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.

Hello, With regards to your concern vertigo light headness can occur also due to cerebral infarcts or TIA. Kindly get CT scan of brain. Tablet vertin 16 mg morning and night.