Dizziness: Causes, Remedies, and Vitamin B12 Benefits - Neurology

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1.
Frequent dizziness (dizziness occurs in hot weather, during exercise, and when anxious, feeling heavy-headed and light-footed) - what could be the cause of this?
2.
I visited a traditional Chinese medicine practitioner, and he said that the Qi does not reach the head.
3.
How can I improve the above two symptoms?
4.
What is vitamin B12? What symptoms can it help improve?
5.
What are the symptoms of poor blood flow to the brainstem and imbalance? I would like to understand if vestibular disorders can cause the above two symptoms.
Thank you!

Xu, 10~19 year old female. Ask Date: 2012/10/29

Dr. Gao Chunde reply Neurology


Dizziness in hot weather is common, similar to how many people experience dizziness during a fever.
It's important to remind oneself to find a cooler environment; otherwise, heat exhaustion may occur.
During exercise, the heart rate increases, and blood is directed to the peripheral muscles, which can make the brain more sensitive and lead to dizziness.
Stressful emotions can also cause an increased heart rate and a tense state in the body, along with hormonal influences, resulting in dizziness.
When this happens, it's advisable to practice relaxation techniques.
Traditional Chinese medicine is complex and not typically explained by Western medicine.
To improve these symptoms, it is recommended to check for conditions such as anemia, hyperthyroidism, or dehydration for appropriate treatment.
If no issues are found, symptomatic treatment may be pursued.
Vitamin B12 is used to supplement deficiencies that cause anemia or neuropathy.
Poor blood supply to the brainstem, indicated by narrowed or blocked blood vessels, can lead to dizziness, diplopia, slurred speech, and unsteady gait due to ischemic damage to the brainstem's nerve functions.
Inner ear imbalance primarily presents as vertigo without additional brainstem symptoms.
In cases of Basilar-type Migraine, if there is central nervous system involvement, headaches and dizziness can occur.

Reply Date: 2012/10/29

More Info


Dizziness can be a perplexing symptom, often caused by a variety of factors ranging from benign to more serious conditions. Understanding the underlying causes and potential remedies, including the role of Vitamin B12, can help in managing this issue effectively.

1. Causes of Dizziness: Dizziness can manifest in several ways, including lightheadedness, a sensation of spinning (vertigo), or a feeling of being off-balance. Common triggers include dehydration, low blood pressure, anxiety, and inner ear problems. In your case, dizziness occurring during hot weather, exercise, or periods of stress may suggest a combination of dehydration and anxiety. The traditional Chinese medicine perspective, which mentions that "qi" (energy) is not reaching the head, could imply a need for better circulation or energy flow, which is a common theme in holistic health practices.

2. Improving Symptoms: To alleviate dizziness, consider the following strategies:
- Stay Hydrated: Ensure you are drinking enough fluids, especially in hot weather or during exercise.

- Balanced Diet: Eating regular meals that include a mix of carbohydrates, proteins, and healthy fats can help maintain stable blood sugar levels, which is crucial in preventing dizziness.

- Manage Stress: Techniques such as deep breathing, meditation, or yoga can help reduce anxiety and improve overall well-being.

- Physical Activity: Gentle exercises, particularly those that improve balance and coordination, can be beneficial. However, avoid sudden movements that might exacerbate dizziness.

3. Vitamin B12: Vitamin B12 is a water-soluble vitamin that plays a crucial role in the production of red blood cells, DNA synthesis, and the proper functioning of the nervous system. Deficiency in B12 can lead to anemia and neurological issues, including dizziness, fatigue, and cognitive disturbances. For individuals experiencing dizziness, ensuring adequate B12 levels may help alleviate some symptoms, especially if the dizziness is related to anemia or nerve function.

4. Symptoms of Brainstem Blood Flow Issues: Poor blood flow to the brainstem can result in symptoms such as dizziness, balance problems, and coordination issues. The brainstem is responsible for many autonomic functions, including heart rate and blood pressure regulation. If blood flow is compromised, it can lead to sensations of dizziness or imbalance. Conditions such as vertebrobasilar insufficiency can cause these symptoms, and it is essential to consult a healthcare professional for a thorough evaluation.

5. Understanding Vestibular Disorders: Conditions like Benign Paroxysmal Positional Vertigo (BPPV) or vestibular neuritis can lead to dizziness and balance issues. These disorders affect the inner ear and the brain's ability to process sensory information related to balance. Symptoms may include spinning sensations, imbalance, and sometimes nausea. If you suspect a vestibular disorder, a specialist can perform specific tests to diagnose and recommend appropriate treatments.

In summary, dizziness can arise from various causes, and addressing hydration, nutrition, and stress management can be beneficial. Vitamin B12 supplementation may help if a deficiency is present, particularly in relation to neurological symptoms. If dizziness persists or worsens, it is crucial to seek medical advice to rule out any serious underlying conditions.

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