Dear Greg, Thanks for providing quick additional information.
I understand your problem. It can due to any of these possibilities-
-Low blood sugar level
-Change in blood pressure level
-Inner ear issue (the inner ear is responsible for balance ) like Ménière disease.
- Neurological conditions
To make a diagnose, you need to undergo few tests -
-Blood sugar test,
-Blood pressure monitoring,
-Thyroid function test,
-Complete blood count.
-Ear examination- ear should be checked for inner ear problem.
Sometimes dizziness can be due to problem related with heart rhythm or brain problem but usually less often
If all tests are normal, then possible cause for your symptoms is anxiety disorder.
The line of treatment is- medications, and specific forms of psychotherapy. Medications like- sertraline (Zoloft) and paroxetine (Paxil),lorazepam (Ativan). One should avoid caffeine, alcohol.
You should get engaged in aerobic exercise and stress-management techniques like deep breathing and yoga.
A thorough clinical examination and tests have to be done for precise diagnosis.
Please let me know how I can be of further assistance.
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