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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Vertigo & Chronic Sinus Infection

My 20 year old son was seen by a PCP today with c/o dizziness, vertigo & suspected chronic sinus infection. He had an EKG today & was told that he had an rsr variation & referred to a cardiologist. Of note, my son also has a history of boderline high BP, today it was 80/138. (not white coat syndrome as it is elevated when I take it at home) I first noticed his BP seemed rather high when he was about 8 years old. About the same time I also noticed a 'skip' in his heartbeat; about every 3rd beat, but not all the time. This had gone unnoticed until then. (I was in nursing school at the time of this discovering)
He is 5' 11" & weigths 153 lbs. (Side note: I learned today that 2 1/2 months ago he weighted 176; 23 lb wt. lose. He seemed unaware that he had lost so much wt & attributes the wt lose to DCing soda & starting to exercise) Also, about 1 1/2 years ago he was seen by a different PCP for vertigo/dizziness. At that time he was DX with an inner ear infection & was given Meclozine (sp). The docotor's DX was based on my son's eye movement; my son's eyes 'fluttered' when he was asked to follow the doctor's finger with his eyes. As of recent the Meclazine (sp) does not help with his vertigo/dizziness. What dose rsr variation mean? Does this warrant a visit to the cardiologist? Thank you
Tue, 21 Jul 2015
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General & Family Physician 's  Response
Sir, rsr variation is seen in ECG and is frequently seen in healthy people. You can treat his ear infection with Azithal 500 mg once daily for 5 days along with cetrizine. Add stugerone for vertigo. He is on borderline hypertension. Keep him on healthy diet( less fat) with 1 hour physical activity.
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Suggest Treatment For Vertigo & Chronic Sinus Infection

Sir, rsr variation is seen in ECG and is frequently seen in healthy people. You can treat his ear infection with Azithal 500 mg once daily for 5 days along with cetrizine. Add stugerone for vertigo. He is on borderline hypertension. Keep him on healthy diet( less fat) with 1 hour physical activity.