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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Dizziness And Fatigue In An Elderly Person?

My mother is almost 89. She has been experiencing severe weakness, fatigue and dizziness for months. Her blood work is normal. She has been tested for inner ear problems. She has atrial fibrillation, bouts of gastritis, and she lost vision in one eye in 2002 from temporal arthritis. She has monthly CRP and sedate blood work by her rheumatologist. She takes medication for atrial fibrillation, gastritis, and has taken low doses of prednisone since 2002. She constantly complains and insists she has some medical problem that is not being diagnosed.
posted on Tue, 5 Jul 2016
Twitter Wed, 27 Jul 2016 Answered on
Twitter Thu, 28 Jul 2016 Last reviewed on
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Ayurveda Specialist,  's  Response
Dear
Thanks for contacting with health concern of your mother and following is symptomwise approach:

1. Check for B.P., neck movements,look for pallor and murmur and ask for cochlear symptoms (deafness & tinnitus), & vestibular symptoms (vertigo & nystagmus)

2. In old age cervical spondilitis is the commonest cause of giddiness (ask for X-ray cervical spine, ENT & Ophthalmic checkup. (additionally go for thyroid profile)

3. Till you get the above opinion, general advice for her will be:

. Avoid movements of the head,bed rest
. Avoid caffeine
. Check whether any drug that the patient is taking (if any) is causing giddiness.
. Use cervical collar
. If there are cochlear symptoms add tablet betahistine 8 mg thrice daily
. If giddiness is associated with any neurological sign, refer immediately to Neurologist.
. Check with a Cardiologist regarding her cardiovascular status.
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What Causes Dizziness And Fatigue In An Elderly Person?

Dear Thanks for contacting with health concern of your mother and following is symptomwise approach: 1. Check for B.P., neck movements,look for pallor and murmur and ask for cochlear symptoms (deafness & tinnitus), & vestibular symptoms (vertigo & nystagmus) 2. In old age cervical spondilitis is the commonest cause of giddiness (ask for X-ray cervical spine, ENT & Ophthalmic checkup. (additionally go for thyroid profile) 3. Till you get the above opinion, general advice for her will be: . Avoid movements of the head,bed rest . Avoid caffeine . Check whether any drug that the patient is taking (if any) is causing giddiness. . Use cervical collar . If there are cochlear symptoms add tablet betahistine 8 mg thrice daily . If giddiness is associated with any neurological sign, refer immediately to Neurologist. . Check with a Cardiologist regarding her cardiovascular status.