Hi, I'm online now and would be happy to help you with your problem. Just reply and we'll get started. Dr. Tom
Just to help us get started, please tell me if your son is on any medications and if his pediatrician has made any diagnosis. When is the last time he had a medical checkup? Also please tell me if there has been an evaluation by an ophthalmologist for any type of eye problems.
Great, thanks for the extra information. Has your son had any recent upper respiratory problems?
That's okay, while I'm a ophthalmologist, I've had lots of experience in this area. Give me a second to type out a few thoughts and we'll see where we need to go
. The spinning sensation that your son is feeling is called vertigo. You're probably familiar with that. Vertigo usually comes from a problem in the inner ear. In a youngster a common cause can be a viral. Your sons complain of ringing in his ears and his dizzy feeling goes along with things that are associated with vertigo and the inner ear. And it could certainly lead him to feel like he is going to fall. But we need to talk about this issue of confusion and his eyes moving in what you describe is a darting pattern
30 years of experience as a physician and a grandfather of 12 has makes me very aware that parents are exceptionally good judges of the significance of their children's acute problems. If this were limited just to the sort of spinning and dizzy feeling, I would be of the opinion that there was no urgency. However, given what you have described in your last comment about the emergency room leads me to think it might be a good idea. It's probably late where you are and not very convenient, but if you live in a community that has a pediatric emergency service it certainly wouldn't hurt you contacting them. It's possible that they have a person on staff who would be able to do a triage call with you. My suspicion is that this will turn out to be okay but it never hurts. Before you make a decision let's make sure that you and I have discussed all of your questions and concerns. In all probability his comment about the room shaking is related to a youngster's anxiety, but with vertigo it is common that there is a sensation of movement within the environment
Migraines are certainly capable of causing some of the symptoms. But he has no prior history I think we would be taking a long shot to think that is the cause of all these new symptoms. Vertigo, if caused by a virus, could be somewhat prolonged. Your pediatrician would be an excellent position to make that call for you when you get in touch with him in the morning. You've asked for the worst and best case regarding how long it would take for vertigo to clear. Again I would say if it's a viral it could take a week or so, but if it's due to some mild disturbance in the inner ear is possible that it would be self-limiting. Because of the rapid onset and because of his youth a viral cause is much more likely. It's completely reasonable that he would be anxious, as I am sure you are, with all of these new and alarming symptoms. So I would like to ask you what other questions come to your mind ?|
It looks like you might have broken off from our conversation. I'm still here if you have any other questions tonight, but I would really like to know how things work out for your son, and would love to hear back from you after you have him checked by the pediatrician tomorrow. It's my hunch is that he will be just fine.