Suggest Treatment For Dizziness And Palpitations

Posted on Mon, 21 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 21 Nov 2016 Answered on

Mon, 12 Dec 2016 Last reviewed on

Question : could neurotransmitters cause an off balance feeling wave feelings in my head difficulty sleeping when I sleep well trying to fall to sleep I get heart paps and intense waves in my head feeling weak at times one time I had a off balance attack room wasn't spinning but my balance was bad I had to hold the wall which it subsided after I sat down walking sometimes feels if I'm walking on clouds or being pushed in the ground from my head what could my body be going through oh and sometimes when I get up my hands shake and constant leg shaking trying to keep my balance

Answered by Dr. Alexander H. Sheppe (9 hours later)

Brief Answer:
Consultation

Detailed Answer:
Hello, and thanks for your question.

All these symptoms -- dizziness, palpitations, weakness, shaking -- are consistent with anxiety and panic attacks. These are scary, but not dangerous. I recommend treatment with an SSRI medication like escitalopram, and/or cognitive behavioral psychotherapy. I would expect these somatic symptoms of anxiety to resolve with treatment.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Alexander H. Sheppe (11 minutes later)

well another doctor said that that's why I was asking did you see the following information from the others I have these symptoms but no explanation to what it is the wavy feeling in my head trying to sleep but can't walking makes me feeling wobbly it's crazy

Answered by Dr. Alexander H. Sheppe (17 hours later)

Brief Answer:
Followup

Detailed Answer:
As I said above, the wavy feeling, insomnia, and wobbly feeling are all consistent with anxiety and panic attacks. I recommend treatment with an SSRI medication like escitalopram, and/or cognitive behavioral psychotherapy. I would expect these somatic symptoms of anxiety to resolve with treatment.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Alexander H. Sheppe (20 minutes later)

so your saying my neurotransmitters are messed up due to anxiety my iron is low too I just thought anxiety was shortness of breath and sweaty palms and junk

Answered by Dr. Alexander H. Sheppe (21 minutes later)

Brief Answer:
Followup

Detailed Answer:
Welcome back,

Anxiety includes many more symptoms than sweaty palms and shortness of breath. All the symptoms you describe above are consistent with an anxiety disorder.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Alexander H. Sheppe (7 hours later)

I went through a little stress back in 2014 and 2015 with my father dying and getting pregnant child father leaving me with my second child but I have family and friends I talk to that help me out I'm not stressing over anything if anything is this dang on situation going on with me now and it subsided a little for a couple months no off balance, no heart paps, no difficulty sleeping but came back I was weak felt like I would pass out before it came back I was happy living and one day all the sudden I got weak and it just progressed off balance, when trying to go to sleep heart paps and head waves sensation having to stand against things when standing tilting feeling it has drive me nuts... question could it be a vitamin b defincy or some type of disease

Answered by Dr. Alexander H. Sheppe (14 hours later)

Brief Answer:
Followup

Detailed Answer:
These symptoms caused by an anxiety disorder. This is not caused by a vitamin B deficiency or any other disease process.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Alexander H. Sheppe (9 minutes later)

wouldn't this have something to do with the inner ear if when I walk it feels like walking on air or being pulled down the waves feel more like it's at my frontal lobe what did you say I can do about this disorder

Answered by Dr. Alexander H. Sheppe (16 hours later)

Brief Answer:
There can be many causes

Detailed Answer:
No, in your case it does not seem an inner ear problem.

I recommend treatment with an SSRI medication like escitalopram, and/or cognitive behavioral psychotherapy. I would expect these somatic symptoms of anxiety to resolve with treatment.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Alexander H. Sheppe (17 minutes later)

ok I'll talk to my pcp

Answered by Dr. Alexander H. Sheppe (0 minute later)

Brief Answer:
Followup

Detailed Answer:
Great!

I recommend treatment with an SSRI medication like escitalopram, and/or cognitive behavioral psychotherapy. I would expect these somatic symptoms of anxiety to resolve with treatment.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Alexander H. Sheppe (16 minutes later)

also one more thing what about when I'm up doing stuff my hands shake and I feel weak at times still the same thing also from time to time my eyes go blurry I don't know if I put that in my recent posts

Answered by Dr. Alexander H. Sheppe (2 minutes later)

Brief Answer:
Followup

Detailed Answer:
Yes, as I said above, these symptoms are caused by anxiety.

Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Alexander H. Sheppe (55 minutes later)

Answered by Dr. Alexander H. Sheppe (3 minutes later)

Brief Answer:
Followup

Detailed Answer:
Please remember to rate and close this answer thread when you are finished and satisfied.

In the future, for continuity of care, I encourage you to contact me directly at my private web address below. After you ask a direct question, it would be my pleasure to be your dedicated personal physician on this website. My name is Dr. Sheppe, and I am an XXXXXXX doctor working in New York City at NewYork-Presbyterian Hospital, ranked #1 for Psychiatry in the United States (tinyurl.com/psyrank). For a personalized comprehensive evaluation, treatment recommendations, and individual therapy, ask me at HealthCareMagic at this private web address: tinyurl.com/DrSheppeAnswers

Above answer was peer-reviewed by : Dr. Prasad