Seeking Help: Dizziness and Its Impact on Daily Life - Family Medicine

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I am very worried and would like to ask the doctor for help?


Hello, doctor.
I've been feeling very dizzy for almost a week now.
When I walk, it feels like I'm floating, and even sitting in a chair makes me feel dizzy.
I feel the need to lean back against the chair for some reassurance, but I'm still dizzy.
Once, when I went to the bathroom, I got so dizzy that I hit my head against the wall.
Another time, while walking forward, I unexpectedly fell backward and hit my backside against a small cabinet, which was quite painful.
To top it off, today when I was trying to assemble a capsule toy model, I usually do this well, but for some reason, my hands kept shaking.
I knew exactly where to insert the pieces, but I just couldn't get them to fit.
I struggled for a long time, and it was really frustrating.
Please help me, doctor.

Mango Little Princess, 20~29 year old female. Ask Date: 2006/05/03

Dr. Cai Jueren reply Family Medicine


Hello, Mango Princess: Regarding the symptoms you described, we refer to them as "vertigo" until a detailed examination is conducted.
The possible causes are as follows: 1.
Severe anemia: Patients with this condition may faint due to dizziness.
2.
Vestibular neuritis: This often follows a cold or rhinitis and may be accompanied by vomiting, tinnitus, and nystagmus during episodes of dizziness.
3.
Brainstem circulation insufficiency: This is commonly seen in elderly diabetic patients due to vascular sclerosis.
4.
Cervical vertigo: This can occur due to inflammation of the cervical spine or compression from bone spurs, and may be associated with auditory abnormalities or tinnitus, commonly seen in young adults.
5.
Acoustic neuroma: This typically presents with tinnitus and hearing loss, accompanied by unsteady gait.
It is recommended that you seek medical attention at an otolaryngology clinic as soon as possible.
Thank you for your message.

Reply Date: 2006/05/03

More Info


Dizziness can be a distressing symptom that significantly impacts daily life, and it is essential to understand its potential causes and implications. Based on your description, it sounds like you have been experiencing persistent dizziness for about a week, accompanied by episodes of losing balance and even falling. This situation warrants a thorough evaluation to determine the underlying cause and appropriate management.

Dizziness can arise from various sources, including vestibular disorders (related to the inner ear), neurological conditions, cardiovascular issues, or even anxiety and stress. Given that you mentioned feeling unsteady while walking and sitting, as well as experiencing tremors in your hands, it is crucial to consider both physical and psychological factors.

1. Vestibular Disorders: Conditions like benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease can lead to dizziness and balance issues. These disorders often require specific maneuvers or medications for treatment.

2. Neurological Issues: Dizziness can also be a symptom of neurological conditions, such as migraines, multiple sclerosis, or even transient ischemic attacks (TIAs). If there are accompanying symptoms like headaches, visual disturbances, or weakness, it is vital to seek immediate medical attention.

3. Cardiovascular Factors: Low blood pressure, dehydration, or heart-related issues can cause dizziness, especially when standing up quickly or after prolonged sitting. Monitoring your blood pressure and hydration levels can provide insights into this aspect.

4. Anxiety and Stress: Psychological factors can manifest physically, leading to dizziness and tremors. If you have been under significant stress or anxiety, it may be beneficial to explore relaxation techniques or speak with a mental health professional.

Given the severity of your symptoms, including the episodes of falling and the impact on your daily activities, it is crucial to seek medical attention promptly. A healthcare provider will likely perform a comprehensive evaluation, which may include:
- A detailed medical history and physical examination.

- Blood tests to check for anemia, electrolyte imbalances, or thyroid function.

- Imaging studies, such as an MRI or CT scan, if neurological issues are suspected.

- Vestibular testing to assess inner ear function.

In the meantime, here are some general recommendations to help manage your symptoms:
- Safety First: Ensure your environment is safe to prevent falls. Remove tripping hazards and consider using assistive devices if necessary.

- Hydration: Stay well-hydrated, as dehydration can exacerbate dizziness.

- Avoid Sudden Movements: When changing positions (like standing up), do so slowly to minimize dizziness.

- Limit Stress: Engage in relaxation techniques such as deep breathing, meditation, or gentle yoga to help manage anxiety.

In conclusion, dizziness can stem from various causes, and understanding the underlying issue is crucial for effective management. Please prioritize seeking medical advice to address your symptoms and ensure your safety. Your health is paramount, and a healthcare professional can provide the necessary support and treatment tailored to your needs.

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