feeling dizzy or lightheaded when i sleep - #15543
hello doc been feeling dizzy or lightheaded when i sleep and when i turn my head while in the sleeping postition plus sweating its months now it comes and goes. first went to doc was treated with dengue fever but keeps feeling this way after month of treatment that was last year .Help understand what it is ?
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Doctorsā responses
Hello ,
It can be BPPV or inner ear imbalance or low blood pressure. Need some tests and physical evaluation to confirm the diagnosis.
šPlease consult an ENT -he/she will do some Positional tests, Inner ear balance tests Bp evaluation Thyroid tests and blood count if needed.
šDonāt worry Its manageable.
I trust this helps Thank you
You have:
Dizziness/light-headedness when lying down Dizziness when turning your head while in bed Sweating Symptoms on and off for months Dengue treated last year, but symptoms continued afterward This combination strongly suggests a problem with the inner ear (vestibular system) or autonomic nervous system, NOT dengue anymore.
Dizziness or lightheadedness when lying down or turning your head while sleeping could stem from a few possible causes. One of the most common is benign paroxysmal positional vertigo (BPPV), where small calcium crystals become dislodged in the inner ear canals leading to these symptoms. Another possibility could be vestibular neuritis or labyrinthitis, which you may not have entirely recovered from if such infections were part of your past medical history. Situations like dehydration, anemia, or low blood sugar levels especially common if youāve been battling post-viral fatigue, can also occasionally trigger these sensations. Considering your history of dengue fever, itās important to rule out any lingering effects like decreased blood volume or postural orthostatic tachycardia syndrome (POTS), which can cause similar symptoms when changing positions. You noted sweating is occurring, this might hint towards an autonomic nervous system issue, where faintness, dizziness and sweating are part of the bodyās response to triggers like position change. Meanwhile, hereās what I recommend: ensure youāre staying well hydrated and maintain your electrolyte balance with a balanced diet. Be sure to move slowly when changing from lying to sitting or standing positions. However, it is crucial that you consult with a healthcare professional again, especially as this has been ongoing for months, to get a precise diagnosis. You may need a physical examination that focuses on the ears and balance, perhaps with maneuvers to test for BPPV or other vestibular disorders. Additionally, getting blood tests to check hemoglobin levels and other markers might provide further clues to any underlying condition. Ultimately, close follow-up with your doctor is essential to address these bothersome symptoms properly.
Hello dear See dengue is quite devastating disease which cause strong discomfort and excess weakness even after completion of treatment I think probably you are having similar symptoms to that I suggest you please follow below precautions and medication for relief Take zincovit multivitamin onca a day for 1 month Take vitamin d sachet once a week for 1 month Take good proteinacous diet Take live 52 for liver growth Take abundance of vegetables In case of no recovery in 2 weeks consult general physician medicine for better clarity. Hopefully you recover soon Regards
Hello Money By going through your history and evaluation of your health status I must say that the most common causes for dizziness or lightheadedness in bed (especially with head movement) are: - Benign Paroxysmal Positional Vertigo (BPPV):This is a common inner ear problem where tiny crystals in the ear get dislodged, causing dizziness with certain head movements, especially when lying down or turning in bed. - Low blood pressure:Sometimes, blood pressure drops when you change positions. - Anxiety or stress:Can also cause these symptoms, especially if youāre worried about your health. I am suggesting you a medicine for a releif but please make sure to visit ent specialist for better evaluation. Rx - Betahistine 8mg - only when vertigo happens
Donāt worry you will get fine soon .
Thank you
Hello Money, thank you for sharing your concern. According to what you mentioned, seems like you have some issue with your vestibular system. It needs physical evaluation by a certified ENT specialist.
It is not because of Dengue. Symptoms of Dengue donāt last long.
Feel free to reach out again.
Regards, Dr. Nirav Jain MBBS, DNB D.Fam.Med
Dizziness and light-headedness when lying down or turning your head ā especially if it has been happening for months ā is commonly seen in inner-ear balance problems like BPPV or chronic vestibular issues, not dengue. Night sweating plus positional dizziness also means it should not be ignored and needs proper evaluation rather than repeating past treatments. Please consult an ENT or neurologist for a vestibular examination, positional tests, and possibly an inner-ear scan to confirm the cause and start the correct treatment.
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