How can I overcome dizziness?
Posted Monday, December 16 2013 at 02:00
Most causes of dizziness are not serious and either quickly get better on their own or are easily treated. It is usually not a disease, but a symptom of other disorders.
Dear Doctor: In 1998 when I was in Primary Six and sweeping the school compound, I suddenly found myself kneeling down because of dizziness and I was taken to hospital. All recommended tests I took between 1998 and 2005 turned out to be negative. But when I was in Senior Six, I felt the same dizziness again.
It happened in 2009, and again this year. The dizziness does not throw me down but my heartbeat will change from normal to fast. When this happens, my eyes see everything moving. After new tests, the doctor told me I have electrolyte imbalance in me that require a lot of fluid and prescribed Vitamin B complex. My dad also gets similar dizziness which I believe I inherited from him. Our family is epileptic-free and I take alcohol occasionally. How do I deal with this? Please advise.
Dear Reader: Dizziness is a symptom of other disorders the reason why it may be difficult to tell outright the cause of your problem. A doctor can diagnose your condition and its underlying cause by taking your medication history and performing a physical examination.
Apart from testing your eyes and ears, observe posture and perform tests to check your balance.
The causes of dizziness include hunger, low or high blood pressure, dehydration, disturbed electrolyte balance (like in your case) lack of blood, being under hot conditions, drugs, ear and eye conditions, and stress among many others.
Once the cause of your dizziness is determined, treatment becomes easy to undertake.
Your father could be having high blood pressure or may be on medication which does not necessarily mean the problem is inherited. The fact that your dizziness takes ages to strike back is indication that its cause is harmless and can easily be checked and treated.
Please visit your doctor again for investigation and treatment. Tests like brain CT scan may be necessary to rule out a brain cause.
Dear Doctor: Recently it was said that diabetes is on the increase among the population, and I have heard of many people who suffer from it. Does it mean that since diabetes is a disease usually associated with the rich, Ugandans are getting richer?
Dear Kasiita: Diabetes mellitus is a disorder in which blood sugar (glucose) levels are abnormally high. This is because the pancreas does not produce enough insulin or the insulin is there but not effective to adequately remove the glucose from blood and channel it to other parts of the body that need to utilise it.
There are two major types of diabetes. Type 1 whereby the pancreas is completely destroyed and therefore requires insulin injections to treat since protein insulin will be destroyed if taken orally. This is also known as insulin-dependent diabetes and is common among children.
In type 2 diabetes, insulin is present but it may be inadequate or not working properly because the target areas are resisting it. Here, genetic factors play a big role though obesity, age and pregnancy may determine its development.
Treatment is by diet, exercise, and tablets, but in many people, insulin injections are given.
The fact that type 2, which affects majority of people is associated with affluent lifestyle (eat too much and are sedentary) is not surprising because it has generally been tagged to be a disease of the rich.
The majority of Ugandans are not living the western world lifestyle (of high fat intake and being sedentary that also causes obesity), but unfortunately live below the poverty line. It is however surprising that these people are increasingly getting diabetic.
The likely cause of this malnutritional or type 3 diabetes seems to be poverty, stress, poor feeding, and drugs especially for HIV. Poor feeding in Uganda hinges on poverty and ignorance. A lot of people feed on foods such as cassava, which may unknowingly destroy the pancreas apart from many children suffering from protein deficiency (kwashiorkor).
Dear Doctor: My wife who is 35 years old has failed to have a baby after her left tube was cut out to an ectopic pregnancy. But the right tube was found to be normal after an x-ray. What could be the problem?
Dear Emmanuel: An ectopic pregnancy is one that takes place outside of a normal womb, usually in the fallopian tubes, but it may also occur in other areas including the ovaries. Ectopic pregnancies can lead to internal bleeding in the abdomen and once this happens, they require immediate surgical attention to stem blood loss and death.
Though any woman may get an ectopic pregnancy, there are several factors that put women at risk of getting it.
In Uganda, the biggest problem is sexually transmitted infections (STIs), which narrow the tubes so that the smaller sperms can pass and fertilise the bigger eggs which then grow in the tubes. The tubes may not accommodate the growing baby hence ending up bursting and causing internal bleeding.
STIs may damage the hairs (cilia) inside the fallopian tubes. Lack of cilia to propel the eggs will leave only the tailed sperms to move in and fertilise the egg in the fallopian tubes where the baby will remain and grow.