Hello,
Thank you for your query at DoctorSpring.com
You are suffering from chest pain for 6 weeks (which improved 2 weeks back) and your all blood investigation were normal including Hb, counts, sugar, creatinine,
thyroid test. Only cholesterol is marginally raised.
Now issue is that you are suffering from vertigo for 2 weeks.you were told that it
is BPPV left sided, you also have body pain and nausea and vomiting, your hearing is
normal.
With all this information. it seems that your chest pain was a different problem
and this vertigo is not related to that, at your examination and ECG were normal
and you do not have any more chest pain
Now this vertigo may be BPPV and it is most common cause of vertigo, still I want
to know some more information.
-nature of giddiness- spinning or rotatory / unsteadiness
-is it episodic or persistent
-duration of each episode
-aggravating factor - change in position, looking upwards/turning head / bending
forward or lying in bed.
associated symptoms you have including nausea and vomiting with body ache and
malaise.
So two important differential will be BPPV or vestibular neuronitis or
vestibula pathy.
All can be treated very easily so need not to worry. with a detailed history and
examination we can diagnose and treat it.
Please fee free to discuss,
Hope this helps
Regards
Patient replied :
Thank you for your detailed response!
I am occasionally still having heart pain. I will not have any pain for a few days, and then I will have pain several times throughout the day. The pain is not severe.
Please see my answers below:
- -nature of giddiness- spinning or rotatory / unsteadiness
- With my eyes open I feel very steady. When my eyes are closed I feel a little bit unsteady.
- -is it episodic or persistent
- It happens when I close my eyes sometimes, so episodic.
- -duration of each episode
- When it happens the episode seems to only hast 10-15 seconds.
- -aggravating factor - change in position, looking upwards/turning head / bending forward or lying in bed.
- It occurs when the lights are off in my bed room, and I bend forward or roll over.
Hello,
With all this information most probable diagnosis is BPPV only. So you need to visit local Ent specialist , he can repeat positional test and if positive he can do epley's maneuver. Following that you can start tab. Betahistine 16 mg three times daily for five days. If positional test negative then you can do ENG ( electronystagmogram). It will give more detailed information.
Hope this helps
Best regards,
Dr. Sunil Jalan
MBBS, DLO,MS(CMC,VELLORE)DNB(ENT),DAA,MBA(HM)