[42F] Experiencing severe dizziness and left hand tingling

Patient Description

A 42-year-old female presents with severe dizziness described as a sensation similar to having spun in circles, which started today. The symptom is alleviated when laying down. Additionally, she reports a tingling sensation in her left hand, akin to pins and needles, persisting for the past two days. The patient has no known pre-existing conditions, allergies, or current medication use. No other symptoms were reported.

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Arora's Assessment

What might be happening

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

  • Vertigo: This is a sensation of feeling off balance and experiencing a dizzy spell that feels like spinning. It's often caused by an issue with the inner ear or brain.

    • Treatment typically involves medications to relieve symptoms, and physical therapy maneuvers to help reduce the sensation of vertigo.
  • Peripheral Neuropathy: This condition results from damage to your peripheral nerves, often causing weakness, numbness, and pain, usually in your hands and feet. It can also cause tingling in the hands.

    • Treatment usually involves managing the condition causing your neuropathy, as well as medications to relieve symptoms.
  • Multiple Sclerosis: This is a potentially disabling disease of the brain and spinal cord (central nervous system). It can cause a variety of symptoms, including dizziness and tingling in the hands.

    • Treatment typically involves managing symptoms, speeding recovery from attacks, and slowing the progression of the disease.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

  1. Rest and avoid sudden movements if you're feeling dizzy.
  2. Stay hydrated and maintain a balanced diet.
  3. Avoid alcohol and caffeine, which can worsen your symptoms.
  4. If the tingling in your hand persists, try gentle stretching exercises.

Please consult a healthcare professional who can provide a formal assessment and order relevant tests if necessary.

What you should look out for

Seek immediate medical attention if:

  • Your dizziness is accompanied by a severe headache, chest pain, shortness of breath, or fainting.
  • Your tingling sensation is accompanied by weakness or inability to move your left hand.
  • Your symptoms worsen or persist for more than a few days.

Remember, I am an AI and this advice is based on the information you've provided. Always consult with a healthcare professional for accurate information.

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11 mo ago

People Also Ask


What causes vertigo and how is it treated?

Vertigo is often caused by issues with the inner ear or brain, such as benign paroxysmal positional vertigo (BPPV), Meniere's disease, or vestibular neuritis. Treatment may include medications to relieve symptoms and physical therapy maneuvers like the Epley maneuver to help reduce the sensation of spinning.


What are the common symptoms and causes of peripheral neuropathy?

Peripheral neuropathy is characterized by weakness, numbness, and pain, usually in the hands and feet. It can be caused by diabetes, infections, traumatic injuries, or exposure to toxins. Treatment focuses on managing the underlying condition and relieving symptoms with medications.


How can multiple sclerosis be diagnosed and managed?

Multiple sclerosis (MS) is diagnosed through a combination of medical history, neurological exams, MRI scans, and sometimes spinal fluid analysis. Management includes medications to manage symptoms, speed recovery from attacks, and slow disease progression, along with physical therapy and lifestyle changes.


When should I seek immediate medical attention for dizziness or tingling sensations?

Seek immediate medical attention if dizziness is accompanied by severe headache, chest pain, shortness of breath, or fainting, or if tingling is accompanied by weakness or inability to move the affected limb. Also, if symptoms worsen or persist for more than a few days, consult a healthcare professional.


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