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What Do Lightheadedness And Blurry Vision Indicate?

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Posted on Fri, 13 Oct 2017
Question: For the last month I have been experiencing lightheadiness, blurry kind of vision and excessive yawning. I have no history of diabetes, or anything else that may be a simple answer to this. I have had blood tests pulled and nobody can seem to pin point anything that is causing these symptoms. Thoughts?
doctor
Answered by Dr. Ishu Bishnoi (34 minutes later)
Brief Answer:
Need more information

Detailed Answer:
Hi Mxxxxxs, thanks for asking from HCM.


I can understand your concern. You are suffering from generalised symptoms like light headedness, blurry vision and yawning. These symptoms can be found in so many conditions (organic and non-organic). I will provide you the list of both

Organic illness

- Anaemia - low haemoglobin level in body can cause such symptoms along with fatigue, excessive sleep, body ache after work.

- Hypothyroidism - Low thyroid hormone level can cause such symptoms along with constipation, weight gain, poor appetite, depression, excessive sleep, cold intolerance.

- Hypotension - Low blood pressure due to hypothyroidism, low basal tone, sedentary life can cause all the above symptoms due to poor blood supply to brain.

- dehydration - Similar to hypotension. It can occur due to diarrhea, vomiting, excessive work, poor fluid intake.

- Transient ischemic attack - Above mentioned symptoms can occur due to temporary decrease in blood supply of brain as a result of arterial narrowing. Later on it can cause ischemic stroke.

- Hormonal imbalance especially steroid hormone (Cushing disease).

Non organic or functional illness

- Depression
- Insomnia
- Chronic fatigue syndrome

Now as you can see there are so many diseases which can cause your symptoms. To differentiate among these, I need more information about your symptoms

- Are you overworked?

- What is your haemoglobin level, thyroid hormone and cortisol level?

- What is your usual BP?

- Did you get any MRI brain done? If so, was there any ischemic lesion?

- Is there any past history of depression?

- Do you feel pain in whole body, restlessness in legs, insomnia?

- Is there any history of lack of interest, feeling lonely, not able to focus on anything?

Please provide me answers of above questions, I will try to narrow down the diagnosis and suggest you how to proceed further.

Hope you got my point. If any doubt, do let me know.
Thanks. Take care.


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Ishu Bishnoi (2 hours later)
Are you overworked? - not really. Own a company with my family and for the most part create my own hours. Have 3 children and wife at home, but all in all things are pretty tame.

- What is your haemoglobin level, thyroid hormone and cortisol level?- I don't know exact levels, but when blood was pulled a few weeks back, all came back normal.

- What is your usual BP?- normal

- Did you get any MRI brain done? If so, was there any ischemic lesion?- had one done a while back, nothing abnormal came up.

- Is there any past history of depression?- not with me.

- Do you feel pain in whole body, restlessness in legs, insomnia?- not pain, but have had random numbness feeling in my legs.

- Is there any history of lack of interest, feeling lonely, not able to focus on anything?-= no sir.

overall I have had a lot of blood drawn, chest x rays, mri's, all kinds of stuff. All of this was done by not only my GP but also at the hospital because it got bad enough over a 3 day period where I just became scared. I left the hospital with nothing figured out and feeling about the same as when I came there. I got fluids on multiple occasions thinking it could have something to do with dehydration, but fluids did not help the symptoms either.
doctor
Answered by Dr. Ishu Bishnoi (18 hours later)
Brief Answer:
Suspecting non organic disease

Detailed Answer:
Hi Mxxxxxs, welcome back.


Thanks a lot for providing me answers of above questions. It is good to know that you have got done all investigations and all are normal. It means you have been thoroughly evaluated by the doctor. As organic disease has been ruled out already, we can suspect "non organic disease or psychological cause".

I think you should consult "psychiatrist" to rule out psychological cause. He will examine you and evaluate you for any psychological dysfunction. If the evaluation is normal, then it is a possibility that you might be suffering from some organic disease at an early stage. Due to it, blood tests may come normal. If we repeat tests after 1 month, then there is a possibility that we might get some clue.

Meanwhile, you should follow few tips to get some relief

- If there is dizziness, vertigo, you should take tablet betahistine after prescription.

- Drink at least 3 litre of fluids daily.

- Take multivitamin capsules which contain B12, pyridoxine, pantothenic acid, folic acid, thiamine.

- Drink coffee or tea to reduce yawning and increase alertness.

- Try to measure your BP if you feel light headedness. it is to know about base line BP.

Hope it will help you. If you have nay doubts, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Answered by
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Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

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What Do Lightheadedness And Blurry Vision Indicate?

Brief Answer: Need more information Detailed Answer: Hi Mxxxxxs, thanks for asking from HCM. I can understand your concern. You are suffering from generalised symptoms like light headedness, blurry vision and yawning. These symptoms can be found in so many conditions (organic and non-organic). I will provide you the list of both Organic illness - Anaemia - low haemoglobin level in body can cause such symptoms along with fatigue, excessive sleep, body ache after work. - Hypothyroidism - Low thyroid hormone level can cause such symptoms along with constipation, weight gain, poor appetite, depression, excessive sleep, cold intolerance. - Hypotension - Low blood pressure due to hypothyroidism, low basal tone, sedentary life can cause all the above symptoms due to poor blood supply to brain. - dehydration - Similar to hypotension. It can occur due to diarrhea, vomiting, excessive work, poor fluid intake. - Transient ischemic attack - Above mentioned symptoms can occur due to temporary decrease in blood supply of brain as a result of arterial narrowing. Later on it can cause ischemic stroke. - Hormonal imbalance especially steroid hormone (Cushing disease). Non organic or functional illness - Depression - Insomnia - Chronic fatigue syndrome Now as you can see there are so many diseases which can cause your symptoms. To differentiate among these, I need more information about your symptoms - Are you overworked? - What is your haemoglobin level, thyroid hormone and cortisol level? - What is your usual BP? - Did you get any MRI brain done? If so, was there any ischemic lesion? - Is there any past history of depression? - Do you feel pain in whole body, restlessness in legs, insomnia? - Is there any history of lack of interest, feeling lonely, not able to focus on anything? Please provide me answers of above questions, I will try to narrow down the diagnosis and suggest you how to proceed further. Hope you got my point. If any doubt, do let me know. Thanks. Take care.