[24F] Experiencing dizziness, black vision, and ringing ears
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, there are several possibilities:
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Orthostatic Hypotension: This condition is characterized by a sudden drop in blood pressure when you stand up from a sitting or lying position, leading to dizziness or fainting. It can be caused by dehydration, certain medications, or underlying conditions.
- Treatment typically involves lifestyle modifications like standing up slowly, staying hydrated, and wearing compression stockings. In some cases, medication may be prescribed.
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Vestibular Migraine: This type of migraine is characterized by dizziness, problems with balance, and problems with vision. It can also cause ringing in the ears (tinnitus) and a feeling of pressure or fullness in the ears.
- Treatment typically involves medications to prevent migraines or to relieve symptoms, as well as lifestyle changes like avoiding triggers.
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Post-Concussion Syndrome: Since you've mentioned a significant concussion in your past, it's possible that some of your symptoms are related to this. Post-concussion syndrome can cause headaches, dizziness, and problems with concentration and memory.
- Treatment typically involves rest, over-the-counter pain relievers for headaches, and sometimes cognitive therapy.
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Side Effects of Medication: Some of your symptoms could be side effects of the medications you're taking. Both Wellbutrin and Lamotrigine can cause dizziness and other side effects.
- If this is the case, your doctor may adjust your dosage or switch you to a different medication.
What you can do
- Make sure you're staying hydrated and eating regular, balanced meals.
- Stand up slowly from a sitting or lying position.
- Avoid triggers that you notice make your symptoms worse.
- Keep a symptom diary to track your symptoms and any potential triggers.
- Consult with your doctor or a specialist about your symptoms. They may want to adjust your medication or perform tests to rule out other conditions.
What you should look out for
If you experience any of the following, seek medical attention immediately:
- A sudden, severe headache
- A sudden, severe increase in the intensity of your symptoms
- Loss of consciousness for a prolonged period
- New neurological symptoms like weakness on one side of your body, difficulty speaking, or severe balance problems
Please remember that while I strive to provide accurate and helpful information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.
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9 mo ago