Dizziness: Insights from Traditional and Modern Medicine

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

After examinations by Traditional Chinese Medicine, Neurology, and Otolaryngology, the findings are as follows:
1.
Traditional Chinese Medicine:
(1) Excessive internal dampness is the cause.
(2) Subsequently suggested heat stroke and performed gua sha (scraping therapy).
(3) Prescribed medications: A.
For internal dampness.
B.
To relieve heat stroke.
2.
Otolaryngology:
(1) Hearing tests have been conducted → Tinnitus, high blood lipids, and poor blood circulation may also contribute.
(2) Benign Paroxysmal Positional Vertigo (BPPV).
(3) Blood tests conducted → High lipid levels causing dizziness.
(4) Prescribed medications: 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 hyperlipidemia (types IIa, IIb, III, IV, V).
3.
Neurology:
(1) Dizziness is present but not severe; evoked potential tests are normal.
(2) BPPV is ruled out.
(3) Dizziness may be due to prolonged sitting while preparing for exams and lack of exercise.
(4) High lipid levels are ruled out (metabolic syndrome), which is more common in the elderly.
(5) Increased physical activity is recommended.
(6) Prescribed medications: As needed.
A.
Paracetamol: For analgesia and antipyresis (headaches, toothaches, throat pain, joint pain, neuropathic pain, muscle pain, menstrual pain).
B.
Serenal: A new type of psychoneurological modulator, widely safe with few 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 due to anxiety and tension from neuroses, along with elevated blood lipids that require attention.
5.
Seeking advice from those with medical knowledge, what is the overall assessment of the above findings?

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

Dr. Zheng Jueyi reply Otolaryngology

Hi Rick,
There are many causes of dizziness.
After numerous examinations, no serious issues have been found.
The cause may be as you have assessed, possibly due to a lack of exercise and increased stress leading to nerve tension or anxiety.
Additionally, it is important to monitor your diet and exercise due to high cholesterol levels.
If normal cholesterol levels cannot be restored, medication may be necessary.

Wishing you safety and health.
Sincerely,
Dr.
Jue-Yi Cheng
Director, Department of Otolaryngology
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2013/07/07

More Info

Dizziness is a multifaceted symptom that can arise from various underlying conditions, and understanding its causes requires a comprehensive approach that integrates insights from both traditional and modern medicine. Based on the information provided, we can analyze the potential causes and treatments for dizziness from the perspectives of Traditional Chinese Medicine (TCM), otolaryngology (ENT), and neurology.

Traditional Chinese Medicine (TCM) Perspective
From the TCM viewpoint, 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 exhaustion, possibly through methods like gua sha (scraping therapy) and herbal medications. TCM often emphasizes the balance of bodily elements and may recommend lifestyle changes, such as dietary adjustments to reduce dampness, which could include avoiding greasy or overly sweet foods.

Otolaryngology Perspective
The ENT specialist's assessment indicates that dizziness could be linked to auditory issues, such as tinnitus, and may also be influenced by high blood lipid levels, which can affect blood flow. The diagnosis of benign paroxysmal positional vertigo (BPPV) suggests that certain head movements could trigger dizziness, a condition that is often treatable with specific maneuvers (e.g., Epley maneuver). The prescribed medications, including vasodilators and antiemetics, aim to manage symptoms related to vestibular disorders and improve blood circulation.

Neurology Perspective
The neurologist's evaluation ruled out severe conditions and indicated that the dizziness might be related to prolonged sitting and lack of physical activity, especially during exam preparation. This perspective highlights the importance of lifestyle factors, such as exercise, in maintaining neurological health. The neurologist also prescribed medications for pain relief and anxiety, suggesting that psychological factors could contribute to the sensation of dizziness.

Integrative Conclusion
The convergence of these perspectives suggests that dizziness in this case may stem from a combination of physiological and psychological factors. The high blood lipid levels noted by the ENT specialist could indeed contribute to vascular issues affecting blood flow to the brain, leading to dizziness. Additionally, the sedentary lifestyle associated with exam preparation may exacerbate feelings of dizziness due to reduced physical fitness and potential anxiety.

Recommendations
1. Lifestyle Modifications: Engage in regular physical activity to improve circulation and overall health. Simple exercises like walking, stretching, or yoga can help alleviate symptoms and reduce anxiety.

2. Dietary Changes: Consider dietary adjustments to lower blood lipid levels, such as incorporating more fruits, vegetables, whole grains, and healthy fats (like omega-3 fatty acids) while reducing saturated fats and sugars.

3. Stress Management: Implement stress-reduction techniques such as mindfulness, meditation, or counseling to address anxiety and its potential contribution to dizziness.

4. Follow-Up: Regular monitoring of blood lipid levels and consultations with healthcare providers to adjust treatment plans as necessary. If dizziness persists or worsens, further evaluation may be warranted.

5. Medication Review: Discuss with your healthcare provider the appropriateness of the prescribed medications, especially if side effects or interactions are a concern.

In summary, dizziness can be a complex symptom influenced by various factors, and a holistic approach that considers both traditional and modern medical insights can lead to more effective management strategies. Always consult with healthcare professionals before making significant changes to your health regimen.

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