Dr. Hitesh Kumar
Neurology
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Patient's Query
Hi doctor,
I am a 53 year old female, and I weigh 60 kg and 5.3 feet tall. From the last 2.5 years, I have suffered from headaches and balance problems. I had an magnetic resonance imaging (MRI), which was seen by an ear, nose throat (ENT) two years back, and it was all clear. At that time, I was off work for six months as I kept stumbling. These symptoms never completely go but get manageable. Also since this started, I have tinnitus, and I have been off work for a month now. My general practitioner (GP) put me on Amitriptyline, starting at 10 mg and increasing the dose every two weeks by 10 mg currently up to 80 mg. The headaches are not as bad, but my balance is awful. I now get tingling or numbness in my head, fingers, and toes. The GP said that I do not need another MRI. This is now controlling my life, and I work as an occupational or physiotherapy technician, so I am unable to do my job. Sometimes I get blurry vision.
Hello,
Welcome to icliniq.com. I would like to know some details or your problem: 1. What exactly happens in balance problem? Do you fall while walking? Or have a feeling of falling? 2. Do you have any associated hearing problem? 3. Is there a history of any ear discharge? As your primary complaint is tinnitus and balance problem, you should get an Ear, nose, and throat (ENT) check up. It might be Meniere's disease. Until you meet an ENT specialist, I suggest you try taking the following: 1. TabletBetahistine 16 mg, three times daily. 2. Vestibular exercises (Physiotherapy).
Patient's Query
Hi doctor,
Thank you for replying. I have no ear discharge, but I get a feeling of fullness in the ears and sometimes a burning sensation. I have never fallen, but it feels like I am walking on a rocking boat, then all my ankles go weak, and I tend to veer off to the right. My tinnitus is worse in my left ear, and I do still get headaches. My doctors put it down as vestibular migraines, and they recently put me on tablets for dizziness, but they made no difference. So, I was told to stop taking them. The numbness in my head is the top, back, and sides, with numbness in fingers and toes. Thanks.
Hello,
Welcome back to icliniq.com. I strongly suggest you consult an ear nose and throat (ENT) specialist. Feeling of fullness in ears with tinnitus and balancing problem can suggest Meniere's disease. I am not sure about vestibular migraine, but before labeling it as "vestibular migraine" all other possibilities should be ruled out.
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Neurology
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