Vertigo like symptoms and light headed ness - #9424

Dear Jayanta, I understand how concerning it must be to experience persistent lightheadedness and severe weakness for such a long time, especially without other major symptoms. Given your recent inguinal hernia surgery (March 17, 2025) and the swelling at the surgical site, several possibilities need to be considered: 1. Causes of Lightheadedness & Weakness Since your symptoms have lasted for three years, potential causes could include: • Postural Hypotension – A drop in blood pressure when standing up suddenly. • Anemia – Low hemoglobin levels can cause chronic weakness and dizziness. • Vitamin Deficiencies – Deficiencies in Vitamin B12, Vitamin D, or Iron can cause fatigue and lightheadedness. • Blood Sugar Issues – Fluctuations in blood sugar levels (prediabetes/diabetes) can contribute to these symptoms. • Cardiac Issues – Irregular heart rhythm or poor circulation may lead to dizziness and weakness. • Neurological Causes – Chronic lightheadedness can sometimes be linked to cervical spine issues, vertigo, or mild autonomic dysfunction. • Post-Surgical Fatigue – Since you recently had surgery, post-operative weakness and mild inflammation could be contributing. 2. Next Steps for Diagnosis To pinpoint the exact cause, I recommend the following tests: • Complete Blood Count (CBC) – To check for anemia or infection. • Vitamin B12, Vitamin D, and Iron Studies – To rule out nutritional deficiencies. • Random Blood Sugar & HbA1c – To check for blood sugar fluctuations. • Electrolytes (Sodium, Potassium, Magnesium, Calcium) – Imbalances can cause weakness. • ECG & Echocardiography (if needed) – To rule out heart-related causes. • Postural Blood Pressure Check – To assess for hypotension. 3. Management & Recovery • Hydration & Diet – Drink plenty of water and consume a balanced diet rich in iron, protein, and vitamins. • Gradual Movements – If you experience lightheadedness while standing, try getting up slowly and avoid sudden postural changes. • Exercise & Mobility – Light physical activity like walking and stretching can improve circulation and energy levels. • Post-Surgery Care – Since your surgical site has some swelling, it’s important to follow up with your surgeon to rule out fluid collection or mild recurrence. Since your symptoms are chronic and persistent, I strongly recommend a consultation with a physician for a detailed evaluation and blood tests. If you experience any worsening symptoms like severe dizziness, fainting, chest pain, or swelling worsening at the surgical site, seek urgent medical attention.