the word dizziness is often used loosely to describe vertigo. but technically, they are not the same.
vertigo is a symptom (not a disease!) that refers to the sensation of spinning or whirling that occurs as a result of disturbance in balance.
about 1 to 2 months ago, i had the first episode. can’t remember exactly when or how it happened but it was basically a sudden spinning feeling which lasted for a second. from then on, i get similar feelings a few times a day.
once, i recall clearly, was when i was walking towards the glass door at the reception of my office. someone was in front of me, opening the door. as the door starts to swings back into the closed position while i am a short distance away, i felt the entire surrounding spin. i quickly reach out to a chair nearby and sat down. the moment i sat down, i felt fine. the sensation lasted at most two seconds.
with the above incident, i concluded that i feel the giddiness only when something sways in front of me.
i didn’t pay much attention to it because it was definitely not life-threatening – just a little irritating that’s all.
then one day i went to see the doc for something else (flu or sore eye, i can’t remember) and i described the situation. he concluded it as an imbalance of my inner ear, possibly caused by a tiny crystallization of some sort (i forgot exactly what it is) which obstructs the smooth flow (and thus