The People's Pharmacy

Show 1426: Why You Feel Dizzy and What You Can Do About It

Apr 10, 2025
David Kaylie, a neuro-otologist at Duke Health, dives into the intricacies of dizziness and balance disorders. He explains the differences between vertigo and lightheadedness, exploring conditions like Menière disease and BPPV. Listeners learn about potential treatment options, including the Epley Maneuver and beta histine for Menière's. Personal stories from callers enrich the discussion, emphasizing the impact of these conditions on daily life. Kaylie also shares insights on managing symptoms and navigating communication with healthcare providers.
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INSIGHT

Balance Problems Are Highly Prevalent

  • Balance problems are extremely common with 62 million physician visits annually in the U.S. for dizziness or balance issues.
  • Diagnosing dizziness is challenging because symptoms vary and patients often appear normal during examination.
ADVICE

Treating Meniere's Disease

  • Meniere's disease involves vertigo, ear pressure, hearing loss, and tinnitus occurring together.
  • Treat it with diuretics, allergy management, low salt diet, or beta-histine (available as compounded medication).
INSIGHT

Dizziness Communication Is Challenging

  • Dizziness is hard to describe and communicate accurately between patients and doctors.
  • This communication gap leads to misunderstanding and inadequate respect for sufferers' disabling symptoms.
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