[47F] Experiencing vertigo, weakness, and visual disturbances

Patient Description

A 47-year-old female reports experiencing severe vertigo and weakness for the past two months, with episodes typically lasting around an hour and occurring more frequently during the day. The vertigo is described as a total loss of balance with a spinning sensation, rated 7 out of 10 in severity, and is alleviated by rest. Accompanying the vertigo, the patient experiences weakness in the legs, rated 5 out of 10 in severity, and visual disturbances that fluctuate between clarity and a foggy sensation. Additionally, the patient has been getting random jolts in the right ear for the past month without associated pain. Nausea and vomiting are also present with the vertigo episodes. The patient has a history of B large cell non-Hodgkin's lymphoma diagnosed in 2002 and type two diabetes. Current medications include 750mg of Metformin and 60mg of Duloxetine, both taken for the past 6 months. No known drug allergies are reported.

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Arora's Assessment

What might be happening

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

  • Benign paroxysmal positional vertigo (BPPV): This condition causes intense, brief episodes of dizziness or vertigo associated with moving the head, often when rolling in bed or getting up in the morning. Some people may also feel out of balance when standing or walking.

    • Treatment typically involves a series of movements performed in a doctor's office to help dislodge the tiny particles from the semicircular canals of your inner 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 usually involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Vestibular neuritis or labyrinthitis: Both are inflammations of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance.

    • Treatment typically includes corticosteroids to reduce inflammation and swelling and medication to relieve nausea, vomiting, and dizziness.
  • Migraines: Some people may experience vertigo and other types of dizziness even when they're not having a severe headache. Such vertigo can last minutes to hours and may be associated with headache as well as light and noise sensitivity.

    • Treatment typically involves medications to relieve the symptoms of migraines.

Please note that this is not an exhaustive list and other diagnoses are also possible.

What you can do

  1. Seek immediate medical attention: Given the severity and duration of your symptoms, it's important to seek immediate medical attention. Vertigo can be a sign of a serious condition, such as a stroke, especially if accompanied by other symptoms such as difficulty speaking, double vision, or weakness on one side of the body.

  2. Stay hydrated and rest: Make sure you're drinking plenty of fluids and getting plenty of rest. This can help your body recover if your symptoms are due to an infection or inflammation.

  3. Avoid triggers: If you notice that certain movements or positions trigger your vertigo, try to avoid them as much as possible.

What you should look out for

  • If your symptoms worsen or you develop new symptoms, such as a severe headache, difficulty speaking, double vision, or weakness on one side of your body, seek immediate medical attention.

  • If your vertigo is accompanied by a high fever, severe headache, chest pain, heart palpitations, shortness of breath, trouble walking, fainting, or a decrease in consciousness, seek immediate medical attention.

Remember, I'm an AI and this advice is based on the information you've given me. It's always a good idea to consult with a healthcare professional who can evaluate your symptoms and condition more thoroughly.

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11 mo ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What are the common causes of vertigo and how are they treated?

Common causes of vertigo include benign paroxysmal positional vertigo (BPPV), Meniere's disease, vestibular neuritis, and migraines. Treatment varies depending on the cause but may include specific head movements, medications, lifestyle changes, or surgery.


Can diabetes contribute to symptoms like vertigo and weakness?

Yes, diabetes can contribute to symptoms like vertigo and weakness due to potential complications such as nerve damage or poor circulation. It's important to manage blood sugar levels and consult with a healthcare provider for a comprehensive evaluation.


What lifestyle changes can help manage vertigo symptoms?

Lifestyle changes that can help manage vertigo include staying hydrated, avoiding sudden head movements, reducing stress, and avoiding known triggers. It's also beneficial to maintain a healthy diet and regular exercise routine.


How can I differentiate between vertigo and other types of dizziness?

Vertigo is characterized by a spinning sensation and loss of balance, often triggered by head movements. Other types of dizziness may include lightheadedness or feeling faint, which are not typically associated with a spinning sensation. A healthcare provider can help determine the specific type of dizziness you are experiencing.


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