Hello Doctor, My Mother 46 Years Old Complaining Lightheadness From
 
                                    
                                    
                                          
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                                           Wed, 30 Jan 2019
                                           
                                        
                                        
                                        
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                                                  Ask A Doctor - 24x7 Medical Review Team
                                            
                                        
                                        
                                            
                                                
                                                Wed, 30 Jan 2019
                                                
                                            
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                                            Question : Hello Doctor,
My mother 46 years old complaining lightheadness from 15 days, but from past 2 days head spinning and eyes rotating feeling which is short lived and no faiting happend.
Previous Medical History:
back pain, neck pain and pain on back side of head ( streching like feeling) 3 months back after consulting doctor in %E2%80%98Ask a docor%E2%80%99 concluded it as cervico- spondolysis and suggested the medicine, she is not facing back pain now but having light pain on neck and back side of head.
Can you please suggest what to do now?
Thanks in advance.
Regards,
XXXXXXX
                            My mother 46 years old complaining lightheadness from 15 days, but from past 2 days head spinning and eyes rotating feeling which is short lived and no faiting happend.
Previous Medical History:
back pain, neck pain and pain on back side of head ( streching like feeling) 3 months back after consulting doctor in %E2%80%98Ask a docor%E2%80%99 concluded it as cervico- spondolysis and suggested the medicine, she is not facing back pain now but having light pain on neck and back side of head.
Can you please suggest what to do now?
Thanks in advance.
Regards,
XXXXXXX
 
                                    Hello Doctor,
My mother 46 years old complaining lightheadness from 15 days, but from past 2 days head spinning and eyes rotating feeling which is short lived and no faiting happend.
Previous Medical History:
back pain, neck pain and pain on back side of head ( streching like feeling) 3 months back after consulting doctor in %E2%80%98Ask a docor%E2%80%99 concluded it as cervico- spondolysis and suggested the medicine, she is not facing back pain now but having light pain on neck and back side of head.
Can you please suggest what to do now?
Thanks in advance.
Regards,
XXXXXXX
                                
                            My mother 46 years old complaining lightheadness from 15 days, but from past 2 days head spinning and eyes rotating feeling which is short lived and no faiting happend.
Previous Medical History:
back pain, neck pain and pain on back side of head ( streching like feeling) 3 months back after consulting doctor in %E2%80%98Ask a docor%E2%80%99 concluded it as cervico- spondolysis and suggested the medicine, she is not facing back pain now but having light pain on neck and back side of head.
Can you please suggest what to do now?
Thanks in advance.
Regards,
XXXXXXX
                                    Brief Answer:
She seems to have vertigo due to cervical
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
From your description she seems to have spinning sensation due to cervical problem. I will suggest that orthopedic surgeon be consulted to find a reason for new-onset cervical problem. It maybe related to low calcium and vitamin D levels in blood. These can be checked with blood test.
Meanwhile she can take the vertin tablet that may have been prescribed. Let me know which medicines got prescribed.
Also she must avoid any sudden movements at the neck. She should also avoid heavy work at shoulders or neck e.g lifting clothes or suitcases, kneeding atta dough, making chapatis, etc. Avoid head rotations, shoulder rotations. The movements that need to be avoided differ among patients. So she needs to figure out which movements she should not make. If wearing a cervical collar helps. then she can wear one. Avoid hot/cold weathers. Keeping the head straight while talking may also help. Avoid driving atleast until the episode is over.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
                                    
