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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Dizziness While Lying Down?

I get very dizzy when I lay down at night to go to bed... it lasts for about 10-15 seconds... the room spins extremely fast. Then I get dizzy again when I get out of bed in the morning. This has been happening every day for about the past 2 weeks. Sometimes it happens if I am sitting down and bend my head back. I am 55 yrs, I also have a stiff neck with degenerative disease in C5 & C6, no fever, but I do have an upper molar with a fractured root that needs to be removed. The tooth has been bad for over a year, but it did not bother me, so I have put off having it pulled. Now with the dizziness, I am wondering if they are related.
Sat, 22 Apr 2023
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General & Family Physician 's  Response
Hi,

There could be several possible causes of severe dizziness while lying down, including:
* Inner ear disorders: One possibility is that you may have an inner ear disorder, such as benign paroxysmal positional vertigo (BPPV), which is caused by calcium crystals that have moved into the wrong part of the inner ear.
* Orthostatic hypotension: Another possibility is that you may have orthostatic hypotension, which is a drop in blood pressure that occurs when you stand up too quickly.
* Medication side effects: Dizziness can also be a side effect of certain medications, such as anti-hypertensives or antipsychotics.
* Dehydration: Dehydration can also cause dizziness, so make sure you are drinking enough water.

Given that you also have a stiff neck with the degenerative disease in C5 & C6, this may also be a contributing factor to your dizziness. It is possible that the fractured tooth could be related to your symptoms, but it is unlikely to be the primary cause.

It would be best to schedule an appointment with your healthcare provider to discuss your symptoms and undergo a thorough evaluation. Your provider may refer you to an ENT (ear, nose, and throat) specialist or a neurologist for further evaluation and treatment.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Priyanka, General & Family Physician
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General & Family Physician Dr. Sunny Madar's  Response
Hi,

Your history suggest that it is due c5,6 lesions but needs Ent examination is helpful audiometry, ECO, ENT studies can make exact diagnosis (avoid smoke, alcohol, caffeine, drugs, obesity). There are surgical and non surgical treatment available. Eat healthy antioxidants amla, aloe vera, basil, fresh fruits, juices, and steamed vegetables.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Sunny Madar, General & Family Physician
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What Causes Severe Dizziness While Lying Down?

Hi, There could be several possible causes of severe dizziness while lying down, including: * Inner ear disorders: One possibility is that you may have an inner ear disorder, such as benign paroxysmal positional vertigo (BPPV), which is caused by calcium crystals that have moved into the wrong part of the inner ear. * Orthostatic hypotension: Another possibility is that you may have orthostatic hypotension, which is a drop in blood pressure that occurs when you stand up too quickly. * Medication side effects: Dizziness can also be a side effect of certain medications, such as anti-hypertensives or antipsychotics. * Dehydration: Dehydration can also cause dizziness, so make sure you are drinking enough water. Given that you also have a stiff neck with the degenerative disease in C5 & C6, this may also be a contributing factor to your dizziness. It is possible that the fractured tooth could be related to your symptoms, but it is unlikely to be the primary cause. It would be best to schedule an appointment with your healthcare provider to discuss your symptoms and undergo a thorough evaluation. Your provider may refer you to an ENT (ear, nose, and throat) specialist or a neurologist for further evaluation and treatment. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Priyanka, General & Family Physician