[51F] Experiencing severe dizziness and unsteadiness

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 vertigo, characterized by brief episodes of dizziness triggered by changes in head position. It occurs when tiny calcium particles clump up in the inner ear canals.

  • Treatment: BPPV can often be treated with specific head movements known as the Epley maneuver, which a healthcare provider can guide you through. Medications like meclizine can also help manage symptoms.

• Vestibular Neuritis: This is an inner ear condition that causes severe vertigo, often accompanied by nausea and vomiting. It is usually caused by a viral infection.

  • Treatment: Vestibular neuritis often improves on its own over time. Medications to reduce dizziness and nausea, such as promethazine, can be helpful. Physical therapy exercises can also aid in recovery.

• Medication Side Effects: Since you recently started taking Cymbalta and Abilify, it's possible that your dizziness could be a side effect of these medications.

  • Treatment: Consult your doctor about your symptoms. They may adjust your dosage or switch you to a different medication.

• Meniere's Disease: This is a disorder of the inner ear that can cause episodes of vertigo, ringing in the ears (tinnitus), and hearing loss.

  • Treatment: Treatment options include medications to reduce vertigo, dietary changes to reduce fluid retention, and in some cases, surgery.

What you can do

While you should consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Avoid sudden movements: Try to move slowly and avoid sudden head movements to minimize dizziness.
2. Stay hydrated: Drink plenty of fluids, as dehydration can worsen dizziness.
3. Rest: Ensure you get enough rest and avoid activities that could be dangerous if you become dizzy, such as driving.
4. Monitor your symptoms: Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider.
5. Limit salt and caffeine: These can affect fluid balance in your inner ear and may worsen symptoms.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe, sudden onset of dizziness or vertigo
• Difficulty speaking, weakness, or numbness in your face or limbs
• Double vision or loss of vision
• Severe headache
• Persistent vomiting
• Difficulty walking or maintaining balance

Remember, while this information can help you understand your symptoms, it is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and appropriate treatment.