What Causes Vertigo Upon Standing, Cold Chills And Nausea?

Posted on Mon, 12 Oct 2015

Question: Last evening my husband started to have vertigo upon standing, feels flushed, some cold chills and nausea, and can't go for a walk with me because he'd not be able o walk in a straight line and would feel lightheaded. He will not go to a doc. Is it important that he go today? He says he's had the vertigo before and then he's fine. We're going on vacation this week...

So, divorce the stubborn man, hire muscle to frogmarch Close the door XXXXXXX him to ambulance, or should i just have a beer and chill in the hammock?

Answered by Dr. Prof. Kunal Saha (1 hour later)

Brief Answer:
You may try vestibulocochlear stabilizer medication and see if it helps

Detailed Answer:
Thanks for asking on HealthcareMagic.

I fully understand your concerns. Our balance and coordination especially during walking is actually governed by multiple centres including the vestibulocochlear apparatus of the inner ear, cerebellum (a part on the back of the brain) and a portion of the brain called basal ganglia. Usually such symptoms are associated with nausea and lightheadedness. The inability to walk in a straight line worries me and warrants the requirement of a thorough neurological evaluation.

The first thing that needs to be done is to give medicines like cinnarizine or betahistine (stabilizers of the balance centre of our inner ear) thrice a day. If the problem resolves, you can indeed sit on the hammock with a beer and relax without needing to convince him to go to the doctor. But if it does not, I think you would be able to assure you that an appointment with a neurologist is perhaps more important than getting the vacation messed up.

I understand your concerns for him and also that he is a stubborn man but if you can relax a bit, perhaps your life would be easier and you would sound more convincing.

Hope that helps.

Regards

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Prof. Kunal Saha (6 hours later)

Thank you! We'll see his doctor pronto: if he thinks it's "only" his ear, he won't be so resistant to going. She's a great doc, so if he needs a neurological work up she'll make sure he gets one.

I appreciate your time, and your making it easier to get him to the doc. We'll put off the beach for a day to get the ball rolling!

All the best,

XXXX

Answered by Dr. Prof. Kunal Saha (7 hours later)

Brief Answer:
Your doctor will surely guide you in the right direction

Detailed Answer:
I am glad to hear that. I am sure that things will go systematically and the problem will get resolved.

Wish you all the best.

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. Sonia Raina