Persistent Dizziness and Nasal Discomfort: Seeking Answers from ENT Specialists

Dizziness for one month with a heavy and sore sensation at the bridge of the nose?

This issue has been troubling me for a month.
It started with problems in my eyes; everything I looked at seemed to be viewed through a very thin veil.
I consulted an ophthalmologist, who diagnosed me with surface inflammation of the eye and prescribed eye drops, but they did not help.
After that, I began to experience dizziness, which felt similar to being slightly intoxicated.
The dizziness became more pronounced when I moved my head.
Additionally, I have a heavy, aching sensation at the bridge of my nose, and occasionally experience nasal congestion, but there is no nasal discharge.
In the mornings, my right eye feels as if it cannot fully open; even with effort, it only opens halfway, but after a while, it returns to normal.
Due to these symptoms, I also consulted an otolaryngologist.
The first ENT specialist noted mild inflammation in the area of the nasal turbinates and prescribed a nasal spray, anti-nausea medication, and antihistamines, but these were ineffective.
The second ENT specialist, however, found everything to be normal and did not identify any abnormalities, prescribing only anti-nausea medication.
I also consulted a private hospital doctor, who could not determine the cause of my dizziness and nasal discomfort.
Out of concern, I underwent an MRI of the brain, which returned normal results, confirming that there is no brain-related issue.
In recent days, I have also experienced a slight pain in my eyes before sleeping and upon waking.
I really want to understand what is going on! I kindly ask for your insights.
Thank you!

Kunrao, 20~29 year old female. Ask Date: 2020/06/04

Dr. Zheng Jueyi reply Otolaryngology

Hello, if an MRI has already ruled out any brain issues and the cause remains unclear, the dizziness may be related to chronic fatigue or autonomic nervous system dysfunction.
You may consider further evaluation at a neurology department.
Wishing you peace and good health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/06/04

More Info

Persistent dizziness and nasal discomfort can be quite distressing and may stem from various underlying issues. Based on the symptoms you've described, including the sensation of a thin veil over your vision, persistent dizziness, nasal discomfort, and the occasional nasal congestion without discharge, it is essential to consider a multifaceted approach to diagnosis and treatment.

Possible Causes
1. Sinusitis: Given your nasal discomfort and occasional congestion, sinusitis could be a contributing factor. Inflammation of the sinuses can lead to pressure and discomfort in the nasal area, which might also affect your eyes and cause a sensation of heaviness or pressure. This could explain the "heavy" feeling at the bridge of your nose and the discomfort around your eyes.

2. Allergic Rhinitis: Allergies can cause nasal inflammation and congestion, leading to discomfort and possibly affecting your balance and vision. Even if you do not have a runny nose, nasal congestion can still occur due to allergic reactions.

3. Vestibular Disorders: The dizziness you are experiencing, especially if it worsens with head movement, may indicate a vestibular issue. Conditions such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis could cause dizziness and may not always present with obvious symptoms in the ears or sinuses.

4. Eye Issues: The initial symptoms you described regarding your vision could suggest an ocular issue, such as dry eye syndrome or another form of eye inflammation. This could lead to discomfort and might also contribute to feelings of dizziness, particularly if your vision is affected.

5. Tension Headaches: The heaviness and discomfort in your forehead and around your eyes could also be related to tension headaches, which can cause dizziness and visual disturbances.

Diagnostic Steps
Since you have already undergone an MRI, which ruled out significant neurological issues, the next steps could include:
- Nasal Endoscopy: This procedure allows for a direct view of the nasal passages and sinuses, helping to identify any structural issues or chronic inflammation that may not be visible through standard examinations.

- Allergy Testing: If allergies are suspected, testing can help identify specific triggers that may be causing your symptoms.

- Vestibular Testing: If dizziness persists, a referral to a neurologist or an otolaryngologist specializing in balance disorders may be warranted. Tests such as the Dix-Hallpike maneuver can help diagnose BPPV.

- Ophthalmology Consultation: Since your symptoms began with eye discomfort, a thorough examination by an eye specialist may be beneficial to rule out any ocular conditions that could be contributing to your symptoms.

Treatment Options
1. Nasal Corticosteroids: If inflammation is present, nasal sprays containing corticosteroids can help reduce swelling and alleviate discomfort.

2. Antihistamines: If allergies are a factor, antihistamines may help relieve nasal symptoms and reduce dizziness.

3. Vestibular Rehabilitation: If a vestibular disorder is diagnosed, specific exercises can help improve balance and reduce dizziness.

4. Pain Management: Over-the-counter pain relievers may help alleviate discomfort associated with headaches or sinus pressure.

5. Hydration and Humidification: Staying hydrated and using a humidifier can help keep nasal passages moist and reduce discomfort.

Conclusion
Given the complexity of your symptoms, it is crucial to continue working with healthcare professionals to identify the root cause. A multidisciplinary approach involving ENT specialists, neurologists, and ophthalmologists may provide the best chance for a comprehensive diagnosis and effective treatment plan. If symptoms persist or worsen, do not hesitate to seek further evaluation. Your health and comfort are paramount, and persistent symptoms warrant thorough investigation.

Similar Q&A

Understanding Recurring Dizziness and Facial Pain: ENT Insights

Hello Doctor: I have been experiencing recurrent dizziness for about three years, particularly discomfort and occasional pain in the back of my neck. Each episode lasts approximately two weeks and is accompanied by a general feeling of warmth and night sweats. Two years ago, whil...

Dr. Xu Yingzhuo reply Otolaryngology
It is difficult to determine; a medical center should be consulted for professional testing.

Dealing with Dizziness and Nausea: When to Seek ENT Help

Hello, I apologize for the intrusion. I have a history of migraines, but recently my headaches have progressed to dizziness and vertigo, accompanied by nausea. Initially, resting would help alleviate the dizziness, but now I find that I cannot change my sleeping position before b...

Dr. Xu Yingzhuo reply Otolaryngology
Hello, Shiyue: The dizziness caused by migraines is related to genetics and dietary patterns. Since your condition is accompanied by dizziness triggered by certain specific positions, you should visit an ENT department at a hospital that offers balance assessments (such as our ho...

Understanding Dizziness: Navigating ENT and Neurology Challenges

Doctor, I have discomfort in my shoulders and neck. After I first visited a traditional Chinese medicine practitioner for cupping therapy on my shoulders and neck in early November last year, I experienced palpitations and dizziness a few days later. I immediately stopped taking ...

Dr. Zheng Jueyi reply Otolaryngology
Hello, based on the previous report, there is indeed a condition of inner ear imbalance. If you have already been evaluated by two specialists with no other obvious abnormalities, it is recommended to improve balance and circulation through exercise. As for medication, it can be ...

Understanding Allergic Rhinitis and Its Related Health Issues

Hello, Director Hu. I would like to ask some questions. I have a persistent sensation of something stuck in my throat, difficulty coughing up phlegm, itchy nose, itchy ears, and I experience severe dizziness and difficulty concentrating. I often feel dizzy for no apparent reason,...

Dr. Hu Kexin reply Otolaryngology
Hello, both allergic rhinitis and sinusitis can cause dizziness, but whether your dizziness is caused by rhinitis needs to be thoroughly evaluated to confirm. Hooke's law.