Dizziness: Causes, Triggers, and Relief Strategies

Dizziness caused by high blood pressure or multiple factors?

Process Review: Last Monday: I sought medical attention for a hand strain caused by exercise, which severely disrupted my sleep at night.
The physician prescribed pain relief medication sulindac (200 mg) and muscle relaxant phenprobamate (400 mg), to be taken one tablet each before bedtime, explaining that the medication could be discontinued once symptoms improved.
I took the medications from Monday to Wednesday for a total of three days.
After stopping the medications, I experienced side effects of lightheadedness and weakness (dizziness is a common side effect listed on the medication labels for both drugs), but since I took them before bed, the impact was minimal, and I found it easier to fall asleep.

Last Thursday: On the night after not taking the medications, I experienced lightheadedness and dizziness, which continued to occur throughout the day.

Recent Situation: Recently, I have been going through quite a few personal issues, which may have contributed to some level of physical and psychological stress.
Additionally, I might be experiencing sleep deprivation (averaging about 6 hours of sleep).
Coupled with the medications I have taken, I recall experiencing similar dizziness during my first or second year of high school, which was also associated with sleep deprivation and academic pressure.
After a period, those symptoms resolved on their own.

Now that the symptoms have recurred, I have researched online and ruled out some more serious conditions (such as heart disease and stroke) that would typically present with accompanying symptoms.
Besides dizziness, I have not experienced any other specific symptoms.
The dizziness tends to alleviate after lying down for a nap, resting, relaxing, or engaging in some full-body exercises.
The episodes commonly occur during times of stress and fatigue.

I would like to consult the physician regarding potential triggers for the dizziness mentioned above, as well as recommendations for relief and recovery.
Thank you.

Li M, 20~29 year old female. Ask Date: 2023/12/18

Dr. Jiang Junyi reply Neurology

Dear Ms.
Li,
You mentioned, "prescribing the pain reliever sulindac (200 mg) and the muscle relaxant phenprobamate (400 mg)...
the episodes often occur during times of stress and fatigue." The dizziness you are experiencing may be related to your menstrual cycle, which increases the likelihood of migraine-associated dizziness.
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 dehydration, which could lead to insufficient cerebral circulation.
You can enhance your body's recovery by supplementing with B vitamins and staying hydrated, along with ensuring adequate rest.
I recommend consulting a neurologist to discuss further evaluation and treatment.
Thank you for your inquiry.
If you have any related questions, please feel free to discuss them further.
Wishing you good health, peace, and happiness.
Dr.
Jiang Junyi
Department of Neurology
Taoyuan Hospital

Reply Date: 2023/12/18

More Info

Dizziness is a common symptom that can arise from various causes, and understanding its triggers and relief strategies is essential for effective management. Based on your description, it appears that your dizziness may be multifactorial, influenced by medication side effects, physical strain, psychological stress, and possibly inadequate sleep.

Causes of Dizziness
1. Medication Side Effects: The medications you were prescribed, sulindac (a non-steroidal anti-inflammatory drug) and phenprobamate (a muscle relaxant), both list dizziness as a potential side effect. While you took these medications for a short duration, the lingering effects could still be contributing to your symptoms, especially if your body is sensitive to these drugs.

2. Physical Strain: You mentioned experiencing a hand injury due to exercise, which may have led to compensatory changes in your posture or movement patterns. This physical strain can sometimes lead to dizziness, particularly if it affects your neck or upper back, which can influence blood flow and nerve function.

3. Psychological Stress: Stress and anxiety can significantly impact your physical health. You noted that you've been under pressure, which can lead to tension in the muscles, particularly in the neck and shoulders, potentially causing dizziness. Stress can also affect your sleep quality, leading to a cycle of fatigue and increased susceptibility to dizziness.

4. Sleep Deprivation: Chronic sleep deprivation can lead to a range of cognitive and physical symptoms, including dizziness. With only about six hours of sleep per night, your body may not be getting the restorative rest it needs, which can exacerbate feelings of dizziness and fatigue.

5. Dehydration and Nutrition: Sometimes, dizziness can be linked to dehydration or inadequate nutrition. If your diet has been lacking in essential nutrients or if you're not drinking enough fluids, this could contribute to your symptoms.

Triggers of Dizziness
- Physical Activity: Engaging in strenuous activities or exercises, especially if your body is not accustomed to them, can trigger dizziness.

- Stressful Situations: Situations that induce anxiety or stress can lead to episodes of dizziness, particularly if they are accompanied by hyperventilation or muscle tension.

- Fatigue: Both mental and physical fatigue can trigger dizziness, especially if you are not allowing your body adequate time to recover.

Relief Strategies
1. Medication Review: Consult with your healthcare provider about the dizziness you are experiencing. They may consider adjusting your medication or exploring alternatives that have fewer side effects.

2. Stress Management: Incorporate stress-reducing techniques into your routine. This could include mindfulness practices, yoga, or deep-breathing exercises. These methods can help alleviate tension and improve your overall sense of well-being.

3. Sleep Hygiene: Aim to improve your sleep quality by establishing a regular sleep schedule, creating a restful environment, and avoiding stimulants before bedtime. Consider aiming for 7-9 hours of sleep per night.

4. Hydration and Nutrition: Ensure you are drinking enough water throughout the day and consuming a balanced diet rich in vitamins and minerals. This can help prevent dizziness related to dehydration or nutritional deficiencies.

5. Physical Activity: Engage in regular, moderate exercise to improve your overall fitness and reduce stress. However, listen to your body and avoid overexertion, especially while recovering from your hand injury.

6. Gradual Movements: When getting up from a lying or sitting position, do so slowly to prevent sudden drops in blood pressure that can lead to dizziness.

7. Consultation with Specialists: If your dizziness persists or worsens, consider consulting a neurologist or an ear, nose, and throat (ENT) specialist to rule out any underlying conditions.

In conclusion, dizziness can be a complex symptom influenced by various factors, including medication, physical strain, psychological stress, and sleep quality. By addressing these potential triggers and implementing effective relief strategies, you can work towards alleviating your symptoms and improving your overall health. Always consult with your healthcare provider for personalized advice and treatment options.

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