Persistent Dizziness and Fever: Neurological Issues - Neurology

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Dizziness and recurrent fever?


Hello, doctor! I have been experiencing dizziness and recurrent fever since June 25.
I underwent a treatment from June 26 to June 29, but the issue has not improved since then (the doctor diagnosed it as vestibular neuritis caused by a cold, leading to dizziness).
It has continued until now...
Initially, the dizziness was occasional, but now I feel extremely dizzy and even experience pain (in the back of my head) with any movement (such as walking or turning my head).

Wu, 20~29 year old female. Ask Date: 2018/07/07

Dr. Jiang Junyi reply Neurology


Hello, based on your description, the dizziness you are experiencing seems to be related to benign paroxysmal positional vertigo (BPPV), which is often triggered by changes in posture.
You can consult an otolaryngologist for a canalith repositioning procedure or consider medication to alleviate the symptoms.
As for the headache in the back of your head, the most common cause is cervical myofascial pain.
I recommend the following: 1.
Neck heat therapy: Apply heat for 15 to 20 minutes, ensuring the temperature is safe to avoid burns.
2.
Non-steroidal anti-inflammatory drugs (NSAIDs): If you do not have a history of peptic ulcers, allergies to NSAIDs, or impaired kidney function, you may consider using NSAIDs to reduce inflammation and alleviate pain.
3.
Neck muscle stretching exercises: After the acute pain phase, it is advisable to develop a routine of gentle neck stretches every 15 to 20 minutes, ensuring the movements do not cause discomfort.
I suggest discussing your condition with a neurologist or a rehabilitation specialist for further evaluation and treatment.
Wishing you good health and peace.
Dr.
Jiang, Taoyuan Hospital, cares about you.

Reply Date: 2018/07/07

More Info


Persistent dizziness and recurrent fever can be quite concerning, especially when they have been ongoing for an extended period. Based on your description, it seems that you have been experiencing these symptoms since June 25, with an initial diagnosis of vestibular neuritis, which is an inflammation of the vestibular nerve often caused by a viral infection. This condition can lead to significant dizziness and balance issues, as the vestibular system plays a crucial role in maintaining equilibrium.

The fact that your dizziness has become more pronounced with movement, such as walking or turning your head, suggests that your vestibular system may still be affected. Additionally, the recurrent fever you are experiencing is noteworthy. While fever can be a common response to infection, its persistence alongside dizziness raises the possibility of other underlying conditions that may need to be explored further.

In terms of neurological issues, it is essential to consider that dizziness can stem from various causes, including inner ear disorders, neurological conditions, or even systemic illnesses. Given that your symptoms have not improved despite treatment, it may be beneficial to pursue further evaluations. This could include imaging studies, such as an MRI or CT scan, to rule out any structural abnormalities in the brain or inner ear. Additionally, blood tests may help identify any underlying infections or inflammatory processes that could be contributing to your symptoms.

It's also worth noting that anxiety can exacerbate feelings of dizziness and may lead to a cycle of increased anxiety and physical symptoms. If you have a history of anxiety or panic disorders, this could be a contributing factor to your current state. In such cases, addressing the psychological aspect through therapy or medication may provide some relief.

In summary, persistent dizziness and fever warrant a thorough investigation to determine the underlying cause. It is crucial to work closely with your healthcare provider to explore all potential avenues, including further neurological assessments and possibly referrals to specialists such as an otolaryngologist (ear, nose, and throat doctor) or a neurologist. Keeping a detailed symptom diary, noting when the dizziness occurs, its severity, and any accompanying symptoms, can also be helpful for your healthcare team in diagnosing and managing your condition effectively.
Remember, while it is easy to become anxious about ongoing symptoms, seeking comprehensive care and maintaining open communication with your healthcare provider can lead to better outcomes. Your health is paramount, and addressing both the physical and psychological aspects of your symptoms is essential for recovery.

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