Dizziness: Causes, Symptoms, and Treatment Options - Neurology

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Dizziness


On April 28th and 29th, I experienced vomiting upon waking up in the morning, along with dizziness and a darkening of my vision.
I also had cold sweats.
On April 30th, I visited a family medicine clinic, but the doctor was unsure of the cause of my symptoms.
He prescribed medication for nausea and dizziness, as well as anti-inflammatory drugs.
Blood and urine tests came back normal.
The medication helped with the vomiting, but on May 2nd, I woke up feeling nauseous again.
That evening, I went to see an ENT specialist, who said my dizziness was caused by a cold and that it was a viral infection affecting my inner ear.
I finished the medication, but I still experience dizziness, neck stiffness, and a general lack of strength, feeling lightheaded.
What should I do? This is the first time I've experienced prolonged dizziness like this.
What should I do?

Cathy Mian, 20~29 year old female. Ask Date: 2009/05/08

Dr. Gao Chunde reply Neurology


Symptoms of vestibular nerve disorders include dizziness, tinnitus, or hearing impairment.
During episodes, patients may experience significant discomfort, nausea, and cold sweats.
Viral infections causing inflammation may take about one to two weeks to fully resolve.
It is important to rest and follow up with outpatient treatment patiently, as symptoms will gradually improve.

Reply Date: 2009/05/08

More Info


Dizziness can be a perplexing and distressing symptom, often leading to a range of concerns regarding its underlying causes and appropriate treatment options. Based on your description, it appears that you have been experiencing significant dizziness, nausea, and other related symptoms over a period of several days, prompting visits to both a family physician and an ear, nose, and throat (ENT) specialist.
Dizziness can stem from various causes, including vestibular disorders, infections, dehydration, medication side effects, and even anxiety. In your case, the ENT specialist suggested that your symptoms might be related to a viral infection affecting your inner ear, which is a common cause of dizziness known as vestibular neuritis or labyrinthitis. These conditions can occur after a viral illness, leading to inflammation of the inner ear structures responsible for balance.

The symptoms you described—such as feeling faint, experiencing cold sweats, and having a sensation of weakness—can also be associated with other conditions, including hypotension (low blood pressure), dehydration, or even anxiety. It’s important to consider these factors, especially if you have not been eating or drinking adequately due to your nausea.

Here are some recommendations and considerations for managing your dizziness:
1. Hydration and Nutrition: Ensure that you are staying well-hydrated. Dehydration can exacerbate dizziness and lead to further complications. Try to consume small, frequent meals that are easy on your stomach. Clear fluids, such as broth or electrolyte solutions, can be beneficial.

2. Rest: Your body may need time to recover from the viral infection. Ensure you are getting adequate rest and avoid sudden movements that could worsen your dizziness.

3. Follow-Up Care: Since your symptoms have persisted despite initial treatment, it is crucial to follow up with your healthcare provider. They may consider additional tests, such as imaging studies (like an MRI) or referrals to specialists (like a neurologist) to rule out other potential causes of your dizziness.

4. Vestibular Rehabilitation: If your dizziness is indeed related to vestibular dysfunction, vestibular rehabilitation therapy (VRT) may be beneficial. This therapy involves exercises designed to help your brain adapt to the changes in balance and can be particularly effective for individuals with persistent dizziness.

5. Medication Review: If you are taking any medications, discuss them with your doctor to rule out any side effects that could be contributing to your symptoms. Sometimes, adjusting the dosage or switching medications can alleviate dizziness.

6. Monitoring Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any associated factors (like meals, activities, or stress levels). This information can be valuable for your healthcare provider in diagnosing and managing your condition.

7. Emergency Care: If you experience severe symptoms, such as persistent vomiting, severe headache, visual changes, or neurological symptoms (like weakness or numbness), seek immediate medical attention, as these could indicate a more serious condition.

In conclusion, while dizziness can be a challenging symptom to manage, understanding its potential causes and taking proactive steps can help you find relief. Continue to work closely with your healthcare providers to explore the underlying issues and develop an effective treatment plan tailored to your needs. Remember, recovery from viral infections can take time, and patience is essential as your body heals.

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