[28F] Experiencing dizziness and head spinning
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, the following are possible explanations for your symptoms:
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Benign paroxysmal positional vertigo (BPPV): This is a common cause of vertigo, a sensation of spinning, that is triggered by changes in the position of your head. It's caused by tiny calcium particles clumping up in the inner ear canals, causing brief episodes of mild to intense dizziness. BPPV is often associated with a change in head position.
- Treatment typically involves a series of head movements performed by a physical therapist to move the calcium deposits out of the canal.
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Orthostatic hypotension: This condition causes a sudden drop in blood pressure when you stand up from a sitting position or from lying down, leading to dizziness or lightheadedness. It's more common in older adults, but can happen at any age.
- Treatment usually involves lifestyle changes such as drinking plenty of fluids and rising slowly after sitting or lying down.
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Migraines: Some people may experience a type of migraine that causes vertigo, dizziness, and problems with balance. Given your personal and family history of migraines, this could be a possibility.
- Treatment for migraines typically involves medications to relieve symptoms and prevent future attacks.
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Meniere's disease: This is an inner ear disorder that can cause episodes of vertigo along with tinnitus (ringing in the ear) and hearing loss. However, you did not mention these other symptoms.
- Treatment usually involves a combination of medications, lifestyle changes, and sometimes surgery.
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Vestibular neuritis or labyrinthitis: These are inflammations caused by an infection, often viral, resulting in dizziness and loss of balance. However, these conditions usually come on quickly, not over several days.
What you can do
- Try to avoid sudden changes in your body position.
- Drink plenty of fluids to avoid dehydration, which can exacerbate symptoms of dizziness.
- Avoid triggers that can cause migraines, such as certain foods, stress, or lack of sleep.
- If you're feeling dizzy, sit down right away to avoid falling and injuring yourself.
- Consult with a healthcare professional who can provide a formal diagnosis and appropriate treatment options.
What you should look out for
Seek immediate medical attention if you experience any of the following:
- A new, severe headache
- Fever, stiff neck, or a rash (which could indicate an infection)
- Chest pain, shortness of breath, or an irregular heartbeat
- Seizures, slurred speech, or sudden severe vomiting
- Fainting or loss of consciousness
Please remember that while I strive to provide accurate and helpful information, I am an AI and this advice should not replace a consultation with a healthcare professional.
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9 mo ago