What diagnosis would you give if a patient came to you saying he had been having dizzy spells almost daily. One day while walking the treadmill the peron almost fell because of dizziness. The patients is a healthy 65 year old female in good health, as far as she knows.What are the possible concerns?
Hi, Thank you for posting your query. The commonest cause for dizziness in a 65-year-old would be BPPV- benign paroxysmal position vertigo. This is because of minor problems in the middle ear. Other causes to be looked for are cervical spondylosis, low hemoglobin, low blood pressure on standing, and lack of blood flow to brain (ischemia). A neurological examination and investigations would help confirm the diagnosis. As of now, he can take betahistine tablets to get relief from his symptoms. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/