                            She seems to have vertigo due to cervical
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
From your description she seems to have spinning sensation due to cervical problem. I will suggest that orthopedic surgeon be consulted to find a reason for new-onset cervical problem. It maybe related to low calcium and vitamin D levels in blood. These can be checked with blood test.
Meanwhile she can take the vertin tablet that may have been prescribed. Let me know which medicines got prescribed.
Also she must avoid any sudden movements at the neck. She should also avoid heavy work at shoulders or neck e.g lifting clothes or suitcases, kneeding atta dough, making chapatis, etc. Avoid head rotations, shoulder rotations. The movements that need to be avoided differ among patients. So she needs to figure out which movements she should not make. If wearing a cervical collar helps. then she can wear one. Avoid hot/cold weathers. Keeping the head straight while talking may also help. Avoid driving atleast until the episode is over.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
She seems to have vertigo due to cervical
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
From your description she seems to have spinning sensation due to cervical problem. I will suggest that orthopedic surgeon be consulted to find a reason for new-onset cervical problem. It maybe related to low calcium and vitamin D levels in blood. These can be checked with blood test.
Meanwhile she can take the vertin tablet that may have been prescribed. Let me know which medicines got prescribed.
Also she must avoid any sudden movements at the neck. She should also avoid heavy work at shoulders or neck e.g lifting clothes or suitcases, kneeding atta dough, making chapatis, etc. Avoid head rotations, shoulder rotations. The movements that need to be avoided differ among patients. So she needs to figure out which movements she should not make. If wearing a cervical collar helps. then she can wear one. Avoid hot/cold weathers. Keeping the head straight while talking may also help. Avoid driving atleast until the episode is over.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
                                    
                            She seems to have vertigo due to cervical
Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have reviewed your query and here is my advice.
From your description she seems to have spinning sensation due to cervical problem. I will suggest that orthopedic surgeon be consulted to find a reason for new-onset cervical problem. It maybe related to low calcium and vitamin D levels in blood. These can be checked with blood test.
Meanwhile she can take the vertin tablet that may have been prescribed. Let me know which medicines got prescribed.
Also she must avoid any sudden movements at the neck. She should also avoid heavy work at shoulders or neck e.g lifting clothes or suitcases, kneeding atta dough, making chapatis, etc. Avoid head rotations, shoulder rotations. The movements that need to be avoided differ among patients. So she needs to figure out which movements she should not make. If wearing a cervical collar helps. then she can wear one. Avoid hot/cold weathers. Keeping the head straight while talking may also help. Avoid driving atleast until the episode is over.
Hope this helps. Let me know if I can assist you further.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Kindly write the medicines names
Detailed Answer:
Hi again
I have seen the attached photo. The names of the medicines are not clear. Kindly write the names from the tablet labels and send back.
The only medicine name that is clear is last one and its about calcium and vitamin D.
                                    
                            Kindly write the medicines names
Detailed Answer:
Hi again
I have seen the attached photo. The names of the medicines are not clear. Kindly write the names from the tablet labels and send back.
The only medicine name that is clear is last one and its about calcium and vitamin D.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Kindly write the medicines names
Detailed Answer:
Hi again
I have seen the attached photo. The names of the medicines are not clear. Kindly write the names from the tablet labels and send back.
The only medicine name that is clear is last one and its about calcium and vitamin D.
                                    
                            Kindly write the medicines names
Detailed Answer:
Hi again
I have seen the attached photo. The names of the medicines are not clear. Kindly write the names from the tablet labels and send back.
The only medicine name that is clear is last one and its about calcium and vitamin D.
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
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                                    Thanks Doctor for the quick reply.
PFA prescription.
For the pain on back side of head we used T.Nurokind G 100 mg twice daily for 2 weeks as prescribed. There is only unnoticeable pain now.
Only complaint is headache from few weeks intermittently and dizziness on yesterday and day before yesterday, nothing faced today.
Thanks in advance.
Regards,
Sandeep.
                                
                            PFA prescription.
For the pain on back side of head we used T.Nurokind G 100 mg twice daily for 2 weeks as prescribed. There is only unnoticeable pain now.
Only complaint is headache from few weeks intermittently and dizziness on yesterday and day before yesterday, nothing faced today.
Thanks in advance.
Regards,
Sandeep.
 
                                    Thanks Doctor for the quick reply.
PFA prescription.
For the pain on back side of head we used T.Nurokind G 100 mg twice daily for 2 weeks as prescribed. There is only unnoticeable pain now.
Only complaint is headache from few weeks intermittently and dizziness on yesterday and day before yesterday, nothing faced today.
Thanks in advance.
Regards,
Sandeep.
                                
