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What Do Recurrent Episodes Of Dizziness Indicate?

Posted on Tue, 22 Nov 2016

Question: Hi. I am 31 years female. For past 1 year am suffering from dizziness which comes on and off. First occurrance had spinning of things around me. After that dizziness was felt. I took mri of spine and screenin of brain. Brain is normal. But for spine it ia mentioned as canal stenosis. Now I have the feel of light head and concentration problem when I get from bed. Is that all these due to cervical spine problem?

Answered by Dr. Sudhir Kumar (3 hours later)

Brief Answer:
Symptoms are not fully due to cervical spine problem.

Detailed Answer:
Hi Ms XXXXXXX

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your symptoms and MRI brain and spine reports. Cervical canal stenosis usually causes neck pain, pain in arms and tingling/numbness of hands. Mild dizziness can also occur with that. Treatment is mainly with physiotherapy.

Regarding dizziness, you should get an ENT opinion to exclude BPPV (benign paroxysmal positional vertigo), which causes inner ear dysfunction and dizziness.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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

Follow up: Dr. Sudhir Kumar (3 hours later)

Thank you for your reply. Now I am undertaking medicines like betavert 48 mg ,pirapil 800 ,rejusite and lupirtin tablets. Shall I proceed with this? Do this cause any side effects? Because after taking these tablets since yesterday I feel dizzy and some irritation in my throat. I am not sure due to medicines side effects.

Answered by Dr. Sudhir Kumar (51 minutes later)

Brief Answer:
Stop all except Betavert.

Detailed Answer:
Thank you for getting back with more information.

I agree with you that these medicines can cause side effects and it is better to stop them. You can continue Betavert only, as it would reduce dizziness.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (14 hours later)

Sir, Do these symptoms show any problem in my brain activity? Because I experience concentration problem after getting from bed . So after some time, I am active.

Answered by Dr. Sudhir Kumar (8 minutes later)

Brief Answer:
Your brain is normal.

Detailed Answer:
Thank you for getting back.

These symptoms are not suggestive of any brain dysfunction. Also, your MRI of brain is normal.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (28 hours later)

Sir, I have uploaded my recent cervical spine mri which I took this week.
Now I am having back head pain, right arm pain and neck pain also with dizziness. Should I have to consultant ortho doctor on this report?

Answered by Dr. Sudhir Kumar (8 minutes later)

Brief Answer:
There is no need to consult ortho doctor

Detailed Answer:
Thank you for getting back.

I have seen the MRI spine report. The problems are minor and they do not require any surgery. So there is no need to consult orthopedic surgeon. You should consult physiotherapist for neck extension exercises and IFT/ultrasound. Pregabalin capsules may be taken for pain.

Best wishes,

Dr Sudhir Kumar MD DM

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