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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Giddiness, Ear Problem, Taking Amodep For Hypertension. What Is The Problem?

am high blood pressure (hypertension ) patient with amodep at and metoprolol 50mg and trika and deanxit also atorvastatin 10 mg at night regularly as guided by family doctor. now pressure normal around 120/80. now i have the problem of giddiness or dizziness . i also have ear problems while standing for which previously am taking allegra and sometimes vertin 8 mg one. when movements starts it is ok. tell me my problem and solution
Fri, 15 Nov 2013
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ENT Specialist 's  Response
hello and welcome to health care magic,

I am Dr Sriram Nathan an ENT surgeon who has been treating thousands of patients with giddines over the years.

Since you have mentioned that you had giddiness and by your description I would assume a peripheral vestibular problem which was the cause of your giddiness.

This simply means that you may have been suffering from either benign positional paroxysmal vertigo or one of the other common cause due to the problems in the inner ear such as labyrinthitis.

Since these are in the inner ear, there is no direct way of examining that and the doctor can make the diagnosis without examining your external ear. Although a routine examination of the ear is always recommended in any case of giddiness.

You need to understand that this is a common cause of giddiness and is treatable and curable so do not worry.

You need to consider these:


1. Do not make sudden movements and do not look up or bend down suddenly

2. I would routinely start my patients on tablet called betahistine 48 mg for the control of your giddiness. Your doctor will know about this.

3. Take lots of water and reduce your salt intake immediately.

4. While climbing stairs you need to hold the side rails for support

5. As far as giddiness concerned, the body and the brain will usually get adapted to the problem and recover in a time period ranging from two weeks to two months. During this time you must give maximum support to your brain to recover. This can be in terms mental exercise and slow and steady movements. Do not however take complete bed rest as it will hamper the fast recovery.

7. keep your sugars and blood pressure in control with the consultation of your treating physician as they have a direct bearing on your giddiness. In this regard your fluctuating BP can also cause a giddiness like situation so do not get up suddenly and also keep it under good control as advised earlier.

Wait for some time for the acute episode to subside and keep your stress (both physical and mental) under control and am sure you will recover soon

If however your symptoms are getting worse and not getting controlled then you must consult both your ENT surgeon again and a neurologist who can better help you out with your problem.

regards and get well soon

Dr Sriram Nathan
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Giddiness, Ear Problem, Taking Amodep For Hypertension. What Is The Problem?

hello and welcome to health care magic, I am Dr Sriram Nathan an ENT surgeon who has been treating thousands of patients with giddines over the years. Since you have mentioned that you had giddiness and by your description I would assume a peripheral vestibular problem which was the cause of your giddiness. This simply means that you may have been suffering from either benign positional paroxysmal vertigo or one of the other common cause due to the problems in the inner ear such as labyrinthitis. Since these are in the inner ear, there is no direct way of examining that and the doctor can make the diagnosis without examining your external ear. Although a routine examination of the ear is always recommended in any case of giddiness. You need to understand that this is a common cause of giddiness and is treatable and curable so do not worry. You need to consider these: 1. Do not make sudden movements and do not look up or bend down suddenly 2. I would routinely start my patients on tablet called betahistine 48 mg for the control of your giddiness. Your doctor will know about this. 3. Take lots of water and reduce your salt intake immediately. 4. While climbing stairs you need to hold the side rails for support 5. As far as giddiness concerned, the body and the brain will usually get adapted to the problem and recover in a time period ranging from two weeks to two months. During this time you must give maximum support to your brain to recover. This can be in terms mental exercise and slow and steady movements. Do not however take complete bed rest as it will hamper the fast recovery. 7. keep your sugars and blood pressure in control with the consultation of your treating physician as they have a direct bearing on your giddiness. In this regard your fluctuating BP can also cause a giddiness like situation so do not get up suddenly and also keep it under good control as advised earlier. Wait for some time for the acute episode to subside and keep your stress (both physical and mental) under control and am sure you will recover soon If however your symptoms are getting worse and not getting controlled then you must consult both your ENT surgeon again and a neurologist who can better help you out with your problem. regards and get well soon Dr Sriram Nathan