Persistent dizziness after recovering from a cold?
After my upper jaw surgery, I experienced continuous fever, and I was diagnosed with both influenza and a urinary tract infection.
I had severe dizziness that led to nausea, and blood tests in the emergency room showed no abnormalities.
I was treated with anti-nausea medication.
Even now, I still feel dizzy; sometimes when sitting still, I feel a swaying sensation like being on a boat.
When I bend down to wash my face, I experience a front-to-back swaying, and when lying on my left side, it alternates between front-to-back and side-to-side swaying, continuing until I fall asleep.
I am aware that my body is not moving, yet I have the "feeling" that the external environment is swaying.
Should I consult an otolaryngologist for an examination, or is there another specialist I should see?
Chen Xing, 30~39 year old female. Ask Date: 2024/04/26
Dr. Zheng Jueyi reply Otolaryngology
Hello, it is recommended to visit the ENT (Ear, Nose, and Throat) department or the Neurology department at the hospital for examination.
Reply Date: 2024/04/26
More Info
Persistent dizziness after recovering from an illness, particularly following a surgical procedure, can be concerning and warrants careful evaluation. Given your history of upper jaw surgery, fever, influenza, and urinary tract infection, it is understandable that you are experiencing these symptoms. The dizziness you describe, characterized by sensations of swaying or rocking, particularly when in certain positions, could be indicative of several underlying issues.
Firstly, it is important to consider that dizziness can arise from various causes, including vestibular disorders, which affect the inner ear and balance. Given your symptoms, it would be prudent to consult an Ear, Nose, and Throat (ENT) specialist. ENT specialists are well-equipped to evaluate conditions related to the inner ear, which plays a crucial role in maintaining balance. They can perform tests such as a vestibular function test, which assesses how well your inner ear is functioning and whether it is contributing to your dizziness.
Additionally, your symptoms could also be related to post-viral vestibular syndrome, which can occur after viral infections like influenza. This condition can lead to persistent dizziness even after other symptoms have resolved. An ENT specialist can help determine if this is the case and recommend appropriate treatment options, which may include vestibular rehabilitation therapy.
Moreover, it is essential to rule out other potential causes of dizziness. For instance, if you have experienced significant dehydration or electrolyte imbalances due to your recent illnesses, these could also contribute to your ongoing symptoms. A thorough evaluation by a primary care physician may be beneficial to assess your overall health, including blood tests to check for any abnormalities.
If the ENT specialist finds that your dizziness is not related to inner ear issues, they may refer you to a neurologist for further evaluation. Neurological conditions can also manifest as dizziness and may require specialized testing, such as MRI or CT scans, to rule out any serious underlying issues.
In summary, based on your symptoms and medical history, it is advisable to see an ENT specialist first. They can provide a focused assessment of your dizziness and determine if it is related to vestibular dysfunction or if further evaluation by other specialists is necessary. It is crucial to address these symptoms promptly, especially since they are affecting your daily activities and quality of life.
In the meantime, ensure you stay hydrated, avoid sudden movements that may exacerbate your dizziness, and keep a record of when your symptoms occur and any associated activities. This information can be valuable for your healthcare provider in diagnosing and managing your condition effectively.
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