Dizziness and Headaches: Causes and Remedies - Neurology

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Headache and dizziness?


Hello Doctor:
1.
Occasionally, I experience sudden dizziness while walking or sitting, but resting for a while helps.
I would like to know what might be causing this issue.

2.
I want to ask on behalf of a friend who also experiences dizziness occasionally.
While commuting, he suddenly feels dizzy after getting off the bus or coach, and his vision gradually goes blank, followed by a headache.
He needs to rest for a while to feel better.
He has mentioned that his blood test showed a low white blood cell count.
What could be the cause of his symptoms? What should he pay attention to? If this situation occurs, how can he alleviate it? Thank you.

Zhu Baobao, 20~29 year old female. Ask Date: 2016/06/27

Dr. Gao Chunde reply Neurology


The first consideration would be the function of the inner ear, which can be evaluated by an otolaryngologist or a neurologist.
The second possibility could be vestibular migraine, which needs to be confirmed by a neurologist to identify and avoid triggering factors.

Reply Date: 2016/06/27

More Info


Dizziness and headaches are common complaints that can arise from a variety of causes, ranging from benign to more serious underlying conditions. Understanding the potential reasons behind these symptoms is crucial for effective management and treatment.

1. Dizziness: The sensation of dizziness, particularly the feeling of spinning or vertigo, can be caused by several factors. One common cause is vestibular dysfunction, which affects the inner ear's ability to maintain balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease can lead to episodes of dizziness. Other potential causes include dehydration, low blood pressure, anemia, or even anxiety and panic disorders. In your case, if the dizziness occurs infrequently and resolves with rest, it may not be a cause for immediate concern. However, if it becomes more frequent or is accompanied by other symptoms such as hearing loss, tinnitus, or severe headaches, it would be prudent to consult a healthcare professional for further evaluation.

2. Headaches: Headaches can also have numerous causes. Tension-type headaches are the most common and are often related to stress, poor posture, or muscle tension. Migraines, characterized by throbbing pain often accompanied by nausea and sensitivity to light, can also cause dizziness. Cluster headaches, though less common, can cause severe pain around one eye and may be associated with autonomic symptoms. Given that your friend experiences headaches following episodes of dizziness, it could suggest a migraine or tension-type headache triggered by the dizziness.
Regarding your friend's situation, the mention of low white blood cell counts (leukopenia) could indicate an underlying health issue that may need further investigation. Low white blood cell counts can be caused by various factors, including viral infections, bone marrow disorders, autoimmune diseases, or the effects of certain medications. If your friend is experiencing dizziness and headaches alongside this finding, it is essential for him to seek medical advice. A healthcare provider may recommend blood tests, imaging studies, or referrals to specialists, such as a neurologist or hematologist, depending on the clinical findings.

Management and Remedies:
- For Dizziness: Encourage both you and your friend to stay hydrated, avoid sudden movements, and practice balance exercises if dizziness is frequent. If dizziness is triggered by specific positions or movements, vestibular rehabilitation therapy may be beneficial.

- For Headaches: Over-the-counter pain relievers such as acetaminophen or ibuprofen can help alleviate headache pain. Maintaining a regular sleep schedule, managing stress through relaxation techniques, and ensuring proper hydration can also be beneficial. If headaches persist or worsen, a healthcare provider may suggest preventive medications or further diagnostic testing.

In summary, while occasional dizziness and headaches can be benign, persistent or severe symptoms warrant a thorough evaluation by a healthcare professional. Understanding the underlying causes is key to effective treatment and management. Encourage both you and your friend to monitor your symptoms closely and seek medical advice if necessary.

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