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Are Dizziness And Being Lightheaded Signs Of Stroke?

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Posted on Sat, 29 Nov 2014
Question: I recently tok a dizzy spell felt week sick to my stomic enough to throwup still not right feel lightheaded this happened 8 hours ago could it b a stroke
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Answered by Dr. Dr. Praveen Tayal (32 minutes later)
Brief Answer:
Less likely to be stroke.

Detailed Answer:
Hello,
Thanks for posting your query.
The dizzy spell followed by vomiting is more likely to be due to gastritis rather than a stroke. If there is no neurological deficit then there is no need to worry.
Other causes can be fall in BP, hypoglycemia, dehydration and inadequate electrolytes(sodium and calcium) in the body, postural hypotension, blockage of arteries supplying blood to the brain esp. the carotids, anemia, vasovagal attacks or underlying neurological conditions.

At 46 years of age, it can happen due to cholesterol plaque in one of the carotid arteries or due to an abnormal rhthym of the heart. I will suggest doing an ECHO Doppler of the heart, a 24 hours holter monitoring to look for any rhythm disturbances in the heart and a color Doppler of the vessels of the neck. If these tests are normal, then it will be quite reassuring.
Other than that the hemoglobin levels should also be checked to rule out any anemia.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Are Dizziness And Being Lightheaded Signs Of Stroke?

Brief Answer: Less likely to be stroke. Detailed Answer: Hello, Thanks for posting your query. The dizzy spell followed by vomiting is more likely to be due to gastritis rather than a stroke. If there is no neurological deficit then there is no need to worry. Other causes can be fall in BP, hypoglycemia, dehydration and inadequate electrolytes(sodium and calcium) in the body, postural hypotension, blockage of arteries supplying blood to the brain esp. the carotids, anemia, vasovagal attacks or underlying neurological conditions. At 46 years of age, it can happen due to cholesterol plaque in one of the carotid arteries or due to an abnormal rhthym of the heart. I will suggest doing an ECHO Doppler of the heart, a 24 hours holter monitoring to look for any rhythm disturbances in the heart and a color Doppler of the vessels of the neck. If these tests are normal, then it will be quite reassuring. Other than that the hemoglobin levels should also be checked to rule out any anemia. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal