Giddiness Treatment In Mumbai

Giddiness means undergoing a sensation that either the person or the environment around is moving (usually spinning). This can be either a rotational or side-to-side (oscillating) movement. Only such sensation of movements is called true giddiness or vertigo


What is giddiness?


giddiness is a common complaint and has a very broad list of possible underlying causes. Giddiness is a nonspecific term which can mean true vertigo, light headedness, weakness (neurological impairment), unsteadiness, feeling faint (presyncope), funny turns, visual disturbance, or a psychological problem.

The way giddiness makes you feel - such as the sensation of vertigo, a feeling of faintness or feeling as if you've lost your balance - provide clues for possible causes. Specific triggers, such as certain activities or positions, may give clues as to the underlying cause of your giddiness. The duration of any dizziness episodes and any additional symptoms you feel can also help pinpoint the exact cause.

Many people mistakenly describe other symptoms like heaviness, light-headedness, loss of consciousness, blurring of vision as giddiness though there is no sensation of movement. These are called non-vestibular symptoms. Moreover giddiness or vertigo is a symptom and not a disease.


Causes of Giddiness


Common causes of giddiness include inner-ear disorders, medications, and alcohol.

Dizziness is often a result of vertigo. It can also be caused by a problem in the inner ear, where balance is regulated. The most common cause of vertigo and vertigo-related dizziness is benign paroxysmal positional vertigo (BPPV). This causes short-term dizziness when a person changes positions quickly-for instance, when sitting up in bed.

Giddiness develops when a sensitive structure in the inner ear - the crista or otolithic organ - is stimulated. Moving the fluid inside the semicircular canal can stimulate the crista. A simple example is the giddiness induced by a merry-go-round ride. The otoliths are stimulated by lack of gravity. Humans also lose balance due to ingestion of alcohol, which acts on the cerebellum of brain..

Alcohol also gets in and out of semicircular canal due to the difference in density between alcohol and the fluid in the semicircular canal. This results in giddiness.

Giddiness develops mostly due to inner ear disorders and less commonly due to disorders of brain. Hence it is imperative to locate the exact site of the origin of giddiness.


Symptoms of Giddiness


Symptoms of giddiness include:
1. lightheadedness
2. vertigo (spinning motion)
3. unsteadiness
4. loss of balance
5. sensation of floating or swimming
6. heavy-headedness
7. spaciness

Sometimes giddiness is accompanied by clamminess, nausea, vomiting, paleness, or losing consciousness.


Treatment of Giddiness


Expensive investigations are rarely helpful in giddiness in elderly people. The cause of the giddiness can be diagnosed in most cases on the basis of a thorough clinical history and examination and often does not require hospital referral.

Certain conditions require diet control. In some cases drugs are injected into the middle ear to control giddiness.

Giddiness is mainly a symptom of inner ear disorder and less commonly of the brain. Since the manifestation of giddiness and its accompanying symptoms like nausea, vomiting, palpitation, sweating, purging, unsteady feeling are felt far away from the site of origin; people do not associate giddiness with the ear. Hence they knock at the doors of other specialties.

1. If the giddiness starts when you get up in the morning and you feel better when you lie down - it could be orthostatic hypotention (blood pressure drops when you stand up) - could be result of medications/underlying medical condition/dehydration, etc OR benign positional vertigo (feel dizzy in certain positions) - no obvious physical cause but not related to stress and gets better with certain exercises

2. If you have other symptoms of anxiety - such as episodic excessive anxiety, nervousness, fear, increased heart rate, difficulty breathing OR persistent worry - your dizziness may relate to stress.




Management of dizziness