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What Causes Dizziness, Loss Of Sleep And High BP?

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Posted on Thu, 12 Feb 2015
Question: dizziness(vertigo). Doctor initially prescribed Prednisone but didn't work. Referred to ENT Specialist, who also prescribed Prednisone for 15 days. Loss of sleep, increased Blood Pressure, increased Blood Sugar. Later Dr. sent for MRI. the results are normal. Hear test show 75% hearing.The ear buzzed all day , no relief. the doctor prescribed meclizine, vertigo goes away but comes back after a day or two. now the specialist is sending for physical therapy. It is happening in left ear only. What is your opinion?
doctor
Answered by Dr. Sumit Bhatti (1 hour later)
Brief Answer:
It is important to classify your dizziness.

Detailed Answer:
Hi,

Thank you for your query.

1. Check if the dizziness is true spinning type (vertigo) or only unsteadiness.

2. If the vertigo is positional (with change in head position with respect to gravity such as lying down or standing up), it is likely to be BPPV (Benign Paroxysmal Positional Vertigo). Thus is very common and requires re-positioning maneuvers, not medication.

3. Meniere's Disease is another common cause. Fluctuating hearing loss, vertigo, tinnitus (buzzing ear) and ear fullness are the major criteria.

4. The duration of the vertigo is important. Short severe vertigo which settles on repeated movement is usually ear (peripheral) related while continuous day long vertigo even while walking is usually brain (central) related.

5. Vestibular neuritis is a self limiting condition for which steroids would be prescribed, followed by vestibular rehabilitation exercises. Id this your current diagnosis?

6. Your lack of sleep, increased blood pressure, increased blood sugar and age related changes such as cervical spodylosis may also be contributing factors. These should be ruled out.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sumit Bhatti (4 days later)
Thank you very much for the information. it helped me to deal with all the sufferings caused by the dizziness I am very careful with sudden movement and I do not touch my ear at no circumstances. Lately so far I do not have any dizziness for the 4 days. is there any alternative medication for preventions like homeopathic medicine? Please let me know.
Thank you.
Yours truly.
doctor
Answered by Dr. Sumit Bhatti (4 hours later)
Brief Answer:
Good to hear the improvement. Follow the investigation plan given above.

Detailed Answer:
Hi,

Thank you for writing back.

1. The absence of dizziness is a good sign.

2. If stopping sudden movement has helped, it may be BPPV.

3. BPPV requires re-positioning exercises.

4. A reasonable amount of movement and exercise will speed up recovery. The brain needs input for compensating.

5. You will have to approach a Homeopathic practitioner for homeopathic medication, There is no harm in taking homeopathy.

I hope that I have answered your query. If you have any more questions I will be available to answer them.

Regards.
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sumit Bhatti

Otolaryngologist / ENT Specialist

Practicing since :1991

Answered : 2686 Questions

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What Causes Dizziness, Loss Of Sleep And High BP?

Brief Answer: It is important to classify your dizziness. Detailed Answer: Hi, Thank you for your query. 1. Check if the dizziness is true spinning type (vertigo) or only unsteadiness. 2. If the vertigo is positional (with change in head position with respect to gravity such as lying down or standing up), it is likely to be BPPV (Benign Paroxysmal Positional Vertigo). Thus is very common and requires re-positioning maneuvers, not medication. 3. Meniere's Disease is another common cause. Fluctuating hearing loss, vertigo, tinnitus (buzzing ear) and ear fullness are the major criteria. 4. The duration of the vertigo is important. Short severe vertigo which settles on repeated movement is usually ear (peripheral) related while continuous day long vertigo even while walking is usually brain (central) related. 5. Vestibular neuritis is a self limiting condition for which steroids would be prescribed, followed by vestibular rehabilitation exercises. Id this your current diagnosis? 6. Your lack of sleep, increased blood pressure, increased blood sugar and age related changes such as cervical spodylosis may also be contributing factors. These should be ruled out. I hope that I have answered your query. If you have any more questions I will be available to answer them. Regards.