Recurring Dizziness: Causes and Solutions

Regular dizziness

Hello Doctor, I have experienced dizziness in the past, usually around this time and once during the winter, lasting for a few weeks.
When I feel dizzy, I sense that the horizon outside is spinning, so I close my eyes and wait for it to stop on its own.
My mother has anemia, but I'm not sure if I have it (as it is unrelated to my menstrual cycle).
Some people say it might be related to sleep; I have been waking up around 3 or 4 AM after going to bed around 10 PM, but I manage to fall back asleep until 5 AM before actually getting up.
I used to sleep until 6 AM, but I also experienced dizziness during that time.
I would like to ask about the possible causes of my dizziness and any solutions.
Thank you! ^_^

Heiyu, 10~19 year old female. Ask Date: 2018/05/13

Dr. Liao Yaopan reply Family Medicine

Hello, we recommend that your parents take you to a pediatric outpatient clinic for an evaluation by a specialist.
Please note: online consultations are not equivalent to in-person visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2018/05/13

More Info

Dizziness can be a perplexing symptom, and understanding its underlying causes is crucial for effective management. Based on your description, it seems that your dizziness occurs in episodes, often correlating with specific times of the year and potentially linked to your sleep patterns. Let’s explore some common causes of recurring dizziness and potential solutions.

Possible Causes of Dizziness
1. Vestibular Disorders: Conditions affecting the inner ear, such as Benign Paroxysmal Positional Vertigo (BPPV), can cause episodes of dizziness. This type of dizziness is often triggered by changes in head position and can lead to a spinning sensation.

2. Anemia: Given your family history of anemia, it’s worth investigating whether you have low iron levels or other forms of anemia. Anemia can lead to reduced oxygen delivery to the brain, resulting in dizziness, especially during physical exertion or when standing up quickly.

3. Sleep Disturbances: Poor sleep quality or insufficient sleep can significantly impact your overall health, including your neurological function. Sleep deprivation can lead to fatigue and dizziness, as well as exacerbate anxiety and stress, which can further contribute to these symptoms.

4. Dehydration and Nutritional Deficiencies: Inadequate fluid intake or deficiencies in essential nutrients (like vitamin B12, folate, or electrolytes) can also lead to dizziness. It’s important to maintain a balanced diet and stay hydrated.

5. Blood Pressure Fluctuations: Orthostatic hypotension, a condition where blood pressure drops significantly when standing up, can cause dizziness. This can be more pronounced if you are dehydrated or have been sitting or lying down for extended periods.

6. Migraines: Some individuals experience vestibular migraines, where dizziness is a prominent symptom, often accompanied by headache, light sensitivity, or nausea.

Solutions and Management Strategies
1. Medical Evaluation: It’s essential to consult a healthcare provider for a thorough evaluation. They may recommend blood tests to check for anemia, electrolyte levels, and other potential deficiencies. An audiological evaluation or vestibular function tests might be necessary to rule out inner ear disorders.

2. Sleep Hygiene: Improving your sleep habits can significantly impact your overall well-being. Aim for a consistent sleep schedule, create a restful environment, and limit screen time before bed. If you continue to experience sleep disturbances, consider discussing this with a healthcare provider who may recommend a sleep study or other interventions.

3. Hydration and Nutrition: Ensure you are drinking enough fluids throughout the day and consuming a balanced diet rich in vitamins and minerals. If you suspect a deficiency, a healthcare provider can guide you on appropriate dietary changes or supplements.

4. Physical Therapy: If your dizziness is related to vestibular issues, vestibular rehabilitation therapy (VRT) can be beneficial. This specialized form of physical therapy focuses on exercises that improve balance and reduce dizziness.

5. Monitor Blood Pressure: If you experience dizziness upon standing, consider measuring your blood pressure in different positions (lying down, sitting, standing) to identify any significant drops. Discuss these findings with your healthcare provider.

6. Stress Management: Techniques such as mindfulness, yoga, or cognitive-behavioral therapy can help manage stress and anxiety, which may contribute to dizziness.

7. Follow-Up: Regular follow-up with your healthcare provider is crucial to monitor your symptoms and adjust your management plan as needed.

In summary, recurring dizziness can stem from various causes, including vestibular disorders, anemia, sleep disturbances, and more. A comprehensive approach involving medical evaluation, lifestyle modifications, and possibly physical therapy can help alleviate your symptoms and improve your quality of life. Don’t hesitate to reach out to a healthcare professional for personalized advice and treatment options tailored to your specific situation.

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