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मेरे चार साल पहले हुए गंभीर एपिसोड के बाद से लगातार चक्कर आना और संतुलन की समस्या क्यों हो रही है?
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Nervous System Disorders
Question #30654
5 days ago
33

मेरे चार साल पहले हुए गंभीर एपिसोड के बाद से लगातार चक्कर आना और संतुलन की समस्या क्यों हो रही है?

Client_4be811

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

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Doctors' responses

Your persistent symptoms indeed suggest an issue related to the vestibular system, but pinpointing the exact cause requires a look at various possible conditions. Based on your description, this could be due to Persistent Postural-Perceptual Dizziness (PPPD) or vestibular migraine. PPPD is characterized by non-spinning dizziness and imbalance, which aligns with your description of persistent internal dizzines/floating sensations that worsen with visual stimulation and improve with rest. The background of stress and the symptom persistence also fit. Vestibular migraine is another possibility, particularly if there’s any history of migraine headaches. It can present with similar symptoms even without a headache during the dizziness episodes. Both conditions can coexist or overlap, making diagnosis challenging. The hypoactive right posterior canal and abnormalities in central vestibulo-ocular function from your reports hint towards central vestibular issues, pushing PPPD or vestibular migraine higher in differential diagnosis.

To manage these symptoms, consider seeking a specialist in vestibular disorders who can confirm the diagnosis with the context of your full medical history and prior test results. Treatment typically includes vestibular rehabilitation therapy, which can help your brain adapt to the dizziness by practicing balance exercises. Cognitive-behavioral therapy also often plays a role, especially for PPPD, addressing the psychological component of particularly persistent dizziness tied to stress and anxiety. Medication options, including certain SSRIs or migraine preventatives, might be recommended based on the specific diagnosis and your overall health profile. Getting guidance on lifestyle modifications, like reducing screen time and managing stress, could also contribute to symptom management. Quick follow-up with a healthcare professional is advised to explore these pathways in detail to improve your quality of life.

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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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