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Vertigo - Dizziness


Guest kikay168

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  • 1 month later...
  • 1 month later...

this is an interesting thread...

 

ENT opinion...

 

vertigo is one of the most difficult symptoms to address. vertigo may be caused by a lot of diseases, and it's not a disease by itself, only a symptom. it's the type of dizziness patients' describe as 'umiikot ang mundo o paligid'. having vertigo means that there is a problem in the balance centers of the body. it may be peripheral (inner ear) or central (brain/cerebellum). the problem may not be limited to a direct problem in the balance centers, but may due to problems in blood flow to the inner ear and the brain.

 

common diseases causing vertigo are:

infections (chronic otits media with complications, vestibular neuritis, labyrinthitis, encephalitis, brain absecess, syphilis)

neurologic disorders (stroke or cerebral infarct or bleed, degenerative neuro disorders)

metabolic (high salt levels, endocrine)

drug use (diuretics, aspirin, antibiotics, chemotherapy)

trauma (fracture of the temporal bone (protects the inner ear), brain concussion

 

bottomline:

no specific or 'de kahon' treatment for vertigo... doctors need to find out the underlying problem. most often the most important thing that would help us get the right diagnosis is the history of the patient.

 

what we ask in the history:

timing of vertigo

duration

severity

how often it occurs

body activity and position when the vertigo occured

other diseases like diabetes, high blood, heart diseasei

intake of prescription and nonprescription meds

if there are other symptoms like hearing loss, ringing in the ear, headaches, spine problems...

 

then we do certain tests for vertigo... we check for eye movements that give us clues to the nature of vertigo, we check for balance with eyes closed and eyes open, we ask patients to march or walk inside the office with eyes closed to see if he falls or veers to one side (of course we make sure that the patient doesn't get hurt when he does fall down)

 

we ask for hearing tests (mandatory), and other electrical tests for balance (if necessary)

 

CT scan and MRI may be helpful but not always done

 

important: if someone suddenly suffers from severe vertigo, becomes cold and clammy, and you can barely feel his pulse, complains of weakness on one side or numbness of one side, please consider the possibility of a stroke...

 

treatment:

medication or positioning procedures or vestibular rehabilitation

 

prevention:

it depends on the underlying problem

 

sorry mahaba, mahirap talaga ang vertigo, kahit sa mga ENTs. pati kami nahihilo kakaisip kung ano ang problema. pero may mga ENTs na expert sa vertigo, mga Neuro-otologists (they're usually connected to the big ENT centers like PGH, UST...)

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this is an interesting thread...

 

important: if someone suddenly suffers from severe vertigo, becomes cold and clammy, and you can barely feel his pulse, complains of weakness on one side or numbness of one side, please consider the possibility of a stroke...

 

 

I agree, a friend of mine who is also a Doctor experienced sudden diziness and vomiting.

It turns out he had a stroke. A small infarct of the posterior cerebellum......

I wish him a speedy recovery and all the best that medicine can offer!

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  • 1 month later...
sa alam ko walang gamot sa vertigo although a doctor may prescribe some medication to minimize the effects of dizziness. i got my vertigo after i hit my head hard on the pavement when i crashed while recing bicycles and since then i have been getting sporadic bouts of vertigo.

 

as for the headaches you may want to see a dentist to check if you have impacted molars. i read that these could hit some nerves and give you really bad headaches.

 

positive nga ako dito :( :wacko:

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  • 2 months later...

I still have verito till now. Back in 2003 I was hospitalized because the first few days I felt really dizzy, my eyes were shaking and was having cold sweats. The doctor said that I have vertigo and gave me Serc but that didn't help me coz the next day I felt very, very dizzy and at around 10-15 minutes the symptoms I felt were in these orders

 

Inhaling air feels cold, having cold sweats, body feels weak

minutes later I felt that my legs were having tremmors from weakness then later on I had the pins and needles sensation.. a minute later I lost sensation on both legs.

another minute later I lost sensation on both arms and hands. My hands began to go into a clenched position. My fingernails were turning blue.

the most frightening thing I felt in my entire life, my lungs felt like someone was holding them from the inside and started squeezing it real hard. If it were a graphical example, think of my lungs as an empty plasic bottle of iced tea then someone trying to squeeze the living daylights outta it.

