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Suggest Treatment For Dizziness, Loss Of Balance And Nausea

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Posted on Thu, 28 Sep 2017
Question: I am suffering from dizziness, partial loss of balance and nausea (no vomiting) for past 4 days.
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)
Brief Answer:
Need more info

Detailed Answer:
Hello and Welcome

I appreciate your concern

Kindly answer the following to comment further

Is this the first episode or has this occurred before
Are you diabetic.
Have you checked your blood sugar and blood pressure during these symptoms
Have you observed any visual symptoms associated with this
Do you have a history of stroke or ischemic heart disease
Do you have a history of hearing loss or vertigo prior to this

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Muhammad Sareer Khalil (8 hours later)
My answers to your questions:
1 st episode - yes
Diabetic - No
Blood sugar normal at my last checkup about 6 months ago
Blood press during episode - 140/89 (usually 120 - 140) pulse 64 bps
Visual symptoms - slightly out of focus and slowly moving image.
No stroke but some partly blocked arteries.
No vertigo/hearing loss. XXXXXXX XXXX
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (15 hours later)
Brief Answer:
Explained

Detailed Answer:
Hello again.

The visual acuity needs to be checked and a fundoscopy should also be done. Blood pressure is slightly high, in stage 1 hypertension range. However , it should be rechecked and if persistently elevated on repeat visit or home blood pressure monitoring then ambulatory BP monitoring can be advised prior to commencing antihypertensive medication. HBA1C should be done along with fasting blood glucose.

For such isolated episode, tab betahistine dihydrochloride 8 mg can be taken for symptomatic relief. For the associated nausea prochlorperazine/ stematil 5 mg would be a better option as it would control both the nausea and vertigo.


Wishing you best of health

Thanks

Let me know if you have any query
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Suggest Treatment For Dizziness, Loss Of Balance And Nausea

Brief Answer: Need more info Detailed Answer: Hello and Welcome I appreciate your concern Kindly answer the following to comment further Is this the first episode or has this occurred before Are you diabetic. Have you checked your blood sugar and blood pressure during these symptoms Have you observed any visual symptoms associated with this Do you have a history of stroke or ischemic heart disease Do you have a history of hearing loss or vertigo prior to this Wishing you best of health Thanks Let me know if you have any query Please consult your doctor before deciding on any further course of action. For future follow up / correspondence you may ask me directly at the link given below http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107 Dr. M.S. Khalil