Discussions By Condition: I cannot get a diagnosis.

Teenage daughter extreme fatigue and vertigo

Posted In: I cannot get a diagnosis. 5 Replies
  • Posted By: Anonymous
  • July 21, 2010
  • 06:35 PM

:confused: My 15 year old daughter has been experiencing extreme fatigue and vertigo for several years. Sometimes the vertigo is so extreme she can't walk and even vomits. Her physical stamina is so poor she usually naps every day and the idea of participating in sports activities in impossible. Two years ago, she had a CT of her brain done and heart study, both came back normal. I noticed it usually gets worse during her period and we thought it was part of her hormones straightening themselves out. However, her fatigue and episodes of vertigo have hurt her in school and now she is in home-school (mostly for academic reasons). The homeschool lets her lie down when the dizzy spells come on or if she feels nausea. Could this be something serious even though the CT and heart monitor came back OK?

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  • :confused: My 15 year old daughter has been experiencing extreme fatigue and vertigo for several years. Sometimes the vertigo is so extreme she can't walk and even vomits. Her physical stamina is so poor she usually naps every day and the idea of participating in sports activities in impossible. Two years ago, she had a CT of her brain done and heart study, both came back normal. I noticed it usually gets worse during her period and we thought it was part of her hormones straightening themselves out. However, her fatigue and episodes of vertigo have hurt her in school and now she is in home-school (mostly for academic reasons). The homeschool lets her lie down when the dizzy spells come on or if she feels nausea. Could this be something serious even though the CT and heart monitor came back OK?I would check with a neurologist, ear (ENT), and check thyroid.
    Med Student 64 Replies Flag this Response
  • POTS (postural orthostatic tachycardia) a form of Dysautonomia .. ones period can trigger it off worst!! POTS symptoms can vary from day to day. They tend to multiply and become exaggerated upon upright posture. Blood flow and blood pressure regulation are also abnormal while supine or sitting, but these abnormalities may not be as apparent and may require orthostatic stress to become evident (Stewart & Erickson, 2002). Some patients do report symptoms occurring while sitting or lying down. Heat, exercise and eating can exacerbate symptoms. Women sometimes report an increase in symptoms around menstruation. the above quote is from http://www.dinet.org/symptoms.htm Teenagers sometimes develop the disorder during the years of rapid growth, and 75-80% of them can look forward to being asymptomatic when they reach adulthood (Grubb, Kanjwal & Kosinski, 2006). The symptoms of POTS are life altering and debilitating at times. POTS patients use about three times more energy to stand than a healthy person (Grubb, 2002). It is as if these patients are running in place all the time. Activities such as housework, bathing, and even meals can exacerbate symptoms (Grubb, Kanjwal & Kosinski, 2006). Research shows that POTS patients' quality of life is similar to those with congestive heart failure and chronic obstructive pulmonary disease (Benrud-Larson, Dewar, Sandroni, Rummans, Haythornthwaite & Low, 2002) Twenty-five percent of people with POTS are disabled and unable to work (Goldstein, Robertson, Esler, Straus, & Eisenhofer, 2002). Most patients will have to make some lifestyle adjustments to cope with this disorder. It was once estimated that nearly 500,000 Americans had POTS, which made standing up a challenge (Robertson, 1999). However, with research advances and growing physician education the number of people found to have POTS symptoms is steadily rising. It is now estimated that one out of every hundred teens has POTS (Fischer, 2007). POTS patients tend to be between the ages of 15 and 50 (Grubb & McMann, 2001, p. 65). Women are 5 times more likely to develop POTS than men (Grubb & McMann, 2001, p. 65) POTS is not a heart issue thou it causes a heart symptom which will be picked up with something like tilt table testing. POTS is a autonomic nervous system dysfunction issue.
    taniaaust1 2267 Replies Flag this Response
  • Hi i woud have her potassium evel checked:cool:
    stargate 3 Replies Flag this Response
  • Have her go to an ENT and be evaluated for BPPV, meniere's or endolymphatic hydrops and maybe some vestibular rehabilitaion. The POTS does not sound relevant in this case.
    Anonymous 42789 Replies Flag this Response
  • :confused: My 15 year old daughter has been experiencing extreme fatigue and vertigo for several years. Sometimes the vertigo is so extreme she can't walk and even vomits. Her physical stamina is so poor she usually naps every day and the idea of participating in sports activities in impossible. Two years ago, she had a CT of her brain done and heart study, both came back normal. I noticed it usually gets worse during her period and we thought it was part of her hormones straightening themselves out. However, her fatigue and episodes of vertigo have hurt her in school and now she is in home-school (mostly for academic reasons). The homeschool lets her lie down when the dizzy spells come on or if she feels nausea. Could this be something serious even though the CT and heart monitor came back OK? I agree with the previous person who suggested POTS. My daughter was diagnosed 2 years ago. We finally had to go to a cartiologist and have the tilt table test ... heart rate goes up blood pressure falls, then they pass out. It is worse during your period. What works for my daughter is pressure stockings, lots of gatorade (not water), and salt tablets. Look this up you'll be shocked when you see the symptoms. Its called POTS for short, but the name is Postural Orthostatic Tachycardia Syndrome. Good luck...I've been where you are now.
    Redeyedwolf 12 Replies
    • October 9, 2010
    • 02:38 PM
    • 0
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