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What Causes Severe Dizziness And Lack Of Concentration Post An Accident?

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Posted on Tue, 12 Jul 2016
Question: I recently had an episode where I passed out. I hurt my leg, moved to a nearby bench, felt dizzy, passed out and then hit my head on the concrete. Witnesses described that my eye rolled back and I started shaking and was out for ~ 1 minute. All ER tests were normal (Blood tests, CT, blood pressure changes). I felt off for 5 days after, fuzzy hard to concentrate. I felt like I was on pain killers (I broke my wrist once and had to take them, but I hated how they made me feel - it was very unpleasant and I felt "out of it" ) 2 days after, my doctor sent me for an EEG, which showed abnormal spikes. They also said it was not conclusive and I need to go back in 3 months and re-test.

My questions is:
Is there any connection between the thyroid and events like this?
doctor
Answered by Dr. Shehzad Topiwala (23 minutes later)
Brief Answer:
Possible

Detailed Answer:
Sorry to learn about your bothersome symptoms.

If your thyroid labs are grossly off then it is possible that your episodes are due to the abnormal thyroid status.

So if your TSH and Free T4 are in target normal range, then it is unlikely that there is any connection between your symptoms and the thyroid.

Most endocrinologists worldwide avoid prescribing liothyronine as it is deemed harmful. Levo thyroxine is sufficient.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)

None of these tests require any fasting and can be done at any time of the day
Note: For more information on hormonal imbalance symptoms or unmanaged diabetes with other comorbid conditions, get back to us & Consult with an Endocrinologist. Click here to book an appointment.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What Causes Severe Dizziness And Lack Of Concentration Post An Accident?

Brief Answer: Possible Detailed Answer: Sorry to learn about your bothersome symptoms. If your thyroid labs are grossly off then it is possible that your episodes are due to the abnormal thyroid status. So if your TSH and Free T4 are in target normal range, then it is unlikely that there is any connection between your symptoms and the thyroid. Most endocrinologists worldwide avoid prescribing liothyronine as it is deemed harmful. Levo thyroxine is sufficient. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH (checks your thyroid) Free T4 (this too checks your thyroid) Thyroid autoantibodies : Anti Thyroid Peroxidase (TPO) antibodies and Anti Thyroglobulin antibodies 25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter) None of these tests require any fasting and can be done at any time of the day