Aging: Addressing Your Mother's Health Concerns - Family Medicine

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Mother's Concerns


Hello, my mother has been frequently experiencing a tingling sensation in the back of her head for several months.
She describes it as a buzzing sound, but it's not tinnitus.
She has seen many doctors and undergone numerous tests, and her hearing is fine.
The doctors have all said there is nothing wrong.
However, last month, she suddenly felt dizzy and was unable to get out of bed.
When she went to see a doctor, she was only prescribed medication.
After resting for a few days, she went to Chang Gung Memorial Hospital for further examination, and the doctor said it was due to aging.
They mentioned that medication would not be effective.
This has left my mother very worried, and she doesn't know what to do.
What does aging mean in this context? She is only in her forties, so what should she do? Is there no treatment available? Could you please provide some guidance? I truly don't know how to help my mother.
Thank you very much!

Shuqing, 20~29 year old female. Ask Date: 2002/04/24

Dr. Hong Chuanqi reply Family Medicine


Hello Shuqing,
The human body's perception of sound is managed by the eighth cranial nerve.
Sound is transmitted through the air and the bony structures of the head, passing from the outer ear to the middle ear and then to the inner ear, where it is processed by the brain to discern the volume and content of the sound, eliciting emotional responses such as joy, anger, sadness, contemplation, fear, and surprise.
When sound travels from the outer ear to the inner ear, it is converted from mechanical energy into electrical energy by the hair cells and lymphatic fluid in the cochlea of the inner ear, and this electrical energy is then transmitted to the brain tissue.
The tinnitus (buzzing sound) your mother experiences originates from the cochlea or the pathway of the eighth cranial nerve itself.
Auditory-related pathologies, including degeneration of the hair cells in the cochlear duct, issues with lymphatic fluid, immune problems, vascular blockages, and abnormalities in the surrounding tissues of the auditory nerve pathway, can all contribute to the phenomenon of tinnitus.
Additionally, prolonged stress, anxiety, and tension are also associated with such auditory disturbances.
I recommend that you take her to an ENT department at a general hospital for a thorough examination and management.
If that proves ineffective, please make an appointment at our clinic, and I will dedicate myself to providing specialized care for her.
Thank you!
Best regards,
Hong Chuanqi

Reply Date: 2002/04/24

More Info


Addressing your mother's health concerns, especially as she ages, can be quite challenging, particularly when multiple symptoms and conditions arise. Based on the information you've provided, it seems your mother is experiencing a range of health issues that may be interconnected, and it’s essential to approach her situation holistically.

Firstly, the symptoms of dizziness, a sensation of buzzing in the head, and feelings of unsteadiness can be indicative of several underlying conditions. While the doctors have suggested that these symptoms are due to aging, it is crucial to understand that aging itself is not a disease but a complex process that can lead to various health challenges. As people age, they may experience changes in their cardiovascular system, neurological function, and overall physical health, which can contribute to symptoms like those your mother is experiencing.

The sensation of buzzing or tingling in the head, often described as paresthesia, can be caused by several factors, including anxiety, migraines, or even issues related to blood circulation. Dizziness can also stem from vestibular disorders, which affect balance, or from orthostatic hypotension, where blood pressure drops significantly when standing up. Given that your mother has a history of high blood pressure, it’s essential to monitor her blood pressure regularly, especially when she experiences dizziness.

Since your mother has seen multiple doctors and undergone various tests without a clear diagnosis, it might be beneficial to seek a second opinion from a specialist, such as a neurologist or an otolaryngologist (ear, nose, and throat specialist). They can conduct more specific tests to rule out conditions like vestibular neuritis, Meniere's disease, or even neurological disorders that could explain her symptoms.

In terms of management, lifestyle modifications can play a significant role in improving her overall health. Encouraging her to maintain a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help support her body as it ages. Regular physical activity, tailored to her ability, can also enhance her strength and balance, potentially reducing dizziness and improving her overall well-being. Activities like walking, yoga, or tai chi can be particularly beneficial.

Additionally, addressing her mental health is crucial. The anxiety and frustration stemming from her health concerns can exacerbate her symptoms. Encouraging her to engage in relaxation techniques, such as mindfulness, meditation, or gentle yoga, can help manage stress and improve her mental state. If her anxiety persists, consulting a mental health professional may be beneficial.

Lastly, it’s important to foster open communication with your mother about her health. Encourage her to express her feelings and concerns, and reassure her that seeking help is a positive step. Sometimes, the emotional burden of health issues can be as significant as the physical symptoms themselves.

In summary, while aging can bring about various health challenges, many symptoms can be managed or alleviated through a combination of medical evaluation, lifestyle changes, and emotional support. By taking a proactive approach and seeking the right specialists, you can help your mother navigate this phase of her life more comfortably. Remember, you are not alone in this journey; seeking support for yourself as a caregiver is equally important.

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