At GuideTreatments.com we believe that symptomatic treatments should be reserved only for short term. It is vitally important to diagnose the underlying condition with robust assessment and investigations.
Symptomatic treatments:
- Ensure good blood pressure management
- Tab. Gemvert (Cinnarizine 20 mg + Dimenhydrinate 40 mg) – Dr. Reddy lab – 83/- -one tablet thrice a day for 3 days.
- Ensure adequate hydration – Electral ORS – 1 sachet in 1 litre of water twice a day.
Common conditions to consider:
Condition |
Common clinical presentation along with dizziness |
| Vertigo | Abnormality in the auditory canal, vestibular nerve or brain stem |
| Labyrinthitis | Reduced hearing, earache or severe nausea |
| Dehydration | Dizziness could be a predominant symptoms for patients with dehydration. Commonest causes of dehydration could be amoebic dysentery, bacillary dysentery, gastroenteritis or due to infectious diseases. |
| Anaemia | Fatigue, palor, breathlessness and/or evidence of blood loss |
| Abnormal uterine bleeding | Menorrhagia or polymenorrhagia (dizziness and anaemia could be presenting complaints due to cultural barriers). |
| Hypotension | Sudden changes in anti-hypertensives |
| Congestive cardiac failure | Dizziness is postural with pedal oedema, irregular rhythm and 2 D echo evidence of reduced ejection fraction |
| Addison’s disease | Weight loss, changes in skin colour, fainting and associated laboratory evidence |
| Hypoglycaemia | Prolonged fasting, overactivity, sudden changes or non-compliance to anti-diabetic medications |
| Hypoparathyroidism | Cramps, weakness, fatigue and reduced serum calcium and parathyroid hormone |
| Transient ischaemic attack | Short term double vision, transient blindness, slurred speech |
| Stroke | New onset neurological deficit, severe headache, slurred speech |
| Parkinson’s disease | Resting tremor, difficulty in speech, generalised rigidity |
| Peripheral neuropathy | Peripheral loss of sensations, imbalance, pins and needles sensation in extremities |
| Fibromyalgia | Generalised pain, fatigue and muscle weakness |
Note: Any generalised or significant illness can lead to dizziness and hence a detailed history, examination and investigation is needed.