HomeAnswersNeurologydizzinessWhy I am feeling dizzy after running just three kilometer?

What could be the reason for dizziness after running short distances?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

iCliniq medical review team

Published At December 5, 2022
Reviewed AtDecember 7, 2022

Patient's Query

Hi doctor,

For the past two weeks, I have been feeling dizzy sometimes. It started after a three-kilometer run on one day morning. That day I was fasting. So hence did not eat breakfast, followed by a two-kilometer walk on a hot sunny day.

Thank you.

Answered by Dr. Hitesh Kumar

Hi,

Welcome to icliniq.com.

I would like to know some details about your symptoms of dizziness:

1. What exactly do you feel in dizziness?

a) Feeling of rotation of surroundings.

b) Feeling of rotation inside the head.

c) Feeling of imbalance while walking or in a standing position.

d) Feeling of blackening or blurring in front of the eye while getting up from a sitting position.

e) If there is something else. Please describe.

2. As it is happening intermittently, how long does one episode lasts?

3. Do you feel any palpitations, breathing difficulty, or impending doom at that time?

4. How is your sleep these days. How long does it take to get sleepy after lying in bed, and once sleepy, do you get sound sleep or have frequent awakenings?

5. How is your common mood these days? Toward the sad side, worried, happy, irritable, or something else?

6. Any history of impaired hearing, ear discharge, and tinnitus?

Thank you.

Investigations to be done

Investigations to be done are - ECG (electrocardiography). 2D Echocardiography. Holter monitoring. ENT consultation. BP (blood pressure) monitoring twice daily at home and making a chart.

Regarding follow up

Regarding follow-up, revert to the earlier details for better understanding and further judgment.

Patient's Query

Hi doctor,

Thank you for your answer.

My answer is as under

1. A feeling of rotation inside the head only.

2. A feeling of imbalance while walking is mild.

3. A feeling of blackening or blurring is very, very mild, but yes.

4. One episode has a duration of half an hour, and it comes at irregular times.

5. Do you feel any palpitations, breathing difficulty, or impending doom at that time - No.

6. How Is your sleep these days. How long time it takes to get sleepy after laying in bed, and once sleepy, do you get sound sleep or have frequent awakenings?

Answer: Nowadays, my sleep time is around four to five hours. I lay late, around 12' o clocks, and wake up around 05:30 am. However, sound sleep is like little consciousness of the surroundings as well. (I am an Ex army person).

5. How is your common mood these days? Toward the sad side, worried, happy, irritable, or something else?

Answer: It is a mix of all but nothing different or special from older days.

6. Is any history of impaired hearing, ear discharge, or tinnitus?

Answer: No history.

How to take a laboratory test? Is verbal demand of tests enough, or do I have to carry any demand certificate from any medical practitioner required?

Is ENT consult primary, or does it have to be done after the laboratory test?

Thank you

Answered by Dr. Hitesh Kumar

Hi,

Welcome back to icliniq.com.

You are describing your dizziness mix of three types

1) Feeling of rotation inside the head.

2) Feeling of imbalance while walking.

3) Feeling of blackening and blurring.

All three features point toward different possibilities.

By this description, I cannot pinpoint if your dizziness is vertigo, presyncope or postural hypotension, or imbalance in walking.

Such a mixture of symptoms can also happen in an acute anxiety spell.

You should consult physically with a neurologist, ENT (ear, nose, and throat) specialist, and cardiologist. Better will be to consult physically so that the examination can be feasible.

The investigative part may also be important. But I suggest getting it done after physical consultation.

Thank you.

Investigations to be done

Investigations include an MRI (Magnetic resonance imaging) brain and an MR angiogram of the bilateral inner ear. NCV (nerve conduction velocity) in all four limbs, 2D echocardiography, ECG (electrocardiogram), Holter monitoring, Bilateral carotid doppler, Measure BP (blood pressure) in laying and standing positions (one minute and three minutes after standing), ENT (ear, nose, and throat) consultation, and Cardiologist consultation.

Differential diagnosis

Differential diagnosis includes

1. Presyncope or postural hypotension.

2. Gait imbalance.

3. Vertigo.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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