Question

Hi doctor this question is about my father he 48 years old around 5-6 months ago he fell on the ground due to dizziness (chakkar) and darkness in front of eyes after that he felt this dizziness whole day next day he went to physician and doctor check his blood pressure which was normal and told him to take this problem seriously next time and this happens 3 times in a day. He also suffering from one condition that water in retina (i didn't remember the exact name of it). He doesn't have any sugar problem. I want to know what this problem is?

Dr.Rangadhar Satapathy · Accepted Answer

The symptoms described for the 48-year-old individual, including dizziness, temporary darkness in front of the eyes, and an episode of falling, coupled with a retinal condition involving water (which might be indicative of some form of retinopathy or macular edema), suggest several potential medical conditions that need to be thoroughly evaluated by healthcare professionals. It's important to note that without a complete medical examination, including history, physical examination, and appropriate diagnostic tests, it's impossible to diagnose the condition accurately. However, I can provide some possibilities:
orthostatic hypotension: this is a form of low blood pressure that happens when you stand up from sitting or lying down. It can cause dizziness and fainting.
Vestibular disorders: issues with the inner ear and balance mechanisms can cause dizziness and a sensation of the environment spinning or moving.
Transient ischemic attack (tia) or minor stroke: temporary blockage of blood flow to the brain can cause symptoms like dizziness, vision changes, and balance problems.
Cardiac conditions: irregular heart rhythms or other heart issues can lead to reduced blood flow to the brain, causing dizziness and fainting.
Retinal conditions: the mentioned 'water in retina' condition could be central serous retinopathy or another form of retinal detachment or edema. These can cause visual symptoms, but they are usually not directly associated with dizziness unless there's a broader underlying condition.
Neurological disorders: various neurological issues can lead to dizziness and vision problems.
Dehydration or electrolyte imbalance: sometimes, dehydration or imbalances in electrolytes can cause these symptoms.
Anxiety or panic attacks: these can also manifest physically with symptoms like dizziness and altered vision, though they are typically accompanied by feelings of extreme anxiety.
Given the recurrent nature of these episodes and the seriousness of potential underlying causes, it's crucial for this individual to seek further medical evaluation. This should ideally include a thorough cardiovascular examination, neurological assessment, and potentially, a referral to an ophthalmologist for the retinal issue. Diagnostic tests might include blood tests, ecg, echocardiogram, holter monitoring, mri or ct scan of the brain, and a detailed eye examination.

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