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What can be the reason behind recent episodes of vertigo and dizziness with tinnitus?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

For the past month, I have often been experiencing vertigo sensations and dizziness with slight tinnitus. Sometimes I feel more tired than usual and feel slight palpitations. I have been to audiology, and all is fine with hearing and the external and middle ear. I have done multiple blood tests (B12, iron or anemia, thyroid, diabetes, electrolytes, liver), which are all perfect. I have been given Stemetil 5 mg to take when I feel dizzy, but I do not feel much improvement.

  1. What should I do?
  2. Do you recommend having an MRI scan for peace of mind?
  3. What kind of MRI should I do, brain or internal ear?
  4. Do I need to be referred for the MRI by a neurologist, or can I go on my own?

Regarding the palpitations, I have done a 12-lead ECG at cardiology and was told I have a slight arrhythmia, nothing to worry about, and was given some Magnesium orotate. I will attach to the message a home-taken ECG report if you need to take a look at it. Please let me know what I should do for vertigo and dizziness, as it stresses me consistently.

Please help.

Answered by Dr. Pandian. P

Hello,

Welcome to icliniq.com.

Your ECG (electrocardiogram) seems to be normal. It is better for you to consult a neurologist first and then take an MRI (magnetic resonance imaging), according to the advice. At a younger age, there would not be many problems. Evaluation by an expert (neurologist) seems worthy. If it is not possible now to visit a neurologist, kindly follow up with me. I am suggesting the following for five days. Consult with a specialist doctor, talk with him or her, and take medicines with their consent:

  1. Tablet Vertin (Betahistine) 16 mg twice daily after food.
  2. Tablet Pan 40 (Pantoprazole) 40 mg twice daily before food.
  3. Multivitamin or B-complex tablets or capsules once daily.

Try to reduce the height of your pillow, avoid spicy food, and take plenty of fluids.

Further review will be done after your reply.

Thank you.

Patient's Query

Hello doctor,

Many thanks.

I need advise on this:

  1. Should I also continue taking the Prochlorperazine?
  2. Regarding the MRI, what kind of MRI is indicated?
  3. Brain or inner ear, or do they include both?

Please help.

Answered by Dr. Pandian. P

Hello,

Welcome back to icliniq.com.

Stop Stemetil (Prochlorperazine), and please consult a neurologist. You can take an MRI (magnetic resonance imaging) of the brain and a carotid Doppler.

I hope this addresses your queries.

Revert in case of queries.

Thank you.

Answered byDr. Pandian. P

Medically reviewed byiCliniq medical review team

Published At June 26, 2022
Reviewed AtMarch 5, 2026

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