain hypoperfusion state. The hypoperfusion caused by straining can be explained by vagal reflex phenomenon. In addition symptoms after bending may also be due to positional vertigo or a cervical spine pathology. I am glad that you have planned to see a doctor shortly. During the appointment please discuss about the other two possibilities that I mentioned. The doctor will know about the various tests that should be performed to arrive at a diagnosis. You can wait the 2 weeks to see a doctor. In the meanwhile, I would recommend you avoid strenuous physical activities. Avoid sudden position changes. No bending/lifting activities. If you have history of constipation or cough treat it with appropriate measures. If you have more of those attacks, it is advisable to prepone the scheduled appointment. Hope I have answered all your questions. Let me know if you need clarifications. Regards