Dizziness: Common Causes and When to Seek Help - Neurology

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Dizziness in the head


Hello, doctor.
I recently moved to the northern part of the country for university, but I've been experiencing some uncomfortable symptoms in the past few days.
Initially, I felt a slight sensation of my head drooping while sitting, but later it also occurred occasionally while standing or walking.
I looked it up online, but I'm still unclear about what these symptoms might be, so I wanted to ask you.

Zhu Jiao, 10~19 year old female. Ask Date: 2022/09/04

Dr. Jiang Junyi reply Neurology


Hello: You mentioned that "when sitting, there is a slight feeling of the head dropping, and later when standing or walking, it occasionally occurs as well..." It may be necessary to first consider Benign Paroxysmal Positional Vertigo (BPPV), characterized by brief episodes of dizziness related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over, or suddenly turning the head.
This may be accompanied by symptoms such as nausea, vomiting, palpitations, cold sweats, and feelings of weakness.
There are many causes of dizziness; if your dizziness is related to your menstrual cycle, the likelihood of migraines increases.
However, conditions such as anemia, autonomic dysfunction, and inner ear imbalance could also contribute to your symptoms.
It is essential to rule out anemia or dehydration that may lead to insufficient cerebral circulation.
Symptoms may improve with hydration and electrolyte replenishment.
Blood tests should include screening for possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent vestibular neuritis, autoimmune diseases).
If symptoms persist, it is advisable to consult a neurologist for further evaluation and treatment.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and happiness.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares for you.

Reply Date: 2022/09/04

More Info


Dizziness is a common complaint that can arise from a variety of causes, ranging from benign to serious conditions. Understanding the nature of your dizziness, its accompanying symptoms, and the context in which it occurs is crucial for determining the appropriate course of action.


Common Causes of Dizziness
1. Vestibular Disorders: These involve issues with the inner ear, which plays a critical role in balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease can lead to episodes of dizziness or vertigo, often accompanied by a sensation of spinning.

2. Orthostatic Hypotension: This occurs when blood pressure drops significantly upon standing up, leading to dizziness or lightheadedness. It can be more common in individuals who are dehydrated or those who have been sitting or lying down for extended periods.

3. Anxiety and Stress: Psychological factors can manifest physically, leading to feelings of dizziness. Anxiety can cause hyperventilation, which may result in lightheadedness or a sensation of unreality.

4. Medication Side Effects: Certain medications, particularly those affecting the central nervous system (like sedatives or some antihypertensives), can cause dizziness as a side effect.

5. Neurological Conditions: While less common, dizziness can be a symptom of more serious neurological conditions, such as a stroke or multiple sclerosis. These conditions are usually accompanied by other symptoms, such as weakness, numbness, or changes in vision.

6. Dehydration and Nutritional Deficiencies: Lack of fluids or essential nutrients (like vitamin B12 or iron) can lead to dizziness. This is particularly relevant for students who may not maintain a balanced diet during stressful periods.


When to Seek Help
It is essential to seek medical attention if your dizziness is accompanied by any of the following symptoms:
- Severe headache: A sudden, severe headache can indicate a serious condition, such as a hemorrhagic stroke.

- Vision changes: Blurred or double vision can be a sign of neurological issues.

- Weakness or numbness: If you experience weakness or numbness in your limbs or face, especially if it is unilateral, this could indicate a stroke.

- Difficulty speaking: Slurred speech or difficulty finding words can also be a sign of a stroke.

- Persistent symptoms: If your dizziness persists for more than a few days or worsens over time, it is advisable to consult a healthcare professional.


Recommendations
Given that you are experiencing dizziness while adjusting to a new environment, it may be beneficial to consider the following:
- Hydration: Ensure you are drinking enough fluids, especially if you are feeling stressed or busy with university life.

- Nutrition: Maintain a balanced diet to avoid deficiencies that could contribute to dizziness.

- Rest: Ensure you are getting adequate sleep, as fatigue can exacerbate feelings of dizziness.

- Monitor Symptoms: Keep track of when the dizziness occurs, its duration, and any other accompanying symptoms. This information can be helpful for your healthcare provider.

If your symptoms persist or worsen, it is advisable to seek a medical evaluation. A healthcare professional can perform a thorough assessment, which may include a physical examination, blood tests, or imaging studies, to determine the underlying cause of your dizziness and recommend appropriate treatment.

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