Dr. Abhaya Kant Tewari
Neurology
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Patient's Query
Hi doctor,
I have momentary imbalance issues. I do not have problems in the inner ear or vertigo. My vitamin D and B12 are low. I have consulted a physician and neurologist. Some say it is because of vitamin deficiency or dehydration, attention deficit, and some anxiety. So I do not know what could be the reasons for this. Momentary imbalance comes and goes. My head did not spin, or I did not fall. I have a high thyroid, also 10.6, and some say it can be because of my thyroid. I get momentary imbalances. It happens any time when I am sitting or at any work. The neurologist said it is anxiety; the physician said it is because I have a vitamin deficiency, low iron, and high thyroid. So actually, I want to know why I get this momentary imbalance and how to expect improvement. Please help.
Hello,
Welcome to icliniq.com.
I understand your concern.
A sudden imbalance makes you feel as if you are falling. It is an incomplete description; I would like to know what feeling you get. For example, do you have rotational movement, or do you feel imbalance due to the uneven floor or tilted floor or tilted walls? Please let me know the time for which it lasts a few seconds or minutes. Any phenomenon before or after the event, any nausea, sound in the ear, any preceding journey or illness associated with it.
As it is paroxysmal and most likely lasts for a short time, it is vertigo, defined as an illusion of movement. It can be managed but if you give me more details, it would be helpful. It is not because of thyroid issues or anemia. Do let me know the exact details, and I will be able to help you with honest answers.
I hope you find it helpful.
Kind regards.
Patient's Query
Hi doctor,
I do not have vertigo or an inner ear problem. It is checked. I have a momentary imbalance for a few seconds. I do not fall or faint. I feel some kind of sensation. Or, at times, a bit of movement. My head does not spin neither the room does. I have a hormonal imbalance—high TSH 10.6. Low vitamin B 12, low iron, and vitamin D. As I know, high thyroid can cause hormonal imbalance in all this too. I have anxiety and stress.
Hello,
Welcome back to icliniq.com.
Your symptoms are mainly a feeling of sensation, which is momentary. So to that extent, it is not vertigo. But I feel that there is too much importance to the levels of TSH (thyroid stimulating hormone). The lower side levels of vitamin B-12, iron, and vitamin D can be easily remedied by taking supplements.
Iron syrup and vitamin B12 supplements, in addition to a specific change in food habits, including iron-rich foods spinach, broccoli, beetroot, and apple for vegetarians and liver and chicken breast for nonvegetarians, are good enough. Suppose you are a vegetarian, then taking vitamin B complex is helpful.
Use iodized salt for all cooking and tables salt. That should take care of TSH. Now coming to the sensation problem, anxiety may also be the cause as we have ruled out or are treating the various deficiencies (which are, in any case, not at all serious).
A short course of anxiolytics for 15 days may help you, and then we can follow it later; I do not know whether you have taken any anxiolytics in the past. I suggest Alprazolam will help you; we will start with the lowest possible dose for a short duration.
I hope you find it helpful.
Kind regards.
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Neurology
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