How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Charogat Your Own Question

Dr. Charogat
Dr. Charogat, Doctor
Category: Medical
Satisfied Customers: 1803
Experience:  Licensed in both NYS and NJ with experience in surgery and medicine.
16403115
Type Your Medical Question Here...
Dr. Charogat is online now

hi there am constantly feeling dizzy and faint and worried

Resolved Question:

hi there am constantly feeling dizzy and faint and worried going out too far
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. Charogat replied 2 years ago.
Dr. Charogat :

Hi,

Dr. Charogat :

For how long has this been going on?

Customer:

about 2 years on and of

Dr. Charogat :

Can you tell me what kind of counseling you had? (Or was it just general)?

Dr. Charogat :

Can you tell me the name(s) of the medication(s) you used?

Dr. Charogat :

For how long did you stay on that/those medications?

Customer:

just general counselling.

Dr. Charogat :

Do you have any other medical problems?

Dr. Charogat :

Do you take any medication?

Customer:

Am currently on Seroxat and Quetiapine been back on them just over a month

Customer:

was previously on many others, tried betahistine too

Dr. Charogat :

have you been cleared of any medical reasons for these feelings?

Customer:

The doc says its all anxiety related causing my symptons

Dr. Charogat :

While that sounds likely, did he do any tests?

Dr. Charogat :

The fact that you're worried about going out too far makes it sound more like anxiety too - but first any medical problems need to be addressed.

Dr. Charogat :

Have you been on any other SSRIs?

Customer:

Ive had ECG and Blood pressure and it was slighty high

Dr. Charogat :

Have you ever been on any medications like Clonazepam?

Dr. Charogat :

Have you had blood pressure first lying down then standing up?

Customer:

I take diazepam

Dr. Charogat :

How much of each medication do you take and how often?

Dr. Charogat :

What other medications do you take?

Customer:

No just sitting in chair but not visited GP for

Customer:

awhile

Customer:

25mg twice a day Quetiapine and 20mg of Seroxat in mornings

Dr. Charogat :

You need to have the test laying down then sitting up. That will tell your doctor if your blood pressure is a problem (called postural hypotention)

Dr. Charogat :

How often for the diazepam?

Customer:

every now and again, sometime daily

Dr. Charogat :

It sounds to me like you need to be on a low level of a longer acting benzodiazepine instead of only the occasional diazepam.

Customer:

oh ok. Im worried I read something about dizziness and in the paper person had labyrinthitis, could it be that?

Customer:

I do m

Customer:

I do feel more light headed when anxious tho

Dr. Charogat :

It doesn't sound like that. If it was then the betahistine would have helped it.

Dr. Charogat :

I would think you should be on a low dose clonazepam (it has a half life of 30 hours which makes it much less addictive)

Customer:

No betahistine did nothing

Customer:

clonazepam rather than diazepam?

Dr. Charogat :

yep.

Customer:

oh ok. Can diazepam makeme dizzy then?

Dr. Charogat :

diazepam is much shorter acting, and works better for when suddenly you need it, as opposed to clonazepam which has a longer time for it to maintain a steady amount of antianxiety

Dr. Charogat :

Diazepam does have the ability to make you dizzy, but it wouldn't stay that way.

Customer:

oh I see now

Customer:

Could I collapse if it is anxiety causing the dizziness?

Dr. Charogat :

Also, it sounds like you are developing agorophobia (fear of the outside). That is a condition that worsens without help. You need to find a therapist who will work with you specifically on that problem, and who will physically go out with you for some walks in order to help you not develop it further.

Dr. Charogat :

You won't collapse from that.

Customer:

I believe I am, just getting to town is real struggle

Dr. Charogat :

Even in the case that someone faints from bad news (which is similar to your case) by the time they land on the floor they wake up.

Dr. Charogat :

Is there some way you can get to a therapist who specializes in this?

Dr. Charogat :

I wish I could give you names, but I am in the US

Customer:

Im having appointments with an EFT specalist

Dr. Charogat :

I'm not sure what EFT specialist is. Is that someone who might be able to help you specifically with this?

Customer:

its Emotional freedom technique, tapping different parts of the body. Saw hypnotherapist too

Dr. Charogat :

Okay

Customer:

maybe the dizziness is caused as have constant fears my heart will just stop

Dr. Charogat :

Having that fear certainly can cause an anxiety attac.

Dr. Charogat :

It sounds to me like you are young and healthy. Is there any reason your have that fear?

Customer:

..and its with me all day as thinking all the time

Customer:

Ive read about it a long time ago that fit and healthy people just dropped dead

Dr. Charogat :

That is true, but it is exceedingly uncommon. The percentage of people that happens to is lower than the percentage of people dying from cancer, accidents, falls, suicides etc.

Dr. Charogat :

While it is a true fact, it is unreasonable to think about it constantly. This is where your diagnosis of anxiety kicks in. A person who did not have extra anxiety wouldn't worry about this.... because, as in your case, it can be crippling and isolating :(

Customer:

oh I just assume it can just happen just like that to anyone and had ECGs etc but still doesn't reassure me

Customer:

maybe sitting in all the time thinking negatively makes it worse

Dr. Charogat :

I understand. To be quite honest I also get into this kind of terrifying thinking sometimes, and what I do is find something to focus on very carefully.

Dr. Charogat :

Definitely thinking about it all the time makes it worse.

Customer:

hard to think of positive things

Dr. Charogat :

Until you find someone to work with you one on one about this problem you can try to do some complicated math problems, try maybe crossword puzzles etc. Something that will pull your mind away from that bad place.

