Dizziness: Insights from Traditional and Modern Medicine - Neurology

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Question: Is there really dizziness? (After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology)


After consultations with Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows:
1.
Traditional Chinese Medicine:
(1) Excessive dampness in the body is the cause.
(2) Subsequently, it was suggested that heatstroke occurred, leading to gua sha treatment.
(3) Prescriptions: A.
Addressing internal dampness.
B.
Alleviating heatstroke.
2.
Otolaryngology:
(1) Hearing tests were conducted → Tinnitus; high blood lipids and poor blood circulation may also contribute.
(2) Benign Paroxysmal Positional Vertigo (BPPV).
(3) Blood tests confirmed high lipid levels causing dizziness.
(4) Prescriptions: A.
Betahistine: A vasodilator for dizziness and hearing impairment caused by Meniere's disease.
B.
Meclizine: An antiemetic to prevent or alleviate motion sickness symptoms such as dizziness, nausea, vomiting, and headaches.
C.
Diazepam: For anxiety, insomnia, and muscle spasms.
D.
Fenofibrate (lipid-lowering medication): For hyperlipidemia, hypercholesterolemia, hypertriglyceridemia, and mixed dyslipidemia (types IIa, IIb, III, IV, V).
3.
Neurology:
(1) Dizziness is present but not severe; evoked potential tests were normal.
(2) BPPV was ruled out.
(3) Dizziness may be due to prolonged sitting while preparing for exams and lack of exercise.
(4) High lipid levels were ruled out (metabolic syndrome), which is more common in older adults.
(5) Increased physical activity is recommended.
(6) Prescriptions: As needed.
A.
Paracetamol: For analgesic and antipyretic effects (headaches, toothaches, throat pain, joint pain, neuropathic pain, muscle pain, menstrual pain).
B.
Serenal: A novel psychoneurological agent with broad safety and minimal side effects, suitable for treating symptoms of anxiety, tension, and restlessness caused by various neuroses.
4.
Summary of the physicians' conclusions: Prolonged sitting while preparing for exams and lack of exercise may lead to head dizziness and tension, possibly related to anxiety and nervousness, along with elevated blood lipid levels that require attention.
5.
Seeking advice from someone with medical knowledge, what is the overall assessment of the above findings?

Rick, 30~39 year old female. Ask Date: 2013/07/07

Dr. Gao Chunde reply Neurology


Dizziness is a subjective sensation, and physicians can determine if there is a vertiginous component by observing eye movements.
Other clinical findings, such as blood pressure, hemoglobin levels, electrolytes, and additional tests, can help identify potential causes.
After hearing your description, I agree with your conclusion.
Maintaining a regular routine, reducing stress, and engaging in moderate exercise should help improve symptoms.
Medications are only an adjunct to symptom relief and are not a cure.

Reply Date: 2013/07/07

More Info


Dizziness is a common symptom that can arise from various underlying causes, and understanding it requires a comprehensive approach that integrates insights from both traditional and modern medicine. Based on the information provided from different medical specialties, we can analyze the potential causes and treatments for your dizziness.


Traditional Chinese Medicine (TCM) Perspective
According to TCM, dizziness may be attributed to an excess of dampness in the body, which can disrupt the flow of Qi (energy) and blood. The practitioner suggested treatments aimed at alleviating this dampness and addressing symptoms of heat stroke, which may indicate an imbalance in the body's internal environment. The prescribed medications aim to restore balance and improve overall health.


Ear, Nose, and Throat (ENT) Perspective
The ENT specialist identified several potential causes of dizziness, including:
1. Eustachian Tube Dysfunction: This can lead to ear-related issues such as tinnitus (ringing in the ears) and dizziness.

2. Benign Paroxysmal Positional Vertigo (BPPV): A common cause of dizziness that occurs when tiny calcium particles in the inner ear become dislodged, leading to brief episodes of dizziness.

3. Hyperlipidemia: High blood lipid levels can affect blood flow and contribute to dizziness. The ENT specialist prescribed medications to manage these conditions, including vasodilators and anti-nausea medications.


Neurology Perspective
The neurologist's assessment indicated that while dizziness was present, it was not severe enough to warrant immediate concern. The neurologist ruled out BPPV and suggested that prolonged sitting and lack of physical activity, especially during exam preparations, could contribute to feelings of dizziness. They emphasized the importance of regular exercise and provided medications for symptomatic relief.


Integrative Analysis
From the combined insights of these medical evaluations, it appears that your dizziness may stem from a combination of factors:
- Lifestyle Factors: Prolonged periods of inactivity, particularly during stressful times like exam preparations, can lead to physical deconditioning and contribute to feelings of dizziness.

- Metabolic Factors: Elevated blood lipid levels can affect circulation, potentially leading to dizziness. Managing these levels through diet, exercise, and medication is crucial.

- Psychological Factors: Anxiety and stress can manifest physically, leading to symptoms such as dizziness. The neurologist's recommendation for a medication that addresses anxiety suggests that psychological well-being is an important aspect of your overall health.


Recommendations
1. Lifestyle Modifications: Incorporate regular physical activity into your routine. Simple exercises like walking, stretching, or yoga can improve circulation and overall well-being.

2. Dietary Adjustments: Focus on a heart-healthy diet that can help manage lipid levels. This includes reducing saturated fats, increasing fiber intake, and consuming more fruits and vegetables.

3. Stress Management: Consider techniques such as mindfulness, meditation, or counseling to address anxiety and stress, which may be contributing to your symptoms.

4. Follow-Up: Regular follow-up with your healthcare providers is essential to monitor your blood lipid levels and overall health. If symptoms persist or worsen, further evaluation may be necessary.

In conclusion, dizziness can be multifactorial, and addressing it requires a holistic approach that considers lifestyle, metabolic health, and psychological factors. By integrating insights from both traditional and modern medicine, you can develop a comprehensive plan to manage your symptoms effectively.

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