HomeAnswersGeneral Practitionervertigo

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

Education:

MS General Surgery

Professional Bio:

Dr. Pandian. P has completed MS in General Surgery from Government Thanjavur Medical College, Tamilnadu. He has 51 years of clinical experience. He specializes in diabetic foot management, all general surgery cases, and post-operative care. Currently, he is practicing at Cibi Nursing Home, Chengalpattu, Chennai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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 advice 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

Education:

MS General Surgery

Professional Bio:

Dr. Pandian. P has completed MS in General Surgery from Government Thanjavur Medical College, Tamilnadu. He has 51 years of clinical experience. He specializes in diabetic foot management, all general surgery cases, and post-operative care. Currently, he is practicing at Cibi Nursing Home, Chengalpattu, Chennai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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 by Dr. Pandian. P
Medically reviewed by iCliniq medical review team
Published At June 26, 2022
Reviewed At March 5, 2026

Education:

MS General Surgery

Professional Bio:

Dr. Pandian. P has completed MS in General Surgery from Government Thanjavur Medical College, Tamilnadu. He has 51 years of clinical experience. He specializes in diabetic foot management, all general surgery cases, and post-operative care. Currently, he is practicing at Cibi Nursing Home, Chengalpattu, Chennai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

default Img
Dr. Pandian. P

General Surgery

Education:

MS General Surgery

Professional Bio:

Dr. Pandian. P has completed MS in General Surgery from Government Thanjavur Medical College, Tamilnadu. He has 51 years of clinical experience. He specializes in diabetic foot management, all general surgery cases, and post-operative care. Currently, he is practicing at Cibi Nursing Home, Chengalpattu, Chennai.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
Listen to related tracks in our music library

Related Questions

Vertigo with violent shaking coming from my shoulders. What could it be?

Is my dizziness related to any heart problem?

I have dizziness, headache, and breathing difficulty. Can vitamin B12 deficiency cause this?

Tinnitus worsening mom's anxiety. What might help her?

Will tinnitus go away on its own?

What Causes Vertigo?

Comprehensive Second Opinion

Read answers about:

dizzinessvertigo

Ask your health query to a doctor online

General Practitioner

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.