[37F] Experiencing dizziness, ear swooshing, and fatigue

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Benign paroxysmal positional vertigo (BPPV): This is a common cause of dizziness, particularly when it is triggered by changes in position. BPPV occurs when tiny calcium particles clump up in the inner ear, causing brief episodes of mild to intense dizziness. However, BPPV usually causes a spinning sensation rather than lightheadedness.

  • Treatment typically involves a series of movements performed in a doctor's office that can help dislodge the calcium deposits in your ear.

• Meniere's disease: This is an inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear that can cause episodes of vertigo along with tinnitus (ringing in the ear) and hearing loss.

  • Treatment typically involves a combination of medications, lifestyle changes, and sometimes surgery.

• Orthostatic hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. This could explain your lightheadedness, especially since it's worsened by walking and standing.

  • Treatment often involves lifestyle changes, such as drinking plenty of fluids and avoiding alcohol.

• Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. This could explain your extreme fatigue and lightheadedness.

  • Treatment depends on the cause and severity of the condition but may include dietary changes, supplements, and in severe cases, medical procedures or surgery.

• Pulsatile tinnitus: This is a condition where you hear a rhythmic pulsing, often in time with your heartbeat. This could explain the swooshing sound in your ear.

  • Treatment depends on the underlying cause, but can include medications, surgery, or lifestyle changes.

Please note that these are potential explanations based on the information you've provided, but only a healthcare provider can give you a definitive diagnosis.

What you can do

1. Make an appointment to see your healthcare provider as soon as possible. They can evaluate your symptoms and medical history, perform a physical examination, and order tests as needed to determine the cause of your symptoms.

2. In the meantime, try to avoid sudden changes in position, stay well-hydrated, and ensure you're eating a balanced diet.

3. If you're feeling lightheaded, sit or lie down immediately and lower your head.

What you should look out for

Seek immediate medical attention if:

• Your symptoms worsen or don't improve
• You experience a severe headache, chest pain, shortness of breath, or fainting
• You have difficulty speaking, seeing, or moving
• You have a high fever or severe pain

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.