Dizziness is a very common symptom in life, especially when you squat for a long time or sit and suddenly stand up. Severe vertigo can cause loss of consciousness and fall to the ground. Some people may also experience nausea, vomiting, palpitations, and sweating. This must be taken seriously! 1. Presyncope syndrome It is similar to the feeling of dizziness, blurred vision, weak limbs and unsteady standing when you suddenly stand up after squatting on the ground for a long time. In severe cases, the patient may experience blacking out, loss of consciousness, falling to the ground, and a pale face. Some patients experience nausea, upper abdominal discomfort, palpitations, sweating, etc. during an attack. During a presyncope attack, lying flat on your back can quickly improve symptoms. In most cases, presyncope syndrome is related to physical constitution, that is, it is more common in tall and thin young women and those who lack exercise. However, acute massive bleeding, heart disease, etc. can also cause syncope, and these dangerous conditions should be ruled out first. Generally, acute massive blood loss is ruled out first, especially gastrointestinal bleeding (gastric bleeding, etc.). Before vomiting blood or excreting black stools, there are often no other signs of bleeding, which can be easily overlooked. If there is no major bleeding, further investigation will be conducted with the neurology department to confirm that it is presyncope syndrome or postsyncope, and further examination will be conducted to rule out cardiac causes. If the cause is confirmed to be cardiac, cardiovascular medicine diagnosis and treatment is required. 2. Dizziness During an attack, the patient feels dizzy and unwilling to open his eyes. This attack is often accompanied by nausea, vomiting, palpitations, and sweating. Bed rest does not provide complete relief. It may be accompanied by tinnitus, hearing loss, and a feeling of blockage. The most common cause is otolithiasis, a benign form of vertigo that poses no significant danger. It usually occurs after getting up, lying in bed, turning over, or pitching forward, and disappears within a few seconds to tens of seconds. It recurs frequently and usually resolves automatically within four weeks. The diagnosis can usually be confirmed through special tests performed by an otolaryngologist. However, for middle-aged and elderly people, especially those with hypertension, diabetes, coronary heart disease, cerebral infarction and other diseases, sudden dizziness may be a manifestation of stroke and requires emergency medical treatment. 3. Imbalance It is a feeling of being unstable when standing or walking, quite similar to the feeling of a person who is afraid of heights standing on a tall building or cliff and looking down. If a normally healthy person suddenly experiences a feeling of imbalance, he or she needs to be aware of the possibility of a stroke and must seek emergency medical attention. However, the elderly, especially those with hearing or vision impairment, or those with brain, spinal cord, or nerve diseases, will have a long-term sense of mild to moderate instability. The greatest danger is falling and causing fractures, so it is best to use a cane for safety. Some anxious patients also experience a sense of imbalance, especially in open halls or squares, which is called "agoraphobia." You can see a psychiatrist. 4. General dizziness Symptoms include dizziness, heaviness, swelling of the head, mild headache, tightness of the head, etc., and a feeling of discomfort in the head, usually accompanied by restlessness, irritability, drowsiness, insomnia, memory loss, inattention, decreased work efficiency, etc. It is common in high blood pressure, anemia, colds, fever, hangover, insomnia, sleep apnea, anxiety and depression, cervical spondylosis, etc. Generally, there is no major danger. While it is important to treat the primary disease, it is also very important to correctly understand the disease, eliminate worries, and relax. |
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