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Dizziness: Problems
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Dizziness is a common and challenging problem for an elderly person, which requires a systematic and detailed approach. Once medical problems are identified, treatment requires careful management of each difficulty identified, with fastidious follow-up to determine whether treatment is effective or producing side effects. In some circumstances, dizziness will not respond to treatment, in which case supportive therapy will be necessary.
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Dizziness is a common problem in the geriatric population. This brief review of the causes of dizziness is divided into five main categories: 1) otologic; 2) central; 3) medical; 4) psychogenic; and 5) unlocalized.
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The Dizziness and Balance Center consists of a multi-specialty group of physicians and physical therapists with specialists from Neurology, Physical Therapy, Ophthalmology and Otolaryngology. The Center uses state-of-the art testing equipment that can be used to help in a diagnosis when the problem is not readily diagnosed during a clinical exam.
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Dizziness can be caused by constipation when pressure causes the nerves to become impinged. There are many other reasons for dizziness such as the menstrual period, an injury or a fall on the head, compacted sinuses, or blood pressure problems. [SNH p.18]
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DRUGS AND OTHER SUBSTANCES A variety of substances ingested systemically to prevent disorders of diseases can result in feelings of dizziness. In particular, overdose of aspirin and other anti-inflammatory drugs can cause problems with balance. Antibiotics taken for extended periods of time are ... known to cause dizziness. Streptomycin is known to damage the vestibular system, if taken in large doses. Medicines that are used to treat high blood pressure can lower blood pressure so much as to cause feelings of light-headedness. Quinine, which is taken to treat malaria, can cause dizziness, as can antihistamines used to prevent allergy attacks.
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If dizziness continues, drug therapy may prove helpful. Because circulatory problems often cause dizziness, medication may be prescribed to control blood pressure or to treat arteriosclerosis. Sedatives may be useful to relieve the tension that can trigger or aggravate dizziness. Low blood sugar associated with diabetes sometimes causes dizziness and is treated by controlling blood sugar levels. An individual may be asked to avoid caffeine, nicotine, alcohol, and those substances that cause allergic reactions. A low-salt diet may ... help some people.
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