                            PFA prescription.
For the pain on back side of head we used T.Nurokind G 100 mg twice daily for 2 weeks as prescribed. There is only unnoticeable pain now.
Only complaint is headache from few weeks intermittently and dizziness on yesterday and day before yesterday, nothing faced today.
Thanks in advance.
Regards,
Sandeep.
                                    Brief Answer:
Nurokind G can be discontinued
Detailed Answer:
Hello
In my opinion, Nurokind G can be discontinued.
She can continue with Tab Ibuprofen 200 mg as required or XXXXXXX 3 times a day.
In fact the dizziness that she is experiencing, maybe the side effect of Gabapentin (in nurokind G). So I think the dizziness may disappear within a week of discontinuing gabapentin.
Dr Vaishalee
                                    
                            Nurokind G can be discontinued
Detailed Answer:
Hello
In my opinion, Nurokind G can be discontinued.
She can continue with Tab Ibuprofen 200 mg as required or XXXXXXX 3 times a day.
In fact the dizziness that she is experiencing, maybe the side effect of Gabapentin (in nurokind G). So I think the dizziness may disappear within a week of discontinuing gabapentin.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Nurokind G can be discontinued
Detailed Answer:
Hello
In my opinion, Nurokind G can be discontinued.
She can continue with Tab Ibuprofen 200 mg as required or XXXXXXX 3 times a day.
In fact the dizziness that she is experiencing, maybe the side effect of Gabapentin (in nurokind G). So I think the dizziness may disappear within a week of discontinuing gabapentin.
Dr Vaishalee
                                    
                            Nurokind G can be discontinued
Detailed Answer:
Hello
In my opinion, Nurokind G can be discontinued.
She can continue with Tab Ibuprofen 200 mg as required or XXXXXXX 3 times a day.
In fact the dizziness that she is experiencing, maybe the side effect of Gabapentin (in nurokind G). So I think the dizziness may disappear within a week of discontinuing gabapentin.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Hello Doctor,
We had discontinued Nurokind G 3 weeks back itself.
Thanks,
Sandeep
                            We had discontinued Nurokind G 3 weeks back itself.
Thanks,
Sandeep
 
                                    Hello Doctor,
We had discontinued Nurokind G 3 weeks back itself.
Thanks,
Sandeep
                            We had discontinued Nurokind G 3 weeks back itself.
Thanks,
Sandeep
                                    Brief Answer:
Is X ray done?
Detailed Answer:
Cervical needs atleast an X ray to be diagnosed. Also MRI of the region can help find nerve impingement. Can ask orthopedic surgeon for both tests.
Dr Vaishalee
                                    
                            Is X ray done?
Detailed Answer:
Cervical needs atleast an X ray to be diagnosed. Also MRI of the region can help find nerve impingement. Can ask orthopedic surgeon for both tests.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Is X ray done?
Detailed Answer:
Cervical needs atleast an X ray to be diagnosed. Also MRI of the region can help find nerve impingement. Can ask orthopedic surgeon for both tests.
Dr Vaishalee
                                    
                            Is X ray done?
Detailed Answer:
Cervical needs atleast an X ray to be diagnosed. Also MRI of the region can help find nerve impingement. Can ask orthopedic surgeon for both tests.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
 
                                    Brief Answer:
Seems neck muscle spasm
Detailed Answer:
Hi again
Thanks for reverting back with details.
so she had severe neck pain, back of head pain 3 months back for which she was prescribed, Nurokind G, muscle relaxant, calcium and vitamin D. Nurokind G was discontinued 3 weeks ago. 2 weeks ago she developed lightheadedness. 2 days ago she developed head spinning and eyes rotation sensation.
I think she can also discontinue calcium and vitamin D as there is no evidence of its deficiency.
The precipitating cause seems to be muscle spasm in neck. It could have happened due to external trauma or internal cause like some lump pressing on muscle. Since you have not mentioned any external trauma, I think we should look for internal causes.
I will suggest an MRI or brain and neck that looks for nerves as well as blood vessels. A neurology consultation is also needed to look for any signs of focal neurologic deficit.
Meanwhile I recommend minimal medicines until a definite cause is found. Preventive measures as recommended in my first reply be taken.
Dr Vaishalee
                                    