Dr. Charogat :

It is hard when you are feeling anxious to think of good things - that is why I try to focus on something else.

Dr. Charogat :

Does this help?

Customer:

I do a lot of puzzles and play games on my phone

Dr. Charogat :

Just to summarize (and we can keep chatting also).
1. Talk to your doctor about Clonazepam
2. Find a therapist to work with you on your developing agoraphobia
3. Try to turn your mind to something else when it is going to bad places.

Dr. Charogat :

Games on your phone don't really make you think too much.

Dr. Charogat :

If you can actually sit down with a pen and paper that works much better.

Dr. Charogat :

There is also a kind of therapy that is called CBT cognitive behavioral therapy - that teaches you effective ways to keep your mind away from those issues.

Dr. Charogat :

I saw such a group run with people who had PTSD from being near the World Trade Center 9/11/01 - when they came crashing down.

Dr. Charogat :

Worked properly it can be very effective.

Customer:

oh cool, ill try keeping myself busier

Customer:

CBT doesn't really work for me

Dr. Charogat :

Another thing I've found (you can decide to try this, or not), try to get involved with people who need help. When you are helping someone else with their problems (even physical problems --- someone needs something moved and can't do it alone, someone needs a ride somewhere etc) it often helps your own problems be somewhat diminished.

Customer:

and you forget your own problems?

Customer:

need to ort my diet out too

Dr. Charogat :

You don't forget them, but your mind is busy with someone else's problems so at that time you don't think about your own.

Dr. Charogat :

Definitely should have a healthy diet

Customer:

need to drink more as well hardly drink much

Dr. Charogat :

Certainly that is important as well.

Dr. Charogat :

So while you stay physically healthy, you need to get mentally healthy as weel.

Dr. Charogat :

whoops -- as well

Customer:

only seem to drink in evenings

Dr. Charogat :

You can make a chart for yourself with 8 check boxes. As soon as you get up take a drink and check off the first text box. Throughout the day keep checking boxes any time you can get a drink and that way you will hopefully be more successful at getting the full amount that you should (8 cups of water per day)

Dr. Charogat :

If it is easier to drink something flavored then you can either use some of the flavor drops, or you can water down whatever sweet drink you like - but water it down significantly.

Dr. Charogat :

Caffeine doesn't count towards the 8 cups

Customer:

ok and maybe that will help the dizziness

Dr. Charogat :

Absolutely.

Customer:

oh caffeine doesn't count?

Dr. Charogat :

If you remember the test I mentioned closer to the beginning of this conversation -- blood pressure laying down then sitting up -- one of the things that helps tell you is if you are dehydrated.

Dr. Charogat :

Caffeine is a diuretic. Anything you drink with caffeine causes you to urinate, leaving less water in the body.

Customer:

maybe im having too much caffeine

Dr. Charogat :

that could certainly be causing some of your symptoms.

Dr. Charogat :

Is there any way you can cut it out of your diet?

Customer:

I could do. I do eat too many cakes and crisps too

Dr. Charogat :

Is there some way you can make an appointment with a nutritionist?

Customer:

I could try to or dietician?

Dr. Charogat :

(Sorry it is taking time -- my computer keeps jumping me over to a window for payment)

Dr. Charogat :

I think seeing a dietician would help you with some things. Once you decide on a diet with someone, and know you will be answering to them if you are keeping to it or not, that is very motivating.

Customer:

Ok ill try and get appointment with dietician

Dr. Charogat :

That sounds like a good idea. Along with the other three I listed earlier.

Customer:

ok ill give that a try

Dr. Charogat :

Was there anything else you wanted to ask?

Dr. Charogat :

Have you been happy with my service?

Customer:

am guessing if I have another medical question need to ask it again from beginning?

Dr. Charogat :

Depending on what.

Dr. Charogat :

I also want you to realize that I only get paid once you accept the answer and rate me (hopefully excellent service), so I'd appreciate if you would do that.

Customer:

Yeah definitely ill do that

Dr. Charogat :

Thank you :)

Customer:

thank you for your help

Dr. Charogat :

Happy to be of help.

Dr. Charogat :

Would you like to ask your other question?

Dr. Charogat :

If you find it helpful you can always add a tip to the cost of the original question.

Customer:

was just going to mention a bloodshot eye; should I be concerned?

Dr. Charogat :

Can you tell me more about it?

Customer:

woke up this morning and the side of the eye is bloodshot

Dr. Charogat :

is it pink or bloody

Customer:

bloody

Dr. Charogat :

Does it itch or hurt?

Customer:

no doesn't itch or hurt

Dr. Charogat :

In that case I wouldn't worry about it.

Customer:

oh ok it will go on its own then?

Dr. Charogat :

Try to make sure not to be rubbing it.

Dr. Charogat :

If you develop any pain at all it will need to be examined.

Customer:

ok cool thanks

Dr. Charogat :

Is it bloody like it looks as if blood is going to drip out?

Dr. Charogat :

Is there any chance you had any trauma to your eye? Banged it?

Customer:

no doesn't look like blood will drip out

Customer:

no didn't bang it.

Dr. Charogat :

Okay... then it should be okay. Watch for any changes - but if there aren't any then it should heal by itself. If it gets itchy or painful then it can also be something contagious so it would need to be seen.

Customer:

ok thanks.

Dr. Charogat :

Have a great day

Dr. Charogat :

G-d Bless

Dr. Charogat :

please feel free to come back with any other questions.

Customer:

ok cool

Dr. Charogat, Doctor
Category: Medical
Satisfied Customers: 1803
Experience: Licensed in both NYS and NJ with experience in surgery and medicine.
Dr. Charogat and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions