[36M] With acute onset of dizziness and blurred vision

Patient Description

A 36-year-old male reports experiencing severe spinning dizziness for the past 9 hours. The dizziness is rated as an 8 out of 10 in severity and is exacerbated by standing, while laying down provides some relief. The patient also reports mild hearing loss and blurred vision, along with difficulty maintaining balance. There are no associated symptoms of headache, tinnitus, weakness, or numbness in the face or limbs. The dizziness came on suddenly without any recent head injuries, infections, new medications, substance use, dietary changes, or recent travel. The patient has no significant past medical history or family history of major illnesses.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

  • Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of dizziness characterized by brief episodes of spinning sensation (vertigo) triggered by changes in head position. It often occurs when standing up or turning over in bed.

    • Treatment: BPPV can often be treated with specific head movements known as the Epley maneuver, which a healthcare provider can guide you through.
  • Vestibular Neuritis: This is an inflammation of the vestibular nerve, which can cause sudden, severe vertigo, often accompanied by nausea and imbalance. It is usually caused by a viral infection.

    • Treatment: Vestibular neuritis often improves on its own over time. Medications to reduce dizziness and nausea, as well as vestibular rehabilitation exercises, can be helpful.
  • Meniere's Disease: This condition involves episodes of vertigo, hearing loss, and tinnitus (ringing in the ears). It is caused by an abnormal amount of fluid in the inner ear.

    • Treatment: Treatment may include medications to reduce vertigo, dietary changes (such as reducing salt intake), and sometimes surgery.
  • Orthostatic Hypotension: This occurs when there is a sudden drop in blood pressure upon standing, leading to dizziness or lightheadedness.

    • Treatment: Increasing fluid and salt intake, wearing compression stockings, and making slow, gradual changes in position can help manage symptoms.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take to help manage your symptoms:

  1. Avoid sudden movements: Try to stand up slowly and avoid quick head movements to reduce the likelihood of triggering dizziness.
  2. Stay hydrated: Drink plenty of fluids to maintain good hydration, which can help prevent dizziness.
  3. Rest: Lying down in a quiet, dark room can help alleviate the spinning sensation.
  4. Limit salt and caffeine: Reducing salt and caffeine intake may help if your symptoms are related to Meniere's disease.
  5. Use MDandMe: Journal your symptoms, track your progress, and get insights. This can be helpful information to share with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening symptoms: If your dizziness or other symptoms become more severe or do not improve.
  • New symptoms: If you develop new symptoms such as severe headache, chest pain, shortness of breath, or weakness/numbness in your face or limbs.
  • Persistent hearing loss: If your hearing loss worsens or does not improve.
  • Difficulty walking or standing: If you have significant trouble with balance or coordination.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult a healthcare provider for a thorough evaluation and appropriate treatment.

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5 mo ago

People Also Ask


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it treated?

Benign Paroxysmal Positional Vertigo (BPPV) is a condition that causes brief episodes of spinning dizziness triggered by changes in head position. It is often treated with specific head movements known as the Epley maneuver, which a healthcare provider can guide you through.


What are the symptoms and treatment options for Vestibular Neuritis?

Vestibular Neuritis is an inflammation of the vestibular nerve, leading to sudden, severe vertigo, often with nausea and imbalance. It is usually caused by a viral infection. Treatment includes medications to reduce dizziness and nausea, and vestibular rehabilitation exercises. It often improves on its own over time.


How can Meniere's Disease affect hearing and balance, and what are the treatment options?

Meniere's Disease can cause episodes of vertigo, hearing loss, and tinnitus due to an abnormal amount of fluid in the inner ear. Treatment may include medications to reduce vertigo, dietary changes like reducing salt intake, and sometimes surgery.


What is Orthostatic Hypotension and how can it be managed?

Orthostatic Hypotension is a condition where there is a sudden drop in blood pressure upon standing, causing dizziness or lightheadedness. It can be managed by increasing fluid and salt intake, wearing compression stockings, and making slow, gradual changes in position.


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