Dizziness and Heavy Head: Causes and Solutions for Young Adults

Dizziness when walking, along with a heavy head and light legs?

Earlier this year, I experienced frequent dizziness and a feeling of heaviness in my head and lightness in my legs.
At a blood pressure measurement station at Taipei's Xingtian Temple, my blood pressure was recorded at approximately 178/99 mmHg.
A volunteer suggested that I go to the hospital for an examination.
Starting in April, I sought treatment at Taipei Chang Gung Memorial Hospital (Cardiology Department).
Currently, I am taking Bisoprolol 40 mg and Candesartan 5 mg, which have helped maintain my blood pressure within a range of approximately 108-120 mmHg systolic and 65-80 mmHg diastolic, which is relatively normal.
My weight has decreased from 102 kg to 90 kg since early August due to dietary control (my height is 168 cm).

I have been troubled by dizziness and headaches while walking for a long time.
On September 1, I visited the Chang Gung emergency department twice, where I underwent an EEG and a CT scan of the brain, both of which showed no issues.
The doctor prescribed me medication for dizziness for seven days and advised me to return for a follow-up if the dizziness persists.

I would like to ask the doctor why I experience dizziness even while walking, accompanied by a heavy feeling in my head and sharp pain (sitting down makes it less dizzy and painful).
I am only 36 years old.
Please advise me on what I should do.
Thank you very much.

Mr. Zheng, 30~39 year old female. Ask Date: 2010/09/06

Dr. Gao Chunde reply Neurology

If all tests are normal but you still experience dizziness and headaches, you may want to visit a neurology clinic.
It could just be a type of chronic headache, such as tension-type headache.
However, it is essential to consult a neurologist who can evaluate other symptoms and perform a clinical neurological examination to confirm the diagnosis.

Reply Date: 2010/09/06

More Info

Dizziness and a feeling of heaviness in the head can be distressing symptoms, especially for a young adult like yourself. Based on your description, it seems that you have been experiencing these symptoms alongside high blood pressure readings and have undergone various medical evaluations, including brain scans and EEGs, which have returned normal results.
The symptoms you describe—dizziness, a heavy feeling in the head, and occasional headaches—can arise from several potential causes. Given your history of high blood pressure and the recent weight loss, it is essential to consider both physiological and psychological factors that could contribute to your condition.

1. Hypertension: Your initial blood pressure reading of 178/99 mmHg indicates hypertension, which can lead to various symptoms, including headaches and dizziness. Although your blood pressure has improved with medication and lifestyle changes, fluctuations in blood pressure can still cause these symptoms. It’s crucial to monitor your blood pressure regularly and maintain communication with your healthcare provider about any changes.

2. Vestibular Issues: Dizziness can often be linked to problems with the vestibular system, which is responsible for balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or even migraines can cause dizziness and a sensation of heaviness in the head. If your dizziness worsens with certain head movements, it may be worth discussing vestibular rehabilitation therapy with your doctor.

3. Cervical Spine Issues: Tension or issues in the cervical spine (neck) can also lead to headaches and dizziness. Poor posture, especially if you spend long hours sitting or looking down at screens, can lead to muscle tension and discomfort. Physical therapy or exercises to strengthen neck muscles and improve posture may help alleviate these symptoms.

4. Anxiety and Stress: Psychological factors such as anxiety and stress can manifest physically, leading to symptoms like dizziness and a heavy head. If you find that your symptoms worsen during stressful situations or if you have a history of anxiety, it may be beneficial to explore stress management techniques, such as cognitive-behavioral therapy (CBT), mindfulness, or relaxation exercises.

5. Medication Side Effects: The medications you are taking for blood pressure management may also contribute to your symptoms. Some antihypertensive medications can cause dizziness or fatigue as side effects. It’s important to discuss any side effects with your healthcare provider, as they may need to adjust your medication regimen.

6. Dehydration and Nutrition: With your weight loss efforts, ensure you are staying hydrated and consuming a balanced diet. Dehydration can lead to dizziness, and inadequate nutrition can affect your overall energy levels and well-being.

Given your ongoing symptoms, it is advisable to follow up with your healthcare provider. They may consider further evaluations, such as a referral to a neurologist or an ear, nose, and throat (ENT) specialist, to rule out other potential causes of your dizziness and head heaviness. Keeping a symptom diary, noting when your symptoms occur and any associated activities or stressors, can also provide valuable information for your healthcare team.

In summary, while your symptoms can be attributed to various factors, a comprehensive approach involving lifestyle modifications, regular medical follow-ups, and possibly referrals to specialists will be essential in managing your condition effectively. Remember, you are not alone in this, and seeking help is a crucial step toward finding relief and improving your quality of life.

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