Patient: Sudden dizziness and nausea that lasted for two minutes, and after a few days still a little mild dizziness and confusion.
Patient: Thank you doctor
Patient: The attack had sky spinning, balance disturbance, but no tinnitus, not hypoglycemia, and I just ate. Heartburn and want to be nauseous!
Patient: Thank you for answering my question in your busy schedule
Patient: I went for a checkup two days ago, clinical diagnosis: cerebral ischemia, and did a brain Doppler test, I think, saying that the blood flow velocity of the left vertebral artery was slowed down. The medicine prescribed to me is: whole tianma capsule and waking brain rejuvenation capsule, do you think it is appropriate? Thank you!
Patient: I feel you are right, thank you. I felt dizzy again for a minute this evening after taking a shower, probably because the room was too warm. Recently, sometimes I feel the feeling of dizziness behind my head. In addition, I would like to tell you about my occupation, I am a physical education teacher in school, I think there should still be a lot of movement, but I also do political education director, just half a year, I am too young, work experience is not enough, maybe I work too much pressure, usually work very busy, go to bed at 10 o’clock at night, get up at 5 o’clock in the morning, usually there are many things, I am suspecting?
Patient: I just read your answer to other people’s question, am I migraine vertigo, I had a cold once a few years ago, for a long time. Then I got better, but as long as I don’t rest well, I get headaches, and I didn’t know what headaches were. I’m just guessing, thank you, Dr. Shi!
Patient: I don’t feel like the ceiling is spinning, I don’t feel unstable, I don’t have hand numbness, I have panic attacks, I have sweating, I don’t have headache, I have dizziness in general, I don’t have tinnitus, I don’t have hearing loss, I don’t have dizziness induced by turning my head to a certain side, I have dizziness standing and lying down, I am a hepatitis B virus carrier. Thank you, doctor.
Patient: Thank you and good luck with your work!
Patient: Once at night, my mother suddenly had vertigo and was sent to the hospital, and the examination said there was nothing wrong. I went to ask the doctor and he said it was not good to cure. What problems should she pay attention to in her life during normal times?
Patient: Oh, I asked my mother again today about her previous illnesses: spinning in the sky, nausea and vomiting, once vomiting very badly, sweating, such a situation has occurred many times, four or five times very serious, can not stand up, then there is tinnitus, sometimes tinnitus is serious, rest and feel better. She has no hearing loss, normal blood pressure, no diabetes, and no heart disease. Thank you. My mother is 55 years old.
Patient: Thank you
Patient: I’ve been using hot water bags on my neck for a while, and I feel quite good.
Patient: Hello doctor: I’m troubling you again. I’ve been very busy at work lately, and I’ve been feeling a little dizzy at the back of my head again for the past two days, and today I’m a little dizzy again, but not vertigo. Thank you.
Patient: A little bit of nausea and sweating when I get dizzy.
Patient: Oh, thank you.
Haisan Shi, Department of Neurology, Guangzhou Brain Hospital: Hello, there are many kinds of dizziness, mainly divided into vertigo and dizziness. Do you have any spinning in the sky when you have an attack? Is there any balance disorder? Do you have tinnitus? (Dizziness) Did you have fasting hypoglycemia (dizziness) at the time of your attack? There are many causes of vertigo, mainly central and peripheral. You are so young that you should not have a central problem, i.e. head problem. Generally speaking, it is mainly caused by problems in the inner ear, and inflammation is more likely. For example, vaginitis, vestibular neuronitis, etc. There is also Meniere’s disease, otoliths, etc. Some of these diseases can heal on their own and are left alone. There are also recurrent attacks. If you have only one attack, don’t worry. But if you have frequent attacks in the future, please go to the hospital immediately to find out the cause? Of course, dizziness can also occur with low blood sugar, low blood pressure, and heavy alcohol consumption. Thank you! Shi Haisan, Department of Neurology, Guangzhou Brain Hospital
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: That’s a vertigo attack. It is estimated that it is still an acute vestibular dysfunction, infectious. There is nothing wrong with it, don’t worry. Don’t worry about it unless it recurs in the future. Thank you.
Haisan Shi, Department of Neurology, Guangzhou Brain Hospital: Hello, it is very common for middle-aged people to have vascular Doppler results showing slowed blood flow and cerebral ischemia. But you are only 25 years old, and unless you have cervical spondylosis, or familial disease, you usually do not have cerebral ischemia. I think it is not too late to deal with vertigo if you have recurrent vertigo. In young people, vertigo is only caused by Meniere, vaginitis, vestibular neuronitis, otoliths, etc. The medications prescribed for you are all auxiliary medications, and there is nothing suitable or inappropriate. You can take it to refresh your mind. If your job is to maintain a posture for a long time (such as writing, playing computer, etc.), then we suggest you to do more exercises to move your neck. However, if you have recurrent vertigo you must be actively treated. Thank you!
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: Hello, it’s normal to have headache if you don’t have good rest, everyone will have it, don’t worry. As long as you get good rest, it will disappear naturally. Migraine is an episodic disease with no obvious triggers. And it is very painful. It lasts for several hours or a day or two. You should not have migrainous vertigo. Sometimes young people can have vertigo caused by some neck muscle tension that pulls on the nerves and blood vessels in the neck, and it is possible that you have this cause. I suggest you take a hot water bag to your shoulder and neck when you sleep. Do you feel dizzy because you are spinning in the sky and unsteady in standing? Do you have numbness in your hands? Heartburn? Sweating? Do you have headache and swelling? Is the dizziness very strong or a little? Is there any tinnitus or hearing loss? Is dizziness triggered by turning the head to a certain side? Do you feel dizzy when standing or lying down? Are there any other diseases in the body?
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: It is better to consider cervical vertigo first. It is recommended to apply hot water bag to the neck. Pay attention to rest.
Haisan Shi, Department of Neurology, Guangzhou Brain Hospital: It is true that dizziness cannot be eradicated sometimes, but can only be controlled to reduce the attacks. We suggest your mother to have a cranial CT to rule out some intracranial occupying lesions. Do you know if your mother has hearing loss? Does she have any vascular disease such as hypertension, diabetes or heart disease? I think your mother may have central vertigo. If she has any of these diseases, she should control the original disease, and she can also consume vinegar or red wine regularly to soften the blood vessels. Do neck exercises regularly and use hot water bags on the neck. You should always have some medications for acute vertigo such as Mintelang and Ciclestin at home. If you have time, go to the hospital to do some blood vessel examination and check the blood lipid condition.
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: It is more likely to be central vertigo, so go to the hospital for head CT, blood vessel and lipid examination. Regularly inject some vascular drugs (3-6 months/time), and usually take some oral drugs to improve circulation, such as Ginkgo biloba, thromboxane, nicergoline, etc. You can drink more red wine or vinegar. Always keep Minerva, Cetin at home. It is very effective to use hot water bags to apply hot compresses to the neck frequently. For diet, please read my article on vertigo. Thank you!
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: You are welcome, I hope I can help you.
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: You are welcome.
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: Poor rest and tension in the neck muscles can also cause dizziness and headache, and hypoglycemia is not excluded. Pay attention to the combination of work and rest. Do more exercise. Buy a good pillow, you can put the neck cushion high kind.
Shi Haisan, Department of Neurology, Guangzhou Brain Hospital: You’re welcome!