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Dizziness could hide more serious illnesses

Dizziness could hide more serious illnesses


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Dizziness and balance fluctuations: serious illnesses possible
Dizziness is one of the most common symptoms that patients describe as complaints in practice. Rotational vertigo is not only uncomfortable, it also requires treatment. A disease is often hidden behind it. Very often there is a disturbance in the balance organ. Cardiovascular diseases are also possible. Therefore an in-depth diagnosis is necessary.

Dizziness is the second most common symptom in German practices: about one in ten is affected. What many do not know: dizziness does not describe an independent clinical picture, but is a symptom of various diseases. The most common cause of acute dizziness is a functional disorder in the balance organ. When it comes to finding the cause and subsequent therapy, patients therefore initially belong in the hands of ENT doctors, as the HNOnet NRW, an association of resident ear, nose and throat doctors, points out.

Through a targeted survey, otolaryngologists find the first indications of possible causes of dizziness. A spinning dizziness with an acute onset and aggravation with fast movements already indicates a disturbance in the inner ear. Situation-related dizziness with feelings of anxiety and circulatory symptoms, however, is more psychological. There is also often the so-called migraine dizziness, which is sometimes accompanied by a headache. Dizziness with neurological causes is more characterized by a diffuse dizziness and possibly other neurological failures such as visual disturbances.

Special tests, hearing tests and also balance tests provide information about the exact cause. For example, the otolaryngologist carries out various balance tests, such as videonystagmography and posturography. “We determine the function of the balance organs and the patient's ability to coordinate. This is how we determine how much the balance function is impaired and how high the risk of falling, especially in older patients, ”explains Dr. Uso Walter, CEO of HNOnet and practicing ENT doctor in Duisburg.

If dizziness arises from a disease in the balance organ, ENT doctors will then develop an individual therapy concept based on various components. This includes medication and physiotherapy measures with posture and vertigo training. "Especially if the dizziness has persisted for a longer period of time, the patient's cooperation with the dizziness training is necessary," explains Dr. Walter.

“Many ENT doctors also offer a new type of balance coordination system for training. Through various exercises, critical situations for the balance organ are deliberately brought about. For example, those affected use eye and body movements to compensate for deficits. ”As a result, they learn to keep their balance in the future and no longer react to difficult situations with dizziness symptoms. However, the training must be repeated regularly and for a long time. In general, however, the following applies: Do not ignore frequently recurring dizziness symptoms, as this can hide serious illnesses. (sb)

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Video: Persistent Postural-Perceptual Dizziness PPPD (May 2022).