Managing Dizziness, Headaches, and Vision Changes: A Neurology Guide - Neurology

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Dizziness, headache, and vision changes?


Hello Doctor, I have a problem with anemia.
Since last week, I have been experiencing frequent dizziness and nausea, and I have difficulty walking and standing steadily.
About three days ago, I visited a doctor who prescribed me Iron supplements.
After taking them for a few days, I noticed that my condition did not improve.
To be precise, I no longer feel dizzy or nauseous, but I have developed another symptom: I started having headaches, a feeling of heaviness in my head, and a light-headed sensation.
My vision has also changed in an indescribable way; it feels different when I look at things, not that I can't see clearly, but there is an unfamiliar sensation when I focus on objects.
I initially thought that getting a good night's sleep or taking pain relievers would help, but it has been almost a week without improvement.
Additionally, I have started to feel fatigued frequently, often distracted, sluggish, and unable to concentrate.
I would like to know how to resolve this situation, as it has severely impacted my daily life.
I feel that everything I do is more exhausting than before.
Please help me, Doctor.
😭

Yi Ren, 20~29 year old female. Ask Date: 2020/11/12

Dr. Jiang Junyi reply Neurology


Hello,
Have you had a blood test? Do you have iron deficiency anemia? The iron supplement you mentioned, "Yixuekang," contains Ferrous Fumarate 50mg, Vitamin B2 1mg, Vitamin B12 2mcg, Vitamin B1 1mg, Niacinamide 3mg, and Folic Acid 2mg.
Generally speaking, if your anemia is due to iron deficiency or a deficiency in B vitamins, your symptoms should improve.

I personally believe that you may need to investigate and treat vascular headaches (commonly known as migraines).
There are many causes of headaches, and if your headaches are related to your menstrual cycle, the likelihood of migraines is higher.
However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance could also contribute to your symptoms.

First, it is essential to rule out anemia or fluid deficiency that may lead to insufficient cerebral circulation.
You can improve your symptoms by replenishing fluids and electrolytes.
Blood tests should include the differentiation of possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent vestibular neuritis, autoimmune diseases, neurosyphilis, and central nervous system disorders).

I recommend discussing your examination and treatment options with a neurologist.

Wishing you good health and happiness,
Dr.
Jiang, Neurology, Taoyuan Hospital

Reply Date: 2020/11/12

More Info


It sounds like you are experiencing a complex set of symptoms that are significantly impacting your daily life. Given your history of anemia and the recent onset of dizziness, headaches, and changes in your vision, it is crucial to approach this situation with a comprehensive understanding of potential underlying causes.

Firstly, the symptoms you describe—dizziness, nausea, headaches, and visual disturbances—can be interconnected. Anemia can lead to insufficient oxygen delivery to the brain, which may cause dizziness and fatigue. The medication you were prescribed, likely intended to address your anemia, may not have been effective in alleviating your symptoms, or it may have introduced new side effects. It's important to communicate with your healthcare provider about your ongoing symptoms and the lack of improvement after starting the medication.

The sensation of "head heavy, feet light" and the feeling of unfamiliarity when looking at objects could indicate a neurological component to your symptoms. This could be due to several factors, including but not limited to:
1. Cerebral Hypoperfusion: Insufficient blood flow to the brain can cause dizziness and cognitive changes. This is particularly relevant in the context of anemia, where the blood's ability to carry oxygen is compromised.

2. Migraine or Tension-Type Headaches: These can present with a variety of symptoms, including visual disturbances and feelings of dizziness. Migraines can also cause aura symptoms, which might explain the changes in how you perceive visual stimuli.

3. Vestibular Disorders: Conditions affecting the inner ear can lead to dizziness and balance issues, which may also be accompanied by headaches.

4. Psychological Factors: Anxiety and stress can exacerbate physical symptoms, leading to a cycle of discomfort that can be difficult to break. Feelings of fatigue and difficulty concentrating may also be linked to anxiety or depression.

Given the persistence of your symptoms, it is advisable to seek further evaluation from a neurologist. They can perform a thorough assessment, which may include:
- Neurological Examination: To assess your reflexes, coordination, and sensory responses.

- Imaging Studies: Such as MRI or CT scans, to rule out structural abnormalities in the brain.

- Blood Tests: To check for other potential causes of your symptoms, including vitamin deficiencies, thyroid function, and other hematological issues.

In the meantime, consider the following strategies to help manage your symptoms:
- Stay Hydrated: Dehydration can worsen dizziness and fatigue.

- Balanced Diet: Ensure you are consuming a diet rich in iron, vitamins, and minerals to support your recovery from anemia.

- Rest: Prioritize sleep and rest to help your body recover.

- Mindfulness and Relaxation Techniques: Practices such as deep breathing, meditation, or yoga can help manage anxiety and improve your overall sense of well-being.

It's essential to keep an open line of communication with your healthcare provider about your symptoms and any changes you experience. If your symptoms worsen or new symptoms arise, seek medical attention promptly. Your health and quality of life are paramount, and addressing these issues with a specialist will provide you with the best chance for improvement.

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