I have had approximately six separate instances where constant dizziness set in within the last five years. The longest it has lasted has been for a week and a half, the shortest spell was for a day and a half. During the long spell, I visited a hospital in Vancouver (two years ago) where they were unable to diagnose the problem. They assured me however, that it was not vertigo, and that I had no ear problem.
I am now into the third day of another episode. There are not a lot of doctors who seem to know anything about this condition, especially my family practitioner. I believe that my condition is stress related, but it may have a neurological basis as well. How am I supposed to make such judgments? Where do I go for analysis?
Thank you,
Reply: ----------------------------
Vertigo is a symptom, not a diagnosis per se. Specifically, vertigo refers to the perceived sensation of movement, typically whirling. If by "dizziness" you mean that you experience the sensation of movement of some sort, then you are indeed experiencing vertigo. Often, the symptom of vertigo is a manifestation of an inner ear disturbance of which there are many varieties with many different causes. Vertigo can also occur as a result of central nervous system disorders in the absence of inner ear disturbance. Non-vertiginous dizziness can have a wide range of possible causes including vascular disturbance, blood pressure abnormality, hormonal imbalances, drug side effects, vision disturbance, musculoskeletal problems, neurological problems, etc., etc. Given the symptom history that you have described, I would suggest an evaluation by either an otolaryngologist or a neurologist. Both of these specialities are involved in the evaluation of dizziness.
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Steve Dankle, MD
Otolaryngology-Head and Neck Surgery
Milwaukee, Wis
NOTICE: OFCN is not engaged in the rendering of professional medical services. The information contained on this system or any other OFCN system should not supplant individual professional consultation. It is offered exclusively as a community education service. Advice on individual problems must be obtained directly from a professional.
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