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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes sudden vertigo in a 49 year old woman while treating thyroid?

Answered by
Dr. Shehzad Topiwala


Practicing since :2001

Answered : 1663 Questions

Posted on Tue, 30 Aug 2016 in Thyroid Problem and Hormonal Problems
Question: hello sir. My mother is 49 years old. she is taking medicine of thyroid ; cholesterol ; blood sugar & aspirin. she has spondilytis also. yesterday night sudden vertigo appears for few seconds and today also 5 to 6 times.yesterday night she vomit and it was acidic in nature.she took antacids from yesterday one week ago she do some pathological tests of thyroid blood sugar haemoglobin & cholesterol. all results come normal. one month ago one e.c.g was also done.. report is normal too. my question is what will be the problem?
Answered by Dr. Shehzad Topiwala 49 minutes later
Brief Answer:

Detailed Answer:
Sorry to learn about your mothers bothersome symptoms. I have noted you ran some tests on her which came back normal. It is likely vertigo and she will benefit enormously from a thorough in-person evaluation by a Neuro-Otologist to see if this is vertigo or something else. When I see someone like her in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this checks your thyroid too)                                                                                    Thyroid  autoantibodies :  Anti Thyroid Peroxidase (TPO) antibodies  and   Anti Thyroglobulin antibodies                                                                                                       12 hour Fasting Lipid profile
Urine albumin to Creatinine Ratio (early sign of diabetes affecting the kidney)
25 hydroxy Vitamin D   levels   (ideal range 40 to 60 ng/ml =  100 to 150 nmol/liter)     

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Shehzad Topiwala 3 hours later
can it be related with cardiac disorder or any other serious condition?
Answered by Dr. Shehzad Topiwala 3 hours later
Brief Answer:
Follow up

Detailed Answer:
Potentially yes. That is why a systematic evaluation is necessary. If the ENT and Neurologist cannot pinpoint a definite cause, a cardiology assessment is necessary
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

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