Is it really impossible to completely eliminate it?
Hello, doctor.
In the past, when I would get up from lying down (this only happened after lying down for a long time), I would experience dizziness and blurred vision, which would recover in a few seconds.
I have also experienced seeing stars and my vision going completely black, and I have fainted a few times.
Once in middle school, during a physical fitness test for an 800-meter run, I started off very fast in the first lap, but by the third or fourth lap, I began to feel strange and lacked the energy to run, so I walked instead, which was very uncomfortable and I was gasping for breath.
After finishing the run, I felt very unwell and quickly sat down.
After sitting for a while, when I got up to walk a few steps, I fainted.
Additionally, in crowded and stuffy places, I would feel short of breath and almost faint.
I have fainted because of this as well...
or when taking a shower in a bathroom filled with steam from hot water, I would feel a bit dizzy, my heart would race, and I would feel like I couldn't catch my breath.
Later, I consulted a neurologist who said it was due to hypoxia in the occipital region.
I have been undergoing treatment for almost six months now! The symptoms of dizziness and blurred vision when getting up from lying down have disappeared, and I no longer feel uncomfortable in the steamy bathroom; my symptoms have significantly improved! However, the doctor told me that all internal medicine conditions cannot be completely cured...
Is it true that internal medicine conditions cannot be completely cured and that there is still a possibility of recurrence?
Niming, 20~29 year old female. Ask Date: 2017/02/08
Dr. Jiang Junyi reply Neurology
Common causes of fainting include: 1.
Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues and insufficient blood flow to the brain.
2.
Orthostatic hypotension caused by changes in posture, such as when standing up suddenly or getting out of bed.
Conditions like autonomic dysfunction and cardiovascular medications may contribute to this situation.
3.
Narrowing, obstruction, or inadequate blood flow in the local cerebral vessels.
4.
Blood-related issues such as low blood pressure, hypoglycemia, or anemia.
5.
Dizziness while bathing may indicate elevated carbon monoxide levels in the environment.
It is advisable to consult a neurologist or cardiologist for evaluation and treatment.
Wishing you good health and peace.
Reply Date: 2017/02/08
More Info
The question of whether internal medicine conditions can ever be fully cured is complex and varies significantly depending on the specific condition being discussed. Internal medicine encompasses a wide range of diseases and disorders, many of which can be managed effectively but may not be completely curable.
To begin with, it is essential to understand that internal medicine deals with adult patients and focuses on the prevention, diagnosis, and treatment of diseases that affect internal organs. Conditions such as hypertension, diabetes, and chronic obstructive pulmonary disease (COPD) are common examples. While these conditions can often be managed with medication, lifestyle changes, and regular monitoring, they may not be fully curable. For instance, diabetes can be controlled through diet, exercise, and medication, but it is generally considered a chronic condition that requires lifelong management.
In your case, it sounds like you have experienced episodes of dizziness and fainting, particularly when transitioning from lying down to standing up, which can be indicative of orthostatic hypotension or other cardiovascular issues. The fact that your symptoms have improved significantly with treatment is a positive sign. It suggests that the underlying issue may be manageable, and you may have learned to avoid triggers that exacerbate your symptoms, such as sudden changes in posture or exposure to heat.
However, your doctor’s statement that "all internal medicine diseases cannot be cured" reflects a broader reality in medicine. Many chronic conditions, especially those related to metabolic, cardiovascular, or neurological systems, can be controlled but not necessarily cured. For example, while hypertension can be managed effectively with medications and lifestyle changes, it often requires ongoing treatment and monitoring to prevent complications such as heart disease or stroke.
Moreover, the potential for recurrence is a significant factor in chronic conditions. Even if a condition is well-managed, there may be periods of exacerbation or flare-ups. For example, a patient with asthma may experience well-controlled symptoms for long periods but can have acute episodes triggered by allergens or respiratory infections.
That said, advancements in medical science continue to improve our understanding of various diseases, leading to better treatment options and outcomes. Some conditions that were once considered chronic and incurable are now being treated more effectively, and in some cases, patients may achieve remission. For instance, certain autoimmune diseases can go into remission with appropriate treatment, although they may flare up again.
In conclusion, while many internal medicine conditions can be effectively managed and symptoms can be significantly improved, the notion of a complete cure varies by condition. It is crucial to maintain open communication with your healthcare provider, adhere to treatment plans, and engage in lifestyle modifications to manage your health effectively. Regular follow-ups and monitoring are essential to adapt your treatment plan as needed and to address any new symptoms or concerns that may arise.
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