Could you please clarify what you mean by dizziness?
Hello Doctor: At the end of June, I started experiencing a sensation of phlegm in my throat (transmitted by my child), followed by general weakness, headaches, and a feeling of pressure in my head, along with sudden dizziness.
I would feel dizzy when turning my head or making sudden movements (not spinning).
I initially visited a clinic but saw no improvement, so I went to Chi Mei Hospital where I was prescribed medication for dizziness and scheduled for vertigo testing.
The report indicated a loss of balance in my right ear, but no further treatment was provided.
I continued taking Tiffany D for dizziness and expectorants.
When I felt a bit better, I consulted a neurosurgeon (as I had experienced tingling sensations throughout my body during my illness).
The doctor used a toothpick to stimulate my body and said my nerves were fine, then advised me to stop taking the ENT medications and prescribed a nighttime medication for brain health.
I started to feel somewhat better after that.
This period of near-dizziness lasted almost a month.
Then on July 29, I was infected again, experiencing phlegm, coughing, and body weakness, along with pressure in my head and neck.
After two days, I visited the clinic again, but after three days of medication, my condition did not improve.
I experienced dizziness again when turning my head and returned for a follow-up.
The doctor administered an injection and prescribed Tiffany D along with the nighttime brain health medication and cough syrup.
I would like to ask the doctor if my phlegm could be triggering my dizziness? I had experienced phlegm before June but did not think much of it; it only became severe after being infected.
Currently, I feel dizzy when making sudden head movements.
Hsuān, 30~39 year old female. Ask Date: 2022/08/08
Dr. Ji Zhaoyun reply Otolaryngology
Hello, dizziness can have numerous potential causes: 1) If accompanied by a dull headache, it may suggest poor blood circulation in the head and neck.
2) If there are symptoms of ear fullness, pressure, or hearing loss, it may indicate sudden sensorineural hearing loss, Meniere's disease, or acute labyrinthitis.
3) If turning the head exacerbates the symptoms, it may suggest benign paroxysmal positional vertigo (BPPV).
Other conditions such as vestibular neuritis, migraine-associated vertigo, orthostatic hypotension, hyperlipidemia, and brain lesions are also potential diagnoses for dizziness.
It is advisable to seek further evaluation and treatment from an otolaryngologist or a neurologist.
Wishing you safety and good health.
Reply Date: 2022/08/08
More Info
Dizziness can be a perplexing and distressing symptom, and your experience highlights several potential underlying causes that may be contributing to your condition. Based on your description, it seems that your dizziness may indeed be related to mucus buildup and other factors stemming from respiratory infections.
When you mention that you initially experienced a sensation of mucus in your throat, it suggests that you may have had an upper respiratory infection, which is common in children and can easily spread. Mucus buildup can lead to post-nasal drip, where mucus drips down the back of the throat, causing irritation and potentially leading to coughing and throat discomfort. This can also affect your balance and contribute to dizziness, especially if the mucus affects your Eustachian tubes, which help regulate pressure in your ears.
The sensation of dizziness you describe, particularly when turning your head or making sudden movements, could be linked to a condition known as benign paroxysmal positional vertigo (BPPV). This condition occurs when tiny calcium crystals in the inner ear become dislodged and disrupt the normal balance signals sent to the brain. While BPPV is often triggered by changes in head position, it can also be exacerbated by other factors such as ear infections or mucus buildup.
Additionally, the fact that you experienced symptoms of weakness and headaches alongside dizziness raises the possibility of a more systemic issue. Viral infections can lead to inflammation and affect various systems in the body, including the vestibular system, which is responsible for maintaining balance. The medications you have been prescribed, such as antihistamines and vestibular suppressants, are commonly used to alleviate symptoms of dizziness and nausea, but they may not address the underlying cause.
It is also worth noting that anxiety can play a significant role in the perception of dizziness. When individuals are anxious about their symptoms, they may become hyper-aware of their bodily sensations, leading to a cycle of fear and increased symptom perception. This can create a feedback loop where the anxiety exacerbates the dizziness, making it feel more intense.
Given your ongoing symptoms and the impact they have on your daily life, it is crucial to continue seeking medical advice. It may be beneficial to follow up with an ear, nose, and throat (ENT) specialist who can conduct a thorough examination of your ears and assess for any underlying issues that may be contributing to your dizziness. They may recommend further tests, such as a hearing test or imaging studies, to rule out any structural problems.
In the meantime, consider implementing some self-care strategies to help manage your symptoms. Staying hydrated, practicing deep breathing exercises, and avoiding sudden head movements can be helpful. If you find that anxiety is a significant factor in your experience of dizziness, speaking with a mental health professional may also provide you with tools to cope with your symptoms more effectively.
In summary, while mucus buildup from respiratory infections may be contributing to your dizziness, it is essential to consider other potential factors, including inner ear issues and anxiety. A comprehensive evaluation by a healthcare professional will help determine the best course of action for your symptoms and overall well-being.
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