Frag-Einen

Ask a doctor on the topic of General medicine

feeling of dizziness

Hello, I have been experiencing a feeling of dizziness for about 3 weeks now, sometimes with very mild vertigo. I also have pain in my cervical spine for which I am currently receiving massage and mud therapy. Unfortunately, this feeling of dizziness is still present.

The feeling of dizziness lessens or disappears when I lie down. However, as soon as I stand up, it comes back and persists constantly.

I have heard various theories about what could be causing this:

- Intestinal fungus
- Psychological
- Cervical spine issues
etc.

In fact, a week before I had gastrointestinal problems where my doctor was unsure of the cause. However, this has since resolved.

About me:

Height 1.74m
Weight 76kg

I exercise a lot

Thank you very much.

Björn Biermann

The complaints you describe are a common phenomenon and can have a variety of causes. For this reason, there are also so many "wild theories". It is recommended, as with all things that are not easy to solve, to proceed by exclusion. In doing so, you will also need to perform some diagnostic tests. Dizziness that disappears when lying down and returns when standing up may initially suggest low blood pressure to any clinician. That would be the first diagnostic test.
If the "gastrointestinal problem" has been accompanied by severe diarrhea, a lot of fluid and blood salts (electrolytes) may have been lost, which should be replaced if inadequate. There are various over-the-counter remedies available at pharmacies, where your pharmacist can surely advise you well. This would be the most obvious, as you probably sweat a lot during sports and lose additional electrolytes.
Other causes could lie in heart diseases, which can lead to insufficient heart function under stress. You may notice this during sports due to decreased performance. A heart ultrasound examination would provide insight.
An ENT specialist may also help clarify your complaints. There are inner ear diseases that can cause "dizziness".
Whether the symptoms could be caused by changes in the cervical spine can usually be determined by an orthopedist during the clinical examination.
A word on the psychological aspect. Personally, I believe that as doctors, we should exhaust all diagnostic measures first to rule out an organic disease. Only if these do not provide any clear findings, should we consider a psychological influence on the symptoms.
I know that all these explanations do not directly answer your question. However, you can take active steps to contribute to clarification by discussing the above-mentioned tests with your treating physician. I hope I have provided you with a useful guide and wish you a happy Pentecost.

P.S.: ...I have never heard of intestinal fungi causing dizziness.

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Björn Biermann

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