Betahistine is a drug used to treat balance disorders associated with vertigo. Vertigo is when you feel you are moving when you actually are not. This drug is also prescribed for Meniere's disease.
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My balance gets impaired when I shake my head. Please help.
Query: Hello doctor, I am a 51 year old male. I have never had any medical condition prior. I spent a very cold day outside and woke up the next day with a feel of dizzy (like I am drunk), queasy and tired. There is no pain, cough or discharge. When I move my head from side to side my balance gets impaired... Read Full »
Answer: Hi, Welcome to icliniq.com. Your problem seems to be due to inner ear infection leading to impairment of balance on head movements and ringing sensation in ear known as tinnitus. You need ear examination and complete vestibular functions assessment and evaluation by an ENT (ear, nose and throat) sp... Read Full »
Please suggest a way to get rid of inner ear fluid.
Query: Hi doctor, I was told by my primary care physician that I have some fluid in my inner ear. I have also had dizziness, nausea and feeling like the room is spinning. I also think that I have vertigo, but I am not sure. The episodes happen at night and sometimes during the day. My current medication in... Read Full »
Answer: Hi, Welcome to icliniq.com. Do your symptoms increase on changing position? Do you have fullness in the ear, ringing sensation in ear or reduced hearing? There can be two possible diagnoses in your case, but I need to know if you have any of the above symptoms. Either it can be benign paroxysmal... Read Full »
What causes dizziness when you stand up from sitting?
Query: Hello doctor, This question is regarding my mother, who is 57 years old. She is getting episodes of dizziness from the last one and a half or two years. Most of the time, they are mild, and they occur for few seconds when she gets up or sits down. Sometimes, they stay long and are associated with n... Read Full »
Answer: Hello, Welcome to icliniq.com. No, it is not something to worry about. Her symptoms and response to Vertin (Betahistine), although incomplete, suggests that these are originating from the internal ear, which is the most common cause of dizziness in old age.This occurs due to age-related changes lead... Read Full »
Is Amitriptyline better for tension-type headaches?
Query: Hi doctor, I had a mild balance problem while walking, a month and a half back. I did not have vomiting or nausea. I was put on Betahistine and B-Citam for 30 days, which cured 99 % of my balance problem. But, I felt dizzy the whole day. I also have a mild difficulty in swallowing, so I consulted a ... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query with keen interest and understand your concerns. While considering your symptoms in totality and reviewing diagnosis made by other doctors in the past, I feel a fair trial of low dose Amitriptyline should be given. Most of my patients with similar presen... Read Full »
My mom has been suffering from head spinning. Why?
Query: Hi doctor, My mom is suffering from sciatica pain. She is 45 years old. Her doctor suggested complete bed rest for two months. It has been a month for now. She is facing trouble to take breath properly (night times). She is having head spinning and a sensation of falling from bed. She is having hi... Read Full »
Answer: Hi, Welcome to icliniq.com. The possibilities for her head spinning are as follows. Probably, your mom is suffering from benign paroxysmal positional vertigo (BPPV). It can be controlled by a tablet like Vertin16 mg (Betahistine) or Stugeron (Cinnarizine) at bedtime or twice daily. The second po... Read Full »
I have been on Betahistine for more than a month. Can it be the cause of my shortness of breath?
Query: Hello doctor, Please find the attached lungs x-ray I took today. Please let me know what you think about it. The symptom associated is shortness of breath. Read Full »
Answer: Hello, Welcome to icliniq.com. I have scrutinized both views of your chest X-ray (attachments removed to protect the patient's identity)and can assure you that the lung fields are absolutely clear. However, the lowermost edges of the lungs (known as posterior costophrenic (CP) angles) do not appear ... Read Full »
I have lightheadedness. Is it due to GAD medicines?
Query: Hello doctor, I have chest heaviness and lightheadedness along with muscular spasms. Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query. Lightheadedness and feeling of fainting are either due to low blood pressure or an abnormal rhythm of the heart. You will need a BP (blood pressure) check and ECG (electrocardiogram) so that any abnormality could be picked up. Regards. Read Full »
What causes sudden dizzy episodes that last few seconds?
Query: Hello doctor, This query is about my mother. She is 57 years old. She has these dizzy episodes since last two to two and a half years. They are very short most of the time, lasting for a maximum of few seconds. It happens most of the time when she gets up from the bed or changes position on bed. She... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your question and would explain that your mother symptoms seem to be related to an inner ear disorder. There is nothing to worry about, as her situation improved with Zevert and Vertin once. For this reason, I would recommend starting again Zevert (Betahistine)... Read Full »
What could this room spinning sensation be?
Query: Hello doctor, My problems are headaches and dizziness. When I woke up this morning, my head was aching and when I stood up, I felt the room turning around. I could not stand for a long time. I have a previous history of vertigo and migraine. Please help. Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. From what you have mentioned, most probably you have vertigo which may be due to many causes like: Inflammation of the labyrinth (inside of the ear) Positional vertigo with certain movement. Meniere disease which is associated with increased pressure inside the ear... Read Full »
I am suffering from dizziness and headache. What could it be?
Query: Hello doctor, I am 30 years old. I am suffering from dizziness and headache. There is some fluid sensation in my inner head. I have seen a neuro doctor and they said there is nothing to worry. But, there is a fluid leakage sensation which is quite disturbing. I would like to take an MRI. Kindly ... Read Full »
Answer: Hello, Welcome to icliniq.com. You may be having BPPV (benign paroxysmal positional vertigo) which is nothing but an inner ear inflammation. This can be mostly due to a viral infection. An ENT doctor will easily be able to check and examine your ear and this usually does not require any test. I ... Read Full »