Dizziness and Numbness: Neurological Concerns Explained

Dizziness, tingling in the head, and discomfort in the back of the neck and head?

Hello Doctor, I would like to ask about my symptoms.
I often experience dizziness, headaches, tingling in my head, nausea, and a heavy feeling in my head.
I also feel my heartbeat and experience body vibrations, along with occasional tinnitus in my ears.
I have a feeling of tightness in my chest and difficulty breathing, but I have already had a hysterectomy.
My hemoglobin level is 12.9 (with a lowest of 6), so I should not be anemic.
Why do I still experience severe dizziness? Could elevated red blood cell count (5.68) and platelet count (371) be causing these symptoms?

wiwi, 30~39 year old female. Ask Date: 2015/11/20

Dr. Jiang Junyi reply Neurology

Hello, based on your description, positional vertigo should be considered first.
The symptoms are characterized by dizziness lasting a few seconds, related to changes in head position, such as bending over, leaning back, lying down, getting up, turning over, and sudden head movements, which may trigger the dizziness.
This may be accompanied by symptoms such as nausea, vomiting, palpitations, cold sweats, and feelings of weakness.
The causes are often unknown.
As for the headache issue, it may be worth considering common migraines in women: this type of headache lasts from 4 to 72 hours.
The characteristics of the headache include unilateral pain, which can feel like throbbing or pressure, often accompanied by a pulsing sensation.
Severe pain is frequently associated with nausea and vomiting, as well as sensitivity to light and sound; additionally, activities such as walking, climbing stairs, or head movements can exacerbate the headache.
Wishing you good health, peace, and joy.
Dr.
Tao cares about you.

Reply Date: 2015/11/20

More Info

Dizziness and numbness can be concerning symptoms, especially when they are persistent and accompanied by other sensations such as headaches, nausea, and palpitations. Your description suggests a complex interplay of neurological and possibly cardiovascular factors that could be contributing to your symptoms. Let's break down the potential causes and considerations.

Possible Causes of Dizziness and Numbness
1. Neurological Issues: Dizziness can often be linked to neurological conditions. Conditions such as migraines, vestibular disorders (like Meniere's disease), or even multiple sclerosis can lead to dizziness, headaches, and sensory disturbances. Given your symptoms of feeling heavy-headed and experiencing numbness, it may be worthwhile to consult a neurologist for a thorough evaluation, including imaging studies like an MRI or CT scan to rule out any structural abnormalities.

2. Vestibular Dysfunction: The inner ear plays a crucial role in balance. If there is any dysfunction in the vestibular system, it can lead to dizziness and a sensation of spinning (vertigo). The occasional ringing in your ears (tinnitus) could also indicate an issue with the inner ear.

3. Cardiovascular Factors: Your symptoms of feeling your heartbeat and experiencing chest tightness could suggest a cardiovascular component. Conditions such as arrhythmias or even anxiety-related palpitations can manifest as dizziness. It's essential to monitor your heart rate and rhythm, especially if you feel lightheaded or faint.

4. Blood Parameters: You mentioned having a hemoglobin level of 12.9 g/dL, which is within the normal range, and elevated red blood cells (5.68 million cells/mcL) and platelets (371,000 cells/mcL). While elevated red blood cells can sometimes indicate dehydration or other conditions, they are not typically associated with dizziness unless there is a significant increase leading to increased blood viscosity. It’s essential to discuss these lab results with your healthcare provider to understand their implications fully.

5. Anxiety and Stress: Anxiety can manifest physically in various ways, including dizziness, palpitations, and a feeling of heaviness in the head. If you have a history of anxiety or stress, it could be contributing to your symptoms. Techniques such as cognitive behavioral therapy (CBT), mindfulness, and relaxation exercises may help alleviate some of these symptoms.

6. Post-Surgical Changes: Since you mentioned having undergone a hysterectomy, it's important to consider how hormonal changes or post-surgical recovery might affect your overall well-being. Hormonal imbalances can lead to various symptoms, including mood changes, dizziness, and fatigue.

Recommendations
1. Consult a Specialist: Given the complexity of your symptoms, it would be beneficial to consult both a neurologist and a cardiologist. They can perform specific tests to evaluate your neurological function and cardiovascular health.

2. Monitor Symptoms: Keep a detailed diary of your symptoms, noting when they occur, their duration, and any associated factors (like stress or physical activity). This information can be invaluable for your healthcare providers.

3. Lifestyle Modifications: Ensure you are staying hydrated, maintaining a balanced diet, and managing stress through relaxation techniques or physical activity. Regular exercise can improve circulation and overall well-being.

4. Follow-Up on Blood Work: Discuss your blood work results with your healthcare provider to understand their significance and whether further testing is needed.

5. Consider Psychological Support: If anxiety is a contributing factor, consider seeking support from a mental health professional who can help you develop coping strategies.

In conclusion, while your symptoms can arise from various causes, a thorough evaluation by healthcare professionals is essential to determine the underlying issues and appropriate treatment. Your health is paramount, and addressing these symptoms early can lead to better outcomes.

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