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Wife woke this mornin, 4 hours ago, was very dizzy. Not

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Wife woke this mornin...

Wife woke this mornin, 4 hours ago, was very dizzy. Not common. crawled to bath to through up. Checked blood pressure, 130/70.

Doctor's Assistant: How long have you been dealing with this? Any other symptoms?

85 years old, new pase maker. afib, has not had this problem before. Taking blood pressure med, baby aspirin.

Submitted: 7 months ago.Category: Medical
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Answered in 1 minute by:
12/5/2017
Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 38,747
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

If the dizziness is persisting; she needs an evaluation at emergency room in her age group.

The causes of dizziness according to the decreasing incidence are;

1) Benign paroxysmal positional vertigo (BPPV) 20%

2) Vestibular 15%

3) Migraine and motion sensitivity 15%

4) Anxiety and depression 10%

5) Meniere's disease 7%

6) Cerebellar disease 6%

7) Transient ischemic attacks 5%

8) Orthostatic hypotension 4%

9) Other

Acute dizziness and vertigo is usually managed with;

1) vestibular suppressants,
2) antiviral medication,
3) antiemetic medications
4) steroids

Vestibular rehabilitation can help which is an exercise program, if there is a persistent dizziness. Please read this resource for the exercises;

http://emedicine.medscape.com/article/883878-overview#showall

Exercises are graded in difficulty based on velocity of head and object motion and by progression of body positioning from sitting to standing to walking. The exercises are graded in difficulty by narrowing the base of support, making the surface uneven, or changing the surface from firm to soft. Varied walking exercises are graded in difficulty by changing direction, requiring performance with the eyes closed, increasing speed of ambulation, walking on soft surfaces, or navigating stairs. An aerobic exercise home program progressively increasing the time, speed, or distance that the patient could tolerate also can be initiated. But all of these may need supervision of a doctor if vertigo is severe.

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Doctor: Dr. Arun Phophalia, Doctor replied 7 months ago

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