[58F] Experiencing dizziness, imbalance, tremors, and heat sensitivity

Patient Description

A 58-year-old female reports constant imbalance, rated as severe, with a history of falling into walls. The imbalance has been present for 6 months and is sometimes worsened by head movements. The patient uses a cane for assistance. Dizziness is described as a spinning sensation with concurrent drops in blood pressure, rated 10/10 in severity, and can be triggered by overheating, muscle spasms, pain, or spontaneously. Tremors are present in the hands and face, described as moderate in severity, and have been worsening over the last couple of years, particularly affecting fine motor control. The patient also reports a mild, worsening photosensitivity over the last few years, with direct sunlight causing energy depletion and necessitating rest. Additionally, the patient experiences temperature dysregulation, with cold causing shaking and numbness, and heat leading to energy drain and dizziness.

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Arora's Assessment

What might be happening

Based on the symptoms you've shared, you may be experiencing:

  • Multiple Sclerosis (MS): This is a chronic disease that affects the central nervous system, particularly the brain and spinal cord. Symptoms can include imbalance, tremors, sensitivity to heat, and blurred vision. MS can also cause fatigue, which might explain why you feel drained in the heat.

    • Diagnosis of MS typically involves a neurological exam, MRI scans, and sometimes a spinal fluid analysis. Treatment often includes medications to manage symptoms and slow disease progression.
  • Parkinson's Disease: This is a neurodegenerative disorder that can cause tremors, balance problems, and muscle stiffness. However, it typically does not cause heat sensitivity or vision changes.

    • Diagnosis of Parkinson's disease is usually based on medical history, a physical examination, and certain neurological tests. Treatment often includes medications and sometimes surgery.
  • Vestibular Disorders: These are conditions that affect the inner ear and balance system. Symptoms can include dizziness, imbalance, and blurred vision. However, these conditions typically do not cause tremors or heat sensitivity.

    • Diagnosis of vestibular disorders usually involves a physical exam, hearing tests, and balance tests. Treatment often includes physical therapy and medications.

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

What you can do

Given the chronic nature and severity of your symptoms, it's important to seek medical attention. A healthcare provider can perform a thorough evaluation, order necessary tests, and provide appropriate treatment.

In the meantime, here are some general tips that might help:

  1. Try to avoid extreme temperatures as much as possible. Stay in cool, shaded areas during hot weather and dress warmly in cold weather.
  2. Use your cane for support to prevent falls due to imbalance.
  3. Rest and hydrate well, especially during hot weather, to help manage fatigue and dizziness.
  4. Avoid sudden movements or changes in position that might worsen your dizziness.

What you should look out for

Seek immediate medical attention if you experience:

  • A sudden, severe headache
  • Sudden worsening of your symptoms
  • New symptoms, such as difficulty speaking, weakness on one side of your body, or severe confusion
  • Any other symptoms that concern you or affect your daily activities

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 accurate information.

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1 yr ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the common symptoms of Multiple Sclerosis (MS)?

Common symptoms of Multiple Sclerosis (MS) include fatigue, difficulty walking, numbness or tingling, muscle weakness, vision problems, dizziness, and cognitive changes. Symptoms can vary widely among individuals.


How is Parkinson's Disease diagnosed?

Parkinson's Disease is diagnosed based on medical history, a physical examination, and neurological tests. There is no specific test for Parkinson's, so diagnosis is often based on the presence of characteristic symptoms such as tremors, stiffness, and slowness of movement.


What are vestibular disorders and how do they affect balance?

Vestibular disorders affect the inner ear and balance system, leading to symptoms like dizziness, vertigo, imbalance, and blurred vision. These conditions can be diagnosed through physical exams, hearing tests, and balance assessments.


How can temperature sensitivity be managed in neurological conditions?

Temperature sensitivity in neurological conditions can be managed by avoiding extreme temperatures, staying in cool or shaded areas during hot weather, dressing warmly in cold weather, and staying hydrated. It's important to listen to your body and rest when needed.


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