Neurology

Ask a Neurologist. Get Answers to Your Neurology Questions.

Ask a Doctor,
Get an Answer ASAP!

Neurology
This answer was rated:

Yesterday I was getting some tingling in the top of my head.

Then I noticed pressure in...
Yesterday I was getting some tingling in the top of my head. Then I noticed pressure in my head and neck with certain head movements. At one point, after looking up at something, I felt lightheaded. Later that night, I came upstairs, did a few things, then I got room spinning dizziness. I don’t remember if I made a sudden head movement, but I think I may have. I sat down, and the dizziness lasted for about 10 to 15 seconds.
Show More
Show Less
Ask Your Own Neurology Question
Answered in 23 minutes by:
1/16/2018
Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Neurology
Satisfied Customers: 57,986
Experience: Medical Doctor Trained at a Top Academic Institution
Verified

Hi, this is Dr Phil, here to assist you. I am Board Certified with over 10 years of experience. I will respond with my answer shortly. Thank you.

Ask Your Own Neurology Question

How old are you?

Ask Your Own Neurology Question
Customer reply replied 1 month ago
33
Customer reply replied 1 month ago
Almost 34
Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,905
Experience: American Board Certified Neurologist, Internal Medicine
Verified

Hi, I am an American Board Certified Neurologist with vast experience in diagnosing & treating all neurological as well as all other health/medical conditions. I see you have requested for a new professional, I had answered health questions for you before too and I am very glad to help you again with your health concerns.

Please see this type of spinning dizziness is medically also called as Vertigo. Vertigo is spinning type of dizziness where the individuals feel an illusionary sensation of either themselves spinning and/or feel their surrounding is spinning.

There are myriad causes for vertigo sensation, and in your case it appears the cause for your vertigo is a condition called as BPPV (Benign Paroxysmal Postural Vertigo). With this condition severe vertigo (spinning sensation) can occur, especially in certain positions, or during sudden change in positions (sudden head turning or other types of sudden head movements, looking upwards, or rolling over the bed, sudden standing up from a sitting or lying down position etc). Different positions or change in positions may trigger or precipitate the onset of the vertigo in different individuals.

This condition results from abnormal movement within the inner ear of small stone like structures formed by calcium crystals. In certain head positions these stones freely move inside the inner ear and irritate the balance sensors triggering the vertigo & dizziness feeling

If this type of vertigo occurs again the best treatment for this is through what is called as Epley maneuver. It is a scientifically proven procedure focusing on the head, neck, eye movements & posture and it can help in getting this stone out of these canals and promptly relieve the symptoms. This treatment is tried in addition to avoiding sudden change in positons.

This exercise can be taught to you by a clinic-Dr (such as a Neurologist, or ENT Dr, or your Primary Care Dr etc), or by some experienced Physical therapists too. Before initiating this treatment they will also perform a simple diagnostic maneuver called as Dix-Hallpike procedure to confirm the diagnosis of BPPV and then initiate the above mentioned treatment.

If this type of vertigo occurs again then initially you may also try over the counter Tablet Meclizine or Tablet Bonine, the starting dose is 12.5 mg three to four times/day. The dose can be increased slowly as required until a maximum of 75 mg 4 times/day. In some patients this medication itself can relieve the symptoms. If it helps then the Epley maneuver treatment is not necessary, but if the medication is not sufficiently helping then please try to receive the special treatment mentioned above - the Epley maneuver - which is an extremely effective treatment for this type of vertigo and dizziness. All you need is one single treatment and it will immensely help, and if you ever experience this type of vertigo again in the future then epley maneuver can be tried again and it can continue to help you.

This condition in general doesn’t require any additional investigations because it is a clinical diagnosis.

Also please note, if the above mentioned symptoms such as vertigo/dizziness, some tingling on the top of the head, pressure in the head & neck etc are the only significant symptoms you have had then there is no suspicion for any other serious conditions like stroke etc, however if these symptoms are still persisting you may also try undergo an MRI scan of the brain – just as a precautionary measure, but as pointed above if there are no additional symptoms (such as double vision, motor paralysis of the limbs, or facial droop or speech difficulties, or swallowing difficulties etc) then this must be due to the above mentioned inner ear condition rather than anything related to the brain.

