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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Dizziness And Light Headedness

Hi. I am extremely light headed upon standing and dizzy. my underactive thyroid was recently adjusted cuz the levels were off. the TSH was too low and the T4 was at T7....I m struggling to eat because my throat is gaggy. I have no appetite. I have no energy or strength. I m wondering if the medication was not adjusted enough. I know it takes a while to adjust but I m almost feeling worse every day.
Tue, 5 Nov 2019
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General Surgeon,  's  Response
Hi,

One possibility is heart rhythm disorders such as SVPT--Supraventricular paroxysmal tachycardia. You should check your pulse and EKG? Another possibility is MVP or mitral valve prolapse (common in 40% of people) --it can lead to similar symptoms.

One way to abort these attacks is to pinch your nostrils and blow hard through your mouth. This is called Valsalva's manouevre. Alternately feel the carotid artery inside the sternocleido mastoid muscle in your neck--(any doctor can show you) on any one side of neck and gently massage. This will also abort the attack. But never do it on both sides simultaneously.

Personally I do not think they are panic attacks considering your personality. And instead of 25 mgs of Metoprolol, Verapamil 120mg SR or Propranolol 10 mg twice a day will keep you under control. You can revert.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Dizziness And Light Headedness

Hi, One possibility is heart rhythm disorders such as SVPT--Supraventricular paroxysmal tachycardia. You should check your pulse and EKG? Another possibility is MVP or mitral valve prolapse (common in 40% of people) --it can lead to similar symptoms. One way to abort these attacks is to pinch your nostrils and blow hard through your mouth. This is called Valsalva s manouevre. Alternately feel the carotid artery inside the sternocleido mastoid muscle in your neck--(any doctor can show you) on any one side of neck and gently massage. This will also abort the attack. But never do it on both sides simultaneously. Personally I do not think they are panic attacks considering your personality. And instead of 25 mgs of Metoprolol, Verapamil 120mg SR or Propranolol 10 mg twice a day will keep you under control. You can revert. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon