Dizziness is associated to a range of sensations, such as wooziness, unsteadiness, weariness, weakness, and a feeling of faint. Dizziness which creates a false sense that that either you or your surroundings are constantly moving or spinning is known as vertigo. Dizziness is one of the most common reasons of why people visit doctors. Treatment of this condition depends on the cause of it and its indications. Usually, the treatment is considered effective but it may also recur. Symptoms include al false sense of spinning or motion (vertigo), loss of balance, lightheadedness and heavy-headedness. The feelings may worsen or trigger while standing up, walking or moving your head. Dizziness may also be associated with nausea or sometimes be so severe or sudden that you will need to lie down or just sit down somewhere. This episode usually lasts for seconds or even days and chances are it may recur.
In case your doctor suspects that you are of old age and suffered a head blow, or, may have had or are undergoing a stroke, he/she may immediately order a CT or an MRI scan. Medical treatments of dizziness include dizziness reduction medications, water pills, anti-anxiety medications, anti-nausea medications, and migraine preventive medications. Therapeutic treatment comprises of psychotherapy, balance therapy and head position maneuvers. Lastly, surgical treatments involve removal of the inner ear sense organ and injections.
Dizziness is often known to get better without treatment. Within a few weeks or less the body usually adapts to the cause of it. In case you seek treatment, your health care provider will base it on your current condition and also your indications. It included medications along with balanced exercises. Even if there is no valid cause found and your dizziness is persistent, there are prescription drugs and other treatment methods which may be able to manage your condition and symptoms better.
Water pills (diuretic) are prescribed by your doctor in case you have Meniere’s disease. This treatment method is more effective if taken with a low-salt diet. It will reduce the recurrent dizziness episodes faced by you. Meclizine (Antivert) is a part of antihistamines which offer a short-term relief from vertigo. Anticholinergics like scopolamine skin patches (Transderm Scop) also reduce dizziness. Therapeutic measures like balance therapy makes you learn certain exercises to make your body’s balance system less sensitive to spinning or motion. This physical therapy is known as vestibular rehabilitation. It is usually used for those with vestibular neuritis condition of the inner ear which causes dizziness. Surgical measure of injecting the inner ear with an antibiotic gentamicin in order to disable the balance function so that the unaffected ear takes over that particular function is also considered quite effective.
A person is eligible for treatment of dizziness if he/she experiences some or all of the symptoms associated with it. The symptoms are: dizziness, problems with balance, lightheadedness, a sense of motion sickness, tinnitus, feeling of fullness in the ear and nausea and vomiting. A doctor will determine whether a person is suffering from vertigo or not by means of a physical examination and checking the patient’s medical history. A person may also be advised to undergo an MRI or CT scan. Thus, a person will only be eligible for treatment after he/she has been properly diagnosed by a doctor.
A person who does not suffer from the symptoms of dizziness is not eligible for treatment. A person affected by Benign Paroxysmal Positional Vertigo is not suited to undergo the vestibular rehabilitation. Epley manouevre requires some head exercises to be done. A person who has a serious head/neck injury is not eligible for this treatment. A person needs to consult a doctor before understanding whether he/she is eligible to take medications like antihistamine and prochlorperazine.
The side-effects of vestibular rehabilitation therapy include dizziness, muscle fatigue, sedation, weakness, and unsteadiness and falls that may sometimes amplify the disorder. Epley manoeuvre does not have any serious side-effects. However, a small fraction of the patients who have undergone his treatment have experienced transient nausea while fewer people have experienced vomiting. Prochlorperazine has a number of side-effects like dizziness, drowsiness, sleep disorders, constipation, swelling of breasts, weight gain and missing of menstrual period for women. Antihistamine’s side effects include drowsiness, dizziness, vomiting, nausea, vision problems, confusion and problems in urination.
There are a number of lifestyle changes you can do in order to get read of dizziness causing havoc in your daily life. After getting the treatment, there are certain things to be kept in mind. Have plenty of rest, keep yourself hydrated at all times and have regular meals. In case you are feeling dizzy again, lie down immediately. Make your home safe in order to deal with chronic dizziness. This is done by keeping a cane, walker, tub mats, and banisters that may help the patient by avoiding injury. An anxious person who suffers from dizziness can be helped by some reassurance.
The medications for dizziness are harmless and the symptoms usually go away in about a week to 6 weeks. Thereafter, you need to follow your doctor’s instructions and maintain a healthy lifestyle in order to prevent complications and recurrence.
The cost of diagnosis along with the visit to a doctor will range between Rs. 3,500 to Rs. 4,000. On the other hand, the cost of treatment will range between Rs. 150 to Rs. 500.
The results of the treatment can never be permanent without actually altering your usual lifestyle measures. You need to be conscious about your mental and physical health and carry on with regular exercise along with proper diet to maintain a healthy lifestyle.
The alternative treatments available for dizziness are gingko biloba (herb that increases blood flow to the brain), consumption of ginger tea each morning, consumption of gooseberry powder, raw honey, and coriander seeds (mix it with warm water and have a cup of it every morning), and the consumption of almonds with milk (mix an almond paste with a glass of warm milk and drink it up).
Rs 150 - Rs. 500
A holter is a a 24-48 hour hour ECG that is used to evaluate disturbances in the rhythm of your heart. A holter monitor is a little, battery controlled therapeutic gadget that measures your heart's actions, for example, rate and cadence. Your specialist may request that you utilize one, in case that they require more data about how your heart functions, that a normal electrocardiogram (EKG) cannot give them. Twenty four hour holter monitoring is an important test to record your heart's rate and cadence for twenty four hours.
You wear the holter small monitor for twelve to forty-eight hours as you continue with your usual everyday routine. This gadget has cathodes and electrical leads like a standard ECG. It can get your heart's rate and beat as well as when you feel neck pains or display indications of an unpredictable pulse or arrhythmia.
Here is how it usually works:
The results can somewhat be determined as follows:
In case you have a concern or query you can always consult an expert & get answers to your questions!
Dizziness is now a very common problem among the adults. Maybe people do not take this to be a serious problem in many of the cases, but repeated feeling of dizziness may lead them to visit a doctor. When in the case of such situation, you visit a general physician, not knowing the causes of such problem; often the doctor will refer you to an ENT. There have been some reasons of why you should visit an ENT for dizziness.
Symptoms of Dizziness
Often dizziness occurs along with some other symptoms too. Some of the symptoms that are accompanied by dizziness are:
Some Important Reasons for Dizziness
If you are facing dizziness on regular grounds, then it may happen that it is due to some very serious health complications that you are suffering from. Some of the problems that may cause dizziness are:
Inner ear issues,
Diagnosis of The Problem
Diagnosis of the problem is the most important step in case of dizziness. It is because the diagnosis is not about whether you are feeling dizzy or not, it is the diagnosis about why you are feeling dizzy. There are some tests related to balance to diagnose the cause of dizziness. To get the tests done related to balance, you need to visit an ENT because the balance system of the human body is there located in the inner ear.
Though the balance of the body is there to the inner ear, also the test of other sensory organs such as eye and brain is also done. This is because balance disorder or dizziness happens when there is a problem in the communication system of the body. One of the most important ways to diagnose balance is by doing an eye test that is known as nystagmus.
Treatment of The Problem
After several tests of various sensory organs, when the ENT expert reaches a particular result, then the treatment starts depending upon the diagnosis. Today treatment for such balance disorder or dizziness has become common. Some problems can get solved by a changed diet only while other may need the help of medicines. Again, some of the problems may get cured by doing exercises while for some; you may need the help of a physiotherapist too.
When it is about dizziness, it is surely about balance disorder due to some major problems. Balance is controlled from with the inner eye and other sensory organs also, hence it is important to visit the ENT in this case. If you wish to discuss about any specific problem, you can consult an Ent Specialist.
Atrial fibrillation is a form of irregular heartbeat or arrhythmia, which you may experience due to a problem in the electrical system of the heart. Such a problem causes the upper parts of the heart or the atria to fibrillate. Due to this quivering, the normal rhythm between the lower parts of the heart and the atria gets disrupted. The ventricles are likely to beat faster in an irregular rhythm. This is a severe condition where the blood may get collected in the atria; this could lead to the formation of blood clots. These clots can block the blood flow and lead to a stroke.
Several conditions cause strain and damage to the heart. These include the following:
The primary symptoms of atrial fibrillation include the following:
In many cases of atrial fibrillation, the symptoms may be absent.
Conducting several tests, physical examinations and an analysis of your health history is the first step towards diagnosing atrial fibrillation. An electrocardiogram (ECG) needs to be carried out for the detection of this condition. This test is performed for checking problems regarding the electrical activity of the heart. Other laboratory tests and an echocardiogram maybe required as well. An echocardiogram helps in observing the pumping function of the heart and to check whether the valves have been damaged.
