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कठिन तनाव और अचानक चक्कर आने के बाद मेरी लंबे समय से चक्कर और संतुलन की समस्याओं का कारण क्या हो सकता है?
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Nervous System Disorders
Question #30653
5 days ago
40

कठिन तनाव और अचानक चक्कर आने के बाद मेरी लंबे समय से चक्कर और संतुलन की समस्याओं का कारण क्या हो सकता है?

Client_4be811

The text is already in Bengali, so no translation is needed.

How often do you experience dizziness or imbalance?:

- Daily

How would you rate the intensity of your dizziness?:

- Very severe — constant and debilitating

Do you notice any specific activities that worsen your symptoms?:

- Walking or standing

Have you experienced any additional symptoms alongside dizziness?:

- Nausea or vomiting

What treatments have you tried so far for your dizziness?:

- Therapies or exercises

Has your dizziness affected your ability to perform daily tasks?:

- Severely

Do you feel more dizzy in certain environments?:

- Busy or crowded places
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Doctors' responses

The symptoms you’re experiencing, such as long-term dizziness, imbalance, and issues exacerbated by visual stimuli, indeed suggest a vestibular (balance) system disorder. Your MRI findings indicating a mild hypoplastic cerebellum and the vHIT, VEMP, and VNG results pointing to vestibulo-ocular and utricular abnormalities are consistent with issues in your vestibular system. Given the onset during a period of high stress and the nature of the symptoms, there’s a possibility of PPPD (Persistent Postural-Perceptual Dizziness) or Vestibular Migraine. PPPD is a chronic condition characterized by non-spinning vertigo and visual sensitivity, often triggered by initial stressful or vestibular events. Vestibular migraine could also be considered, particularly if there’s any history of migraine headaches, as it can present with dizziness and visual dependence without typical headache.

For managing these conditions, it’s essential to work closely with a specialist, such as a neuro-otologist or neurologist, who can tailor treatment to your specific needs. Treatment for PPPD often involves vestibular rehabilitation therapy, which focuses on retraining your brain to adapt to balance changes through specific exercises. Cognitive behavioral therapy (CBT) may also be helpful to manage anxiety and stress that can exacerbate symptoms.

For Vestibular Migraine, lifestyle modifications including regular sleep patterns, hydration, and avoidance of known triggers are crucial. Medications like beta-blockers, calcium channel blockers, or certain anticonvulsants might be prescribed to prevent migraines.

You should discuss with your healthcare provider the possibility of a detailed vestibular rehabilitation program and potentially seeing a headache specialist. It’s important to establish a comprehensive treatment plan that’s feasible within your daily life, and to monitor your condition with regular follow-ups, ensuring any changes can be addressed promptly.

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
2 days ago
5

Hello dear See you have combination of Balance issues Cognitive dysfunction Focus impairment However it can be modified by following precautions Do meditation Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day In addition please get following tests routinely for confirmation CBC Serum ferritin Serum tsh Serum dopamine and serotonin Serum bradykinin EMR Mri Ct scan Brain USG Hopefully you recover soon Regards

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