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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Dizziness, Headaches, Clicking Sound While Swallowing And Lack Of Energy. MRI Normal. Any Opinion?

I have been ill now for 9 months...It all started with a dizzy spell (more off balance than spinning).I have had dizzy spells for seven years ,maybe twice a year,for upto 6 weeks at a time.But on this occasion the dizziness was different,in the past it was a getting up from laying down,or looking upward that would bring it on.
this time it was just constant and worse when getting out of the bath.5 days previous i had exerted myself on a running machine,after months of hardly any activity due to having Tennis Elbow.
A week into this dizzy spell i went for a walk,only about 3 miles and not too strenuous.After the walk, on getting into my car,that bending down and motion gave me such an intense instant headache i had trouble putting my seatbelt on and struggled to drive.I got home and fully dressed just had to lie down,this seemed to ease the pain a little,3 hours later awoke and before moving i felt no pain,then the second i lifted my head from the pillow the intense headache came back.The intense headache did get slightly better after a few days but took a total of 8 months to go completely.And in the 8 months i have been unable to bend over with out the pain increasing.
After having the headaches for 4 months and with feeling tired all the time my GP recommended exercise,which just made me worse.After a once a week walk of 2 miles,i would need a week to recover,unable to do housework and struggle to even have the energy to drive.
Month 6 into headaches...after my weekly effort to exercise,2 days later i woke one morning and could not work my legs properly...they just would not do what i wanted for 3 hours.Other times its been for 30 minutes ,but mostly for about 2 months my legs just felt heavy to move and easy to drag my feet.
I have had only a few instances of swallowing problems,usually day of/days after activity.My vision has very slightly been effected,I am not sure if its part of the dizziness which has near on gone but it is very slightly blurry.
After month 7 i started to have sleeping problems for the first time in my life,every 2 hours i would awake and need to turn over,no pain tho just uncomfotable.This sleeping pattern lasted 2 months,for the last 2 weeks i am sleeping better and for longer than ever before.
Also if i have to turn my neck to talk to someone ,I get tired eyes ,and neck pain.
3 months before the headache started i was always feeling tired and noticed that if i was driving in traffic that was slow and boring,i could fall asleep so easy.Also in doctors waiting rooms since ,if alone and no radio or anything to read,I could easily close my eyes and be asleep.
Have had crackling noise when i swallow for some time .
My neck does crick and crack when i move it,it is not as free to move as i feel it should be.There have been times when i have gone to bed early due to neck pain.On a few occasions i have found wrapping a scarf tightly around my neck helps the pain.
I am getting better every few weeks just lately but I fear it is temporary and as i am still unable to work after a year,I would like some answers please.
I have had blood tests,low Vitamin D was found ,on supplement.
MRI head scan found nothing.
I have a GP appointment soon but would like anothers opinion please.
Fri, 19 Apr 2013
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ENT Specialist 's  Response
Hello

Thanks for writing to H.C.M. for yoyr query.

I have gone through your query regarding dizziness and severe headache. though you are in touch with your GP, but still weakness and unsteadyness are disturbing you. Your MRI brain is normal. As you said that in acute attacks you feel difficulty in movement of legs due to weakness and appears as they are not as desired.

You also feels clicking sound during swallowing, but this is normal. Your history of ill ness reflects that your audiovestibular and neurological examination is must to pinpoint the diagnosis.

Your vestibular function tests are to be done so consult ENT doctor and neurologist should examine the CNS and by the co-relation and interaction of these two your diagnosis may be made, and accordingly plan for treatment.

Regards.
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Suffer From Dizziness, Headaches, Clicking Sound While Swallowing And Lack Of Energy. MRI Normal. Any Opinion?

Hello Thanks for writing to H.C.M. for yoyr query. I have gone through your query regarding dizziness and severe headache. though you are in touch with your GP, but still weakness and unsteadyness are disturbing you. Your MRI brain is normal. As you said that in acute attacks you feel difficulty in movement of legs due to weakness and appears as they are not as desired. You also feels clicking sound during swallowing, but this is normal. Your history of ill ness reflects that your audiovestibular and neurological examination is must to pinpoint the diagnosis. Your vestibular function tests are to be done so consult ENT doctor and neurologist should examine the CNS and by the co-relation and interaction of these two your diagnosis may be made, and accordingly plan for treatment. Regards.