The treatment options for atrial fibrillation depend on the cause, symptoms and the risks of getting a stroke. Several medicines are used for treatment along with other methods. They are as follows:
For the best diagnosis and treatment of atrial fibrillation, you must consult a doctor as soon as you start experiencing the symptoms of the condition. A doctor will prescribe all that you need for an effective treatment.
Stress in the body is a way of responding to threats. These threats need not be physical, but could be in the form of financial trouble, work pressure, relationship difficulties, major life events etc. When we are put under pressure our body releases hormones such as adrenaline and cortisol that makes the heart beat faster, tightens muscles, increases blood pressure and makes the senses alert.
This is our body’s way of protecting us. However, the body cannot distinguish between life threatening events and the mere pressure of giving a presentation. Experiencing this fight or flight response on a recurring basis can lead to an impaired digestive system, lowered immunity, increased blood pressure and hence risk of strokes and heart attacks and can make you age faster.
Stress cannot always be avoided but it can be dealt with effectively so as to not allow it to harm your health. For this it is important to first recognise the symptoms of stress. Stress symptoms can be categorized as cognitive, emotional, physical and behavioural symptoms.
The amount of stress each person can Tolerate before it begins to affect their body varies. While some people thrive under pressure, others are paralysed by it. Some ways you can increase your stress tolerance levels are:
Become emotionally aware
For some people, stress is a normal way of life and they do not realize when they’re putting their body under too much pressure. Being aware of how you feel physically and emotionally can help you realize when you are stressed out. Having the emotional awareness of what it takes to calm down your stressed nerves also helps you bounce back from a stressful situation.
Build a strong Social Network
People who have a close and strong network of friends and loved ones who they can share their thoughts and experiences with can tolerate more stress than those who are socially withdrawn and have fewer opportunities for social engagements.
Get some form of regular physical activity
Regular exercise benefits both your physical and mental health. Exercising calms your nerves and lowers the production of stress hormones in the system. It also gives you time to focus on yourself and distracts you from other worries and tensions.
Eat the right food
Processed foods such as refined carbs or sugary snacks can worsen stress by causing fluctuations in your blood sugar levels. Instead, eat a diet rich in fruits and vegetables along with proteins and healthy fats. Good sleep at night! If you wish to discuss about any specific problem, you can consult a Psychologist.
BPPV or Benign paroxysmal positional vertigo is a major cause of vertigo. This is a condition that gives a sensation of head spin all of a sudden. It also results in dizziness in brief episodes. The severity level can vary from intense to mild. BPPV is triggered with certain changes of the head position. Although BPPV is bothersome, it isn’t serious unless there is a chance of a person falling abruptly because of the head spin. There are ample treatment options available to address this problem.
Symptoms of BPPV
BPPV includes some of the following symptoms:
a. Loss of balance
c. Feeling of the surrounding spinning
d. Vomiting and nausea
e. Rhythmic movement of the eye
When to seek medical attention?
If dizziness is accompanied with one of the below-mentioned symptoms, it is time to urgently seek medical attention and get vertigo addressed for good:
Causes of BPPV:
If there is on known cause associated with BPPV, the condition is termed as idiopathic BPPV. In most of the cases, though, BPPV is associated with a severe to minor blow to the head. Other causes include an injury to the inner ear, prolonged sitting position in a fixed posture, even migraine pain is at times associated with BPPV.
What are the risk factors?
Benign paroxysmal positional vertigo is likely to occur in the age group of 50 and above, this being said it can happen at any age in case of any injuries. Statistically, it is found that the likelihood of BPPV is more in women than men. Head injury of any sort is by far the most likely reason of BPPV.
What are the tests and diagnosis involved?
A doctor is likely to perform a physical examination followed by a series of tests. Some typical signs that a doctor looks for include the following:
Ability to control eye movement- especially side to side movement
Symptoms of dizziness
In case it is difficult to spot the symptoms, a doctor might suggest video- nystagmography or electronystagmography. It helps to track irregular eye movement. An MRI can also be prescribed to study the cross-sectional images of the body and the head.
Treatments associated with BPPV:
BPPV mostly go away within months or weeks on its own. If however, it still persists, a doctor can suggest Canalith Repositioning- series of small movements that helps to counter BPPV. For extreme cases, a doctor might advise a surgery for blocking the portion of the inner ear that might be causing the problem. It guarantees close to a 100 percent fix to BPPV. If you wish to discuss about any specific problem, you can consult an ENT specialist.