Dizziness: Causes, Treatments, and When to Seek Help

Q: Dizziness: Causes, Treatments, and When to Seek Help

Xiao Ting： Hello, many medications for colds can cause dizziness and drowsiness, especially those effective for runny nose and cough, which are particularly likely to induce sleepiness. <br>Additionally, the fatigue from the cold itself necessitates rest, and it is also possible

I have been experiencing dizziness recently?

Dr.
Tsai: Hello! I have been experiencing frequent dizziness lately, and I'm unsure of the cause.
I also don't know which specialty to consult.
I recently recovered from a cold and have visited two clinics.
Initially, I went to my regular health insurance clinic, and later a friend took me to a private clinic that is said to be very effective.
However, when I took the medication from the private clinic, I felt very drowsy and wanted to sleep.
After work, I would go to bed, and even when I woke up during the day, I still felt sleepy, which was quite alarming.
After taking the medication for two days, I stopped going back.
Two days after discontinuing the medication, I started experiencing dizziness, which I had never experienced before.
I heard that the medication from that private clinic contained steroids, but I am not sure what that means or if it could cause any issues for my body.
The dizziness has persisted for a week.
A few days ago, I visited my regular health insurance clinic and mentioned my frequent dizziness.
The doctor said it was vertigo and prescribed me some medication, which helped a bit, but after stopping the medication for the last two or three days, the dizziness has returned.
What should I do?

Xiao Ting, 20~29 year old female. Ask Date: 2010/07/08

Dr. Cai Mengru reply Family Medicine

Xiao Ting: Hello, many medications for colds can cause dizziness and drowsiness, especially those effective for runny nose and cough, which are particularly likely to induce sleepiness.
Additionally, the fatigue from the cold itself necessitates rest, and it is also possible that the virus may affect the vestibular nerves, leading to dizziness.
These factors could all contribute to your dizziness.
As for steroids, they are less likely to be the cause of dizziness (though they may have side effects such as stomach pain and insomnia).
Given your situation, you can either return to the health clinic you originally visited or consult an ENT specialist.
If your overall condition has been gradually improving, there is no need to be overly concerned.
Wishing you peace and health.
Sincerely, Dr.
Tsai Meng-Ju, Attending Physician, Department of Family Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2010/07/08

More Info

Dizziness is a common complaint that can arise from a variety of causes, and understanding its origins is crucial for effective treatment. Based on your description, it seems that your dizziness has been persistent for about a week, and it has been exacerbated by medication that may contain steroids. Let’s explore the potential causes, treatment options, and when to seek further medical help.

Causes of Dizziness
1. Vestibular Disorders: Conditions affecting the inner ear, such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease, can lead to episodes of dizziness or vertigo.

2. Neurological Issues: Dizziness can also be a symptom of neurological conditions, including migraines, multiple sclerosis, or even transient ischemic attacks (TIAs).

3. Cardiovascular Problems: Low blood pressure, arrhythmias, or other heart-related issues can cause dizziness, especially when standing up quickly.

4. Medication Side Effects: As you mentioned, the medication from the self-pay clinic may have contributed to your dizziness. Steroids and other medications can have side effects that affect your energy levels and balance.

5. Dehydration or Nutritional Deficiencies: After an illness, your body may be dehydrated or lacking essential nutrients, leading to dizziness.

6. Anxiety and Stress: Psychological factors can also manifest physically, causing dizziness or a sensation of lightheadedness.

Treatment Options
1. Medication Review: Since you experienced drowsiness and dizziness with the self-pay clinic's medication, it’s essential to review all medications with a healthcare provider. They can help determine if any of your medications are contributing to your symptoms.

2. Vestibular Rehabilitation: If your dizziness is related to vestibular disorders, physical therapy focusing on balance and coordination may be beneficial.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet rich in vitamins and minerals. This can help alleviate dizziness caused by dehydration or deficiencies.

4. Gradual Position Changes: If you experience dizziness when standing up, try to change positions slowly to avoid sudden drops in blood pressure.

5. Stress Management: Techniques such as mindfulness, yoga, or cognitive-behavioral therapy can help manage anxiety-related dizziness.

When to Seek Help
Given that your dizziness has persisted for a week and is affecting your daily life, it is advisable to seek further medical evaluation. Here are specific situations where you should seek immediate help:
- If you experience severe dizziness that leads to falls or injuries.

- If dizziness is accompanied by other concerning symptoms such as chest pain, shortness of breath, severe headache, or neurological symptoms (e.g., weakness, numbness, difficulty speaking).

- If your symptoms worsen or do not improve with initial treatment.

Conclusion
Dizziness can stem from various causes, and it’s essential to identify the underlying issue to receive appropriate treatment. Since you have already consulted with healthcare providers, consider returning to a trusted physician or a specialist, such as an ear, nose, and throat (ENT) doctor or a neurologist, for a comprehensive evaluation. They can conduct necessary tests to pinpoint the cause of your dizziness and recommend a tailored treatment plan. Remember, it’s crucial to communicate all your symptoms and any medications you are taking to ensure the best care possible.

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