To summarize once again;

1) The severe vertigo (Spinning type of dizziness) you have had was most likely related to an inner ear condition called as BPPV and this is due to tiny calcium crystal movement within the inner ear.

2) The best treatment for this condition is a special maneuver called as Epley maneuver, and it can be obtained from one of the above mentioned health care professionals

3) If this happens again initially you may try over the counter Meclizine or Bonine etc and these can also help, if these meds do not help then you may try Epley maneuver

4) Please also try to avoid abrupt changing positions etc, and this itself can prevent vertigo occurring again in most patients.

5) Also I want to reassure you these symptoms do not appear secondary to stroke or anything serious in nature, however if symptoms persist then you may also try to undergo a brain scan like MRI scan, but if the symptoms have already been resolved and also if you are not having any of the additional symptoms that I had mentioned earlier then there is no need for brain MRI scan etc because there is absolutely no suspicion for any brain related conditions such as stroke, or brain tumors or any other brain related conditions in you, so plea please not to be scared

Wishing you the best health!

All the very best!

Please let me know if you have any additional questions or if you want to discuss this further. And please take a moment and kindly click a positive rating (preferably 5 Star/Excellent) to credit for the time & effort put by me in answering your health question, and this is the only way I will be credited for my service to you. Rating me now does not close your question and if you have follow-up or additional questions you can ask them after the rating too!

Assuring you the best services!

Best Regards!

Dr Subbanna MD

Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,905
Experience: American Board Certified Neurologist, Internal Medicine
Verified
Dr Subbanna MD and 87 other Neurology Specialists are ready to help you
Ask your own question now
Ask Dr Subbanna MD Your Own Question
Dr Subbanna MD
Dr Subbanna MD
Dr Subbanna MD, Neurologist (MD)
Category: Neurology
Satisfied Customers: 5,905
5,905 Satisfied Customers
Experience: American Board Certified Neurologist, Internal Medicine

Dr Subbanna MD is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help.

Mary C.Freshfield, Liverpool, UK

This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!!

AlexLos Angeles, CA

Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult.

GPHesperia, CA

I couldn't be more satisfied! This is the site I will always come to when I need a second opinion.

JustinKernersville, NC

Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around.

EstherWoodstock, NY

Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know.

RobinElkton, Maryland

< Previous | Next >

Meet the Experts:

Dr. Mark

Dr. Mark

Neurologist (MD)

1,985 satisfied customers

Neurosurgeon - Brain, spine, and peripheral nerve surgery

Jack Scariano Jr

Jack Scariano Jr

Neurologist (MD)

1,056 satisfied customers

Board Certified Neurology 1982 30 years experince. Also expert in Pain Medicine

Dr. Bob

Dr. Bob

Neurologist (MD)

3,731 satisfied customers

Neurology & Int Medicine (US Trained): 20 yrs experience

healthydoc

healthydoc

Board Certified Physician

1,851 satisfied customers

Board Certified U.S. Neurologist

Dr. F

Dr. F

Board Certified MD

266 satisfied customers

Neurosurgeon with more than 20 years experience in practice and teaching.

Phytube.com

Phytube.com

Neurologist (MD)

86 satisfied customers

Pediatric Neurology and Developmental Medicine with Special Research In Pain Medicine/Medications

Stroke Doc

Stroke Doc

Board Certified Physician

51 satisfied customers

I am board-certified in Neurology and the subspecialty Vascular Neurology.

