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Suggest Treatment For Light-headed Feeling, Confusion And Overall Weakness

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Posted on Mon, 4 Apr 2022
Question: hello -
i am having my second day of feeling light-headed, confusion and overall weakness.
tried a few self-helps, but nothing improved the condition.
my primary care can see me tomorrow.
should i keep that appt or go to er?



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hello Dr. Iliri

thank you for your reply! it was much more content-rich than i expected.

i saw my primary care [an m.d., not holistic] yesterday and his diagnosis was similar to yours.

my blood pressure was normal [for me, which is low]. he ordered blood work to be followed by ECG and ultrasound [if still needed]. in discussion, we both suspect electrolyte imbalance [while i take many supplements, i don't monitor intake - i just take a lot of potassium and 500mg of magnesium every morning]. i take additional potassium if my arms or legs feel muscle-weak through the day, and it does work. i take supplements because i have a relatively poor diet and exercise very little.

we did not discuss cervical column X-Ray - i've never heard of this procedure. should i have one for both results and to have one on file [as a here's what i was at age 71], or would that be meaningless? i have a whole library [physical and in the cloud at 2 providers] of my images and test results since age 60 or earlier, including before/after for procedures or treatments since 1983.

i did take a 'supplement day off' yesterday and do feel much better today. in fact, better than i've felt for many months. my 1 gal plus daily water intake should have flushed most from my system, and i will carefully start adding them back carefully beginning tomorrow.

compared to friends approx my age, i normally feel healthy, but many are much more physically conditioned. i am much more brain-active and knowledge-able [which regularly upsets them and my wife]. i've been married for 40 years.

i sit at a computer for many hours a day for work and information - i am an information 'sponge', and it keeps my brain very active. i am current [and a future-ist] in many areas of computer hardware, computer software, internet of things, security, robotics and drones. my home is filled with many - old, new and future. it could be a museum.

i enjoy my life, and my 'work' [i don't consider it work]. i feel that it is appreciated. i do all of my work remotely at home, and i believe the companies i work for think i am much younger. i've been working with each of them for 20-30 years and my contact people and assignments each of the companies have changed many times. i've been a user of [what would become] the internet for over 50 years. the result is little physical exercise.

sorry to bore you with the details of my life, but i am known as being long-winded [and frequently very negative, which i blame on my attention to details].

this is because i don't want to omit information that may be relevant.

thank you again for your response. while i didn't share with my dr, it was very helpful for me to compare your diagnoses and next steps.

when i contacted 'ask a doctor', by brain was giving me very scary feelings.

my primary also suggested an extreme anxiety attack. i do suffer from anxiety, but never as severe as wednesday or thursday [with no cause].
doctor
Answered by Dr. Ilir Sharka (3 hours later)
Brief Answer:
I would recommend as follows

Detailed Answer:

Hello,

Your symptoms could be related to dehydration or an electrolytes imbalances.

An inner ear disorder or chronic degeneration of the cervical vertebral column could also lead to such clinical scenario.

Coming to this point, I would recommend having some rest, taking plenty of water and closely monitor your blood pressure values and heart rate.

If your situation does not improve or even gets worse, going to the ER will be needed.

I recommend discussing with your doctor on performing some tests:

- A resting ECG and cardiac ultrasound
- A cervical column X-ray study
- Blood electrolytes
- Fasting glucose levels
- A Doppler ultrasound of the carotid arteries to examine the blood flow to the brain
- Complete blood count for anemia
- Kidney and liver function tests

Hope you will find this answer helpful!
Wishing good health.
Dr. Iliri



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Brief Answer:
You are welcome!

Detailed Answer:

Hi,

You should discuss with your doctor on all the above-recommended tests, including the cervical vertebral column X-ray study, because chronic degeneration of the cervical vertebral column contribute in vertigo

If you have any other questions in the future, please feel free to ask me again directly at any time!

I would be glad to answer all of your questions!
Wishing all the best.
Dr. Iliri
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Suggest Treatment For Light-headed Feeling, Confusion And Overall Weakness

Brief Answer: I would recommend as follows Detailed Answer: Hello, Your symptoms could be related to dehydration or an electrolytes imbalances. An inner ear disorder or chronic degeneration of the cervical vertebral column could also lead to such clinical scenario. Coming to this point, I would recommend having some rest, taking plenty of water and closely monitor your blood pressure values and heart rate. If your situation does not improve or even gets worse, going to the ER will be needed. I recommend discussing with your doctor on performing some tests: - A resting ECG and cardiac ultrasound - A cervical column X-ray study - Blood electrolytes - Fasting glucose levels - A Doppler ultrasound of the carotid arteries to examine the blood flow to the brain - Complete blood count for anemia - Kidney and liver function tests Hope you will find this answer helpful! Wishing good health. Dr. Iliri ----------------------------------------------------------------------------------- Brief Answer: You are welcome! Detailed Answer: Hi, You should discuss with your doctor on all the above-recommended tests, including the cervical vertebral column X-ray study, because chronic degeneration of the cervical vertebral column contribute in vertigo If you have any other questions in the future, please feel free to ask me again directly at any time! I would be glad to answer all of your questions! Wishing all the best. Dr. Iliri