 

I nearly couldn't breathe I knew I was about to die then when we were in the ER all of my sensations came back but I still had the pins and needles sensation and was weak all over my body. The doctors did a BP and blood, urine test and nothing was wrong.

 

A few days later while I was about to be released from the hospital they did a CT-Scan on my brain thinking that I might have suffered a stroke but the results were negative.

 

Ever since that day my vertigo didn't go away, I sometimes take anti-anxiety pills or anti-depressants to calm me down. Sometimes it works depending on the type of anti-anxiety given to me. 3 months after that I did an MRI and EEG and still negative. A year after my initial vertigo attack I did a final CT-Scan and still the results were negative. But my problem didn't go away, it simply added up.... in 2003 and 2004 it was just vertigo and in 2005 it was vertigo with heartburn and in late 2005 till now it's vertigo+heartburn+muscle twitching and labored breathing. I constantly keep in appointment with my neurologists/psychologist and by the end of this month they want me to undergo a nerve conduction test to see if I have a neurological problem. Or they'll let me take a medication of dopamine because if dopamine does a lotta good for me then I might have Parkinson's disease because dopamine is the 1st medication the doctor will give the patient if they suspect the patient has Parkinsons. If the patient notices a big difference within a month then.. the good news is that the dopamine works, the bad news is that the patient has parkinson's.

 

But according to my neuros, dizziness or vertigo isn't a primary symptom of parkinson's not even muscle twitching. If my entire arm was shaking then that's parkinson's. I just might have benign muscle spasms/twitchings.

 

Pero after my vertigo I really had a different change in personality and a different pace in life. I no longer can enjoy myself with my family or drive to parties alone or even take up sports. I'm gaining weight again because since every time I try to jog my vertigo kicks in then I stop. My uncle has vertigo ever since he was 15 and now he's 65 and he says it's like hell but you must be diligent and persistent when battling it.

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  • 5 months later...

Let me complicate things further. I used to have what the doctor called Positional Vertigo. My problem was if I got up from bed quickly, I would feel dizzy. Also, some sudden head movements would make me feel dizzy.

 

I said used to because I no longer have these symptoms anymore. Can't really say what cured me. But, knock on wood, hope the symptoms never come back.

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  • 2 weeks later...
Let me complicate things further. I used to have what the doctor called Positional Vertigo. My problem was if I got up from bed quickly, I would feel dizzy. Also, some sudden head movements would make me feel dizzy.

 

I said used to because I no longer have these symptoms anymore. Can't really say what cured me. But, knock on wood, hope the symptoms never come back.

 

several types of vertigo

 

1. paroxysmal vertigo-the sudden attack which comes on quickly, last only a short time (sec to hrs) then goes away just as quickly. Recurs after symptom-free interval

 

2. The single, severe attack fading away much more slowly than the first type. it takes days and even weeks to disappear completely

 

3. Chronic vertigo, often not serious but - with small flare ups - permanently present. last for months without change

 

4. Positioning vertigo - occurs following sudden movements of the head, often in one particular plane

 

5. dizziness spells, lasting a few seconds, occurring irregularly

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  • 2 months later...
  • 3 months later...

i had a vertigo 3 years ago. i remember when i woke up i was so dizzy and i kept vomiting a lot. i went to see a doctor. he taught me how to control it. no meds actually. it was just a plain exercise of the head. slowly u need to turn ur head. and make sure u r at ur bed.

 

sitting upright at ur bed slowly turn ur head sideways (left n right) , bending forward ur head and backward. make sure u do it slowly and eyes closed.

 

let not the vertigo control u, but u control them. whenever i had colds i do get it. sabi ng doctor it has to do with the equilibrium inside our ears. whatever it was, i know now how to treat myself without meds. just the plain exercise i was taught by my eent doctor.

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  • 1 month later...

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