< Previous | Next >

Related Neurology Questions
I have been diagnosed with brain volume loss following a ct
I have been diagnosed with brain volume loss following a ct scan, following a fall in which I hit the back of my head pretty hard, resulting in the need for stitches in the back of my head. Just wonde… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,123 satisfied customers
I am 63 year old female.I have a head ache with nasea and
I am 63 year old female.I have a head ache with nasea and dizzness,I have pain in the bones of my legs but no swelling it has not went away since yesterday.I also have pain in all my bones at times bu… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,123 satisfied customers
I had a knee replacement in November in Colorado and
I had a knee replacement in November in Colorado and currently in Arizona. I have been experiencing some cramping in my leg along with bruising on back of knee between the knee and calf muscle. In las… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I am a 49 year old female. I am trying to figure out why
Hello, I am a 49 year old female. I am trying to figure out why I've been feeling this tingling and numbing sensation on my feet and legs for the past few months. I went in to the ER in September for … read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,123 satisfied customers
My grandmother recently hit her head off a cement veranda.
My grandmother recently hit her head off a cement veranda. She was admitted to a hospital, during which they never checked for concussions or trauma of any sort. They stitched her up and sent her home… read more
Dr Subbanna MD
Dr Subbanna MD
Neurologist (MD)
5,905 satisfied customers
Just add 3 tests result, all done recently, one by one. like
just add 3 tests result, all done recently, one by one. like to know why protein in urine so high? my kidney damaged? my mom passed away decade ago at age 70 from chronic kidney failiure. I check my b… read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,732 satisfied customers
I have been having pain in my armpit and it is tender to the
Hello! I have been having pain in my armpit and it is tender to the touch and I am unsure if it is a muscle injury or a lymph problem and do not know what kind of doctor to schedule an appointment wit… read more
Dr. Chip
Dr. Chip
M.D.
12,997 satisfied customers
My question is about Brain Aneurysms. Approximately two
My question is about Brain Aneurysms. Approximately two years ago, I was in a grocery store and I started seeing spots. White spots in my both of my eyes. I went to the Emergency Room and they diagnos… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I had a XR Bone Survey completed on 6/13/17. I am reading
I had a XR Bone Survey completed on 6/13/17. I am reading the test results and it states that I have multilevel endplate osteophyte formation in the lower cervical and mid and lower thoracic spine. Th… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I have bee suffering from sever depression for many years as
I have bee suffering from sever depression for many years as a child I had Encephalitis and was incredibly ill. When I was 18 I was in a car accident in which I was ejected from the vehicle and unconscious for about 45 minutes. I have been trying to find out if an MRI could still detect brain damage from those instances I am now 60 … read more
Dr. Bob
Dr. Bob
Neurologist (MD)
Doctoral Degree
3,731 satisfied customers
I have blurry vision when I turn my head. For example, I
Hi. I have blurry vision when I turn my head. For example, I play a lot of golf, and when I am standing over the ball, and look to the side to view my target, I am seeing double. It is worse when my h… read more
Dr. Mo
Dr. Mo
Board Certified Physician
MD
1,810 satisfied customers
I'm not sure if my issue is neurology or mental health. I've
I'm not sure if my issue is neurology or mental health. I've had a few concussions in the past from getting thrown off horses. I've always had ringing in my ears, headaches and occasional migraines. L… read more
Dr Subbanna MD
Dr Subbanna MD
Neurologist (MD)
5,905 satisfied customers
My left foot is numb since 2-3 days. It is only the foot and
My left foot is numb since 2-3 days. It is only the foot and sometimes this numbness moves upward covering thighs. I saw an orthopedic, he says there is nothing wring with the discs and suggested me t… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Consultant Surgeon and Sports Medicine
Post-Doctoral Degree
33,123 satisfied customers
I have a pain in my left ankle as well as tingling in that
I have a pain in my left ankle as well as tingling in that calf from time to time. I did nothing to injur it. Could it be something serious… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,510 satisfied customers
I have been experiencing some odd symptoms lately that have
Hello, I have been experiencing some odd symptoms lately that have only gotten worse. The main worry is the internal tremors with head pressure, last night was at its worst. I couldn't sleep because t… read more
Dr. Muneeb Ali
Dr. Muneeb Ali
Senior Registrar Critical Care Medicine
Doctoral Degree
7,510 satisfied customers
Taking longer than hoped to get a neurologist to accept me
Taking longer than hoped to get a neurologist to accept me as a patient, not sure if I am at immediate risk. Severe headaches increasing in frequency led to checking BP, extremely high (200+ / 130+ wi… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
I have been seeing doctors for close to 8 months now for
I have been seeing doctors for close to 8 months now for pain in and around my ribcage. It all started on the left side, around ribs 7,8, and 9. mostly just in front. I've been diagnosed with all sort… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
My wife has been in severe pain for three months She had
my wife has been in severe pain for three months She had four fractured vertebra that were corrected with two kypoplasty's. Still in pain i n lower back. Did a cat scan three weeks ago and found no ot… read more
Dr. Mark
Dr. Mark
Neurologist (MD)
Doctoral Degree
1,985 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x