Discussions By Condition: I cannot get a diagnosis.

Need help with these symptoms

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: DellaB
  • September 25, 2008
  • 08:25 PM

I've been feeling very drowsy, lightheaded and have intermittent fever. The fever is usually accompanied by headaches.

The docs have said it may be a virus (my BP is normal and my bood tests also came out normal). I was prescribed something for the nausea and dizziness, it's worked on the nausea, but my lightheadedness is back.

Are there any other causes for these symptoms? Should I request to have a MRI done?

Hope someone can help.

Thanks so much.

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5 Replies:

  • Well, a good number of points need clarification and as a physician, I'm going to share with you that seeking a clinical diagnosis over the internet holds little, if any, value. While generalizations can be made, the absence of standard protocols such as direct examination and laboratory testing leaves little more than an opinion by which to respond to your inquiry. The timeframe over which these symptoms have occurred is primary and the order in which they appeared. In other words, when did the symptoms start, in what order did they appear and have the symptoms been steadily growing worse, remained constant, or now appearing to somewhat resolve? The typical course for a viral infection is 7-10 days and whether you treat it or not, the time for resolution is about the same. I'm uncertain why you would want to seek an MRI, other than for reassurance that it's not something like a brain tumor. The characteristics of brain tumors do not follow the pattern of symptoms you've described and most often present very odd physical and/or cognitive problems related to the brain region where the space-occupying mass is located. I am of the opinion that an MRI under the circumstances would be entirely unwarranted. Light-headedness and nausea can occur from disturances of the vestibular system, which provides and receives feedback regarding the ability to stand upright or balance oneself by relation to the environment. Viral illnesses can indeed affect the vestibular system, but if the course of your symptoms have been more insidious or slowly gradual and have been present for more than 2 weeks, then other causes may be a consideration. It would be pointless to provide a list of differentials until some clarification is made regarding the nature of your symptoms. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • September 25, 2008
    • 10:39 PM
    • 0
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  • Thanks so much J Cottle! Yes sorry I should have mentioned that I've had these symtoms for about 3-4 weeks now. The MAIN symptoms is dizziness/lightheadedness, and it is accompanied by general weakness/lethargy and drowsiness. So far I can function normally, but I just feel uncomfortable and anxious. If anything has gotten worse, it would be the dizziness. When I get the headaches, they are accompanied by fever, and the dizziness dies down somewhat. When the dizziness returns, the fever and headache die down (though they don't go away completely). I also get frequent eyelid twitches, not too frequent, but they happen during the day. I just thought of a tumour/CT/MRI just in case these were symptoms trying to tell me something. I've never had these symptoms before, especially never the dizziness, hence why. Thanks so much again, and if there's anything else you could comment on from what I've said now, would very much appreciate it. I am going back to my GP tomorrow as well. Cheers again.
    DellaB 2 Replies
    • September 25, 2008
    • 11:56 PM
    • 0
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  • I'm not sure why my reply yesterday didn't get posted; well, I've had these symptoms for the past month now. I went to the doc today again, who said i had a stiff neck, and that could be causing it, with reasons such as bad posture and stress. He also ordered a urine tests and a couple of more blood tests (one of them to check my gluten tolerance). He also referred me to an ENT specialist. I guess I'm just sick of feeling dizzy all the time, more than anything else. And becuase it's been going on for more than a month, I was wondering if I needed to request a CT or MRI. I'm hoping to feel better soon, but if there's anything else you can suggest, would be much appreciated. Cheers
    DellaB 2 Replies
    • September 27, 2008
    • 00:00 AM
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  • Hi DellaB,this is and old post, but I wanted to know if you finally found out what was causing your symptoms? You practically described what I am having right now:Intermittent "increased body temperature" (about 99F, which feels like dying to me :P) accompanied by lightheadedness and sleepy feeling (tired eyes) when standing for a prolonged time. Sometimes it causes palpitations, but I think it's anxiety related because I get scared of the lightheadedness feeling. It was going on for 2 weeks now without signs of decrease.I wonder if it could be stress-related..? I am working lots of hours on the computer.
    codexpoet 2 Replies Flag this Response
  • Also, cardio problem has been ruled out and blood tests (from vein and artery) were ok except of slightly elevated value for white blood cells. The doctors shake their head and don't know what to suggest...
    codexpoet 2 Replies Flag this Response
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