and Treating Occasional Dizziness: Causes and Solutions

Frequent episodes of occasional dizziness can be treated in several ways, depending on the underlying cause. It is important to consult a healthcare professional for a proper diagnosis. Treatment options may include: 1. Vestibular Rehabilitation Therapy (VRT): A specialized form of physical therapy designed to improve balance and reduce

I do not smoke or drink alcohol, but due to a shift work schedule, my sleep patterns are quite irregular.
Since early 2015, I have experienced occasional dizziness, starting with once every few months to now about once a week, and sometimes feeling dizzy for several consecutive days (though I’m not sure if it can be classified as dizziness since it doesn’t feel like the room is spinning).
It feels similar to being overly tired and wanting to sleep, or suddenly losing consciousness and almost fainting.
When I go to the library and look at the books on the shelves, I feel dizzy as they sway back and forth.
My neck sometimes feels like I’ve slept too long, and tapping on the back of my neck can cause a feeling of lightheadedness (this happens intermittently).
I went to Cheng Kung University Hospital for examinations.
In cardiology, I had an electrocardiogram, and the doctor noted that my heart rate is somewhat slow but found no other abnormalities.
In neurology, my carotid artery blood pressure was high (170s), and a subsequent CT scan of the brain showed normal cerebral blood vessels with no abnormalities.
Blood tests showed cholesterol levels at 211, LDL at 106, triglycerides at 54, and HDL levels were deemed acceptable by the doctor, who said these should not be related to my dizziness.
In family medicine, they could not find a cause and attributed it to significant mental stress and lack of timely relaxation, addressing it as a psychological issue.
I also have some physical discomfort that I’m unsure is related to the dizziness, but I’ll mention it in case anyone has suggestions: I sometimes feel discomfort in my back, similar to slouching (intermittently), occasional tinnitus (intermittently), and although I don’t eat much, I experience a feeling of fullness in my abdomen.
My lower abdomen appears somewhat distended, resembling a beer belly (possibly due to gastric ptosis?).
In March, I underwent gastroscopy and colonoscopy at a new hospital, and in August, blood tests showed no signs of anemia or blood in my stool.
Sometimes when I sit down, I can noticeably feel my heart beating, causing my body to sway back and forth (not sure if this is normal, and it happens intermittently).
I also wonder if this is related to Meniere's disease.

That’s about it; I hope someone can help me.
It’s frustrating to feel unwell without finding a cause.
I feel extremely powerless.
P.S.
As I write this, I have been experiencing mild dizziness for several days...

Bai Chuan, 30~39 year old female. Ask Date: 2015/12/29

Dr. Zheng Jueyi reply Otolaryngology

Hello, if multiple examinations have shown no significant abnormalities and the dizziness is not characterized by a spinning sensation, it may still be related to chronic fatigue or autonomic nervous system dysregulation caused by lack of exercise, irregular sleep patterns, or high levels of stress.
It is recommended to maintain a regular routine and engage in physical activity, as well as to manage stress appropriately, which should gradually improve the dizziness.
Wishing you peace and health.
Sincerely, Dr.
Jue-Yi Cheng, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/29

More Info

Understanding and treating occasional dizziness can be quite complex, especially when the underlying causes are not immediately apparent. Based on your description, it seems you have been experiencing episodes of dizziness that have become more frequent over time, alongside other symptoms such as neck discomfort, occasional tinnitus (ear ringing), and abdominal discomfort. Given your medical history and the evaluations you've undergone, let's explore potential causes and solutions for your dizziness.

Potential Causes of Dizziness
1. Vestibular Disorders: Conditions affecting the inner ear, such as Benign Paroxysmal Positional Vertigo (BPPV) or Meniere's disease, can cause dizziness. Although you mentioned not knowing if your symptoms relate to Meniere's disease, it is characterized by episodes of vertigo, tinnitus, and hearing loss. A thorough evaluation by an ENT specialist may be warranted.

2. Cervical Issues: The neck discomfort you describe could indicate cervical spine issues, such as cervical spondylosis or muscle tension, which can affect blood flow and nerve function, potentially leading to dizziness. Physical therapy or chiropractic care may help alleviate these symptoms.

3. Cardiovascular Factors: Your heart rate being on the slower side could contribute to feelings of dizziness, especially if your heart isn't pumping enough blood to meet your body's needs during certain activities. It's essential to monitor your heart health regularly, especially given your work schedule and potential stress factors.

4. Anxiety and Stress: Psychological factors, including anxiety and stress, can manifest physically as dizziness or lightheadedness. Since you mentioned significant stress, addressing mental health through counseling or stress management techniques could be beneficial.

5. Dietary and Lifestyle Factors: Your mention of abdominal discomfort and feelings of fullness could suggest gastrointestinal issues, which might indirectly contribute to your dizziness. Ensuring a balanced diet, staying hydrated, and avoiding excessive caffeine or alcohol can help.

6. Medication Side Effects: If you are taking any medications, it's worth reviewing them with your healthcare provider to rule out dizziness as a side effect.

Solutions and Recommendations
1. Medical Evaluation: Since you have already undergone several tests, it may be beneficial to revisit your healthcare provider to discuss your ongoing symptoms. A referral to a neurologist or an ENT specialist could provide further insights.

2. Physical Therapy: Engaging in physical therapy, particularly vestibular rehabilitation, can help manage dizziness related to balance disorders. A therapist can provide exercises to improve your balance and reduce dizziness.

3. Stress Management: Techniques such as mindfulness, yoga, or cognitive-behavioral therapy can help manage stress and anxiety, which may alleviate some of your symptoms.

4. Lifestyle Modifications: Regular exercise, a balanced diet, and adequate hydration can improve overall health and potentially reduce dizziness. Avoiding sudden movements and ensuring you get enough rest can also help.

5. Follow-Up: Regular follow-ups with your healthcare provider are crucial to monitor your symptoms and adjust treatment as necessary. Keeping a symptom diary can help identify triggers and patterns related to your dizziness.

Conclusion
Dizziness can stem from a variety of causes, and it often requires a multifaceted approach to treatment. Given your symptoms and medical history, it is essential to continue working closely with your healthcare providers to identify the underlying cause and develop an effective management plan. Don't hesitate to seek a second opinion if you feel your concerns are not being adequately addressed. Remember, you are not alone in this, and with the right support and interventions, you can find relief from your symptoms.

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