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Feeling tingling and heaviness in head. Normal EKG, stress test and blood test. Do I have Sjogren's syndrome or neurological dysfunction?

I am 40 yr old male never drank or smoked. I eat healthy and do not drink caffeine and I exercise about 30 min about 2 to 3 times per week on exercise bike. I just drink water and juice. I periodically get tingling in head and feel like weight in my head and feel disoriented like things are shifting like vertigo or dizziness . When I look around at different things or make sudden movements dizziness is worse and feel like may passout and then feel better but still dizzy. Some days are worse than others. Did eng test for ear issues and slight difference between right and left ear but not enough to make a huge difference according to doctor. Also have had 2 mri s about 2 yrs ago and came back normal. Have had ekg and echocardiogram and stress test and blood work done for certain symptoms and came back normal. Also have gastritis and ibs and heavy pressure below sternum and don t know if dizziness could be related to gastro issues or not. Wondering if could be shojrens or neurologic dysfunction or m.s.
Asked On : Mon, 25 Mar 2013
Answers:  2 Views:  35
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

First of all, I would like to reassure you that your symptoms are not suggestive of multiple sclerosis (MS) or other serious neurological illness.

Normal MRI scan of the brain also excludes a diagnosis of MS.

The most likely cause of dizziness in your case could be peripheral vertigo.

You should start vestibular rehabilitation exercises, under guidance from a physiotherapist.

You should also exclude a vitamin B12 deficiency.

I hope it helps.

Please get back if you require any additional information.

Best wishes,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)

Senior Consultant Neurologist

Apollo Hospitals, Hyderabad,

My personal URL on this website:

My email:
Answered: Mon, 25 Mar 2013
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Emergency Medicine Specialist Dr. R.A. Singh's  Response
Thanks for writing your query.

Vertigo can be caused by various factors, common being :-
1. Cervical spondylosis.
2. Disturbance in internal ear.
3. Head injury.
4. Space occupying lesion in the brain.

It will be helpful if you give more information about your vertigo lile :-
1. Whether it is postural related - more when lying on one side?
2. Any ringing in ears?
3. Any associated neck pain?

You can take Betahistine 16 mg thrice a day for relief from your symptoms.
If pain in your neck is also present, you can take pain killers along with muscle relaxant.

Avoid excessive caffeine and extra salt in your diet.

If the problem persists, get yourself examined by a Neurophysician.
I hope this is helpful to you.
Answered: Mon, 25 Mar 2013
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