Hello from about 2 months I have strong vertigo that do not even sleep well . I've noticed that I also dilated pupils . I went two weeks ago by the neurologoneurologo and he prescribed supplements Melaxina Te Pineal Tens. No improvement in fact I always feel worse . Before I had a treatment with Cipralex drops for irritable bowel and took 7 drops in the evening before going to bed but the neurologist told me to take them off because they could be the cause of expansion but the fact is that I have always these problems . What may be somebody can tell me? I am very worried.

Dr. Surbhi AgrawalGeneral Physician12yrs exp

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There are 2 main causes for vertigo. 1) diseases of the ear 2) diseases of the brain. Diseases of the ear causing vertigo are bppv (benign paroxysmal positional vertigo), meniere's disease, labyrinthitis, trauma to the inner ear, toxicity due to medicines. These diseases can occur at any age and are usually associated with nausea and vomiting. Examination by an ent doctor will help to come to a diagnosis. Diseases of the brain causing vertigo are bleeding or interrupted blood supply to the cerebellum (area of the brain responsible for balance) and its connections, tumours. These conditions are commonly seen in elderly and are not associated with nausea and vomiting. They can be ruled out by mri. I hope this answered your question. Let me know if you have any other specific questions. Regards, 

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