Dizziness feels like a sudden shaking, similar to an earthquake?
Hello, over the past year or two, I have experienced dizziness approximately every one to two weeks to a few months.
This dizziness occurs whether I am standing or sitting, and it usually happens without any change in position.
The sensation is similar to a brief shaking, like during an earthquake, lasting only one to two seconds.
It is not a spinning sensation, nor do I experience blackout, weakness, or any other symptoms.
I cannot definitively determine if this is due to stress or fatigue.
However, I am overweight and have hypertension, which is well-controlled with medication and my blood pressure is stable.
I would like to know if this is something I should be urgently concerned about.
Thank you.
Niming, 30~39 year old female. Ask Date: 2017/06/15
Dr. Jiang Junyi reply Neurology
Hello, based on your description, Benign Paroxysmal Positional Vertigo (BPPV) should be considered first.
The characteristic symptoms include brief episodes of dizziness related to changes in head position, such as bending over, tilting back, lying down, getting up, turning over, or suddenly turning the head.
These episodes may be accompanied by symptoms such as nausea, vomiting, palpitations, cold sweats, and feelings of weakness.
The causes are mostly unknown, but some may be due to inflammation, degeneration, or head trauma leading to the displacement of otoliths from the utricle into the semicircular canals.
When the head position changes, the movement of the otoliths within the semicircular canals alters the neural potentials in the inner ear, resulting in vertigo.
Patients with BPPV are more commonly female.
It is recommended that you consult an otolaryngologist to discuss examination and treatment options.
Wishing you good health and peace.
Reply Date: 2017/06/15
More Info
Dizziness can be a concerning symptom, especially when it occurs frequently or is accompanied by other alarming signs. In your case, experiencing dizziness intermittently over the past couple of years, without significant changes in posture, and lasting only a few seconds, suggests that it may not be an immediate cause for alarm. However, it is essential to consider several factors that could contribute to your symptoms, particularly given your medical history of obesity and controlled hypertension.
Dizziness can be categorized into several types, including vertigo (a spinning sensation), presyncope (a feeling of faintness), and disequilibrium (a sense of unsteadiness). Based on your description, it seems you might be experiencing a brief episode of presyncope or a non-specific dizziness that could be related to various factors, including stress, fatigue, or even dehydration.
One potential cause of your dizziness could be related to your weight and hypertension. Obesity can lead to various health issues, including metabolic syndrome, which can affect cardiovascular health and potentially lead to episodes of dizziness. Additionally, high blood pressure, even when controlled with medication, can sometimes cause fluctuations in blood flow that may contribute to dizziness.
Another important consideration is the possibility of orthostatic hypotension, which is a sudden drop in blood pressure when standing up or changing positions. Although you mentioned that your blood pressure is stable, it's worth discussing with your healthcare provider whether you might be experiencing any transient drops in blood pressure that could lead to your symptoms.
Stress and fatigue are also significant contributors to dizziness. If you have been under increased stress or have not been getting adequate rest, this could manifest as episodes of dizziness. Lifestyle factors, such as diet, hydration, and sleep quality, play a crucial role in overall health and can significantly impact how you feel on a day-to-day basis.
Given your symptoms and medical history, it is advisable to consult with a healthcare professional for a thorough evaluation. They may recommend tests such as blood work to check for anemia, electrolyte imbalances, or thyroid function, as well as a physical examination to assess your balance and neurological function. Depending on the findings, they may also suggest lifestyle modifications, such as dietary changes, increased physical activity, or stress management techniques.
In summary, while your episodes of dizziness may not seem urgent, they warrant further investigation, especially considering your background of obesity and hypertension. It is crucial to address any underlying health issues and to ensure that your dizziness is not a sign of a more serious condition. Open communication with your healthcare provider will help you navigate this concern effectively and develop a plan tailored to your needs.
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