                            Seems neck muscle spasm
Detailed Answer:
Hi again
Thanks for reverting back with details.
so she had severe neck pain, back of head pain 3 months back for which she was prescribed, Nurokind G, muscle relaxant, calcium and vitamin D. Nurokind G was discontinued 3 weeks ago. 2 weeks ago she developed lightheadedness. 2 days ago she developed head spinning and eyes rotation sensation.
I think she can also discontinue calcium and vitamin D as there is no evidence of its deficiency.
The precipitating cause seems to be muscle spasm in neck. It could have happened due to external trauma or internal cause like some lump pressing on muscle. Since you have not mentioned any external trauma, I think we should look for internal causes.
I will suggest an MRI or brain and neck that looks for nerves as well as blood vessels. A neurology consultation is also needed to look for any signs of focal neurologic deficit.
Meanwhile I recommend minimal medicines until a definite cause is found. Preventive measures as recommended in my first reply be taken.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Seems neck muscle spasm
Detailed Answer:
Hi again
Thanks for reverting back with details.
so she had severe neck pain, back of head pain 3 months back for which she was prescribed, Nurokind G, muscle relaxant, calcium and vitamin D. Nurokind G was discontinued 3 weeks ago. 2 weeks ago she developed lightheadedness. 2 days ago she developed head spinning and eyes rotation sensation.
I think she can also discontinue calcium and vitamin D as there is no evidence of its deficiency.
The precipitating cause seems to be muscle spasm in neck. It could have happened due to external trauma or internal cause like some lump pressing on muscle. Since you have not mentioned any external trauma, I think we should look for internal causes.
I will suggest an MRI or brain and neck that looks for nerves as well as blood vessels. A neurology consultation is also needed to look for any signs of focal neurologic deficit.
Meanwhile I recommend minimal medicines until a definite cause is found. Preventive measures as recommended in my first reply be taken.
Dr Vaishalee
                                    
                            Seems neck muscle spasm
Detailed Answer:
Hi again
Thanks for reverting back with details.
so she had severe neck pain, back of head pain 3 months back for which she was prescribed, Nurokind G, muscle relaxant, calcium and vitamin D. Nurokind G was discontinued 3 weeks ago. 2 weeks ago she developed lightheadedness. 2 days ago she developed head spinning and eyes rotation sensation.
I think she can also discontinue calcium and vitamin D as there is no evidence of its deficiency.
The precipitating cause seems to be muscle spasm in neck. It could have happened due to external trauma or internal cause like some lump pressing on muscle. Since you have not mentioned any external trauma, I think we should look for internal causes.
I will suggest an MRI or brain and neck that looks for nerves as well as blood vessels. A neurology consultation is also needed to look for any signs of focal neurologic deficit.
Meanwhile I recommend minimal medicines until a definite cause is found. Preventive measures as recommended in my first reply be taken.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
 
                                    Thanks Doctor.
I will consult orthopedic surgeon this weekend and let you know the update.
Regards,
Sandeep
                            I will consult orthopedic surgeon this weekend and let you know the update.
Regards,
Sandeep
 
                                    Thanks Doctor.
I will consult orthopedic surgeon this weekend and let you know the update.
Regards,
Sandeep
                            I will consult orthopedic surgeon this weekend and let you know the update.
Regards,
Sandeep
                                    Brief Answer:
Yes please
Detailed Answer:
Yes we can continue with further consultation and testing.
If cause is not found, then we just continue to live with it. But efforts should be made to find the cause.
Dr Vaishalee
                                    
                            Yes please
Detailed Answer:
Yes we can continue with further consultation and testing.
If cause is not found, then we just continue to live with it. But efforts should be made to find the cause.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
                                
                                    Brief Answer:
Yes please
Detailed Answer:
Yes we can continue with further consultation and testing.
If cause is not found, then we just continue to live with it. But efforts should be made to find the cause.
Dr Vaishalee
                                    
                            Yes please
Detailed Answer:
Yes we can continue with further consultation and testing.
If cause is not found, then we just continue to live with it. But efforts should be made to find the cause.
Dr Vaishalee
 Above answer was peer-reviewed by :
                              
                            
                                  
                                      Dr. Chakravarthy Mazumdar
                                  
                              
                                         
 
                                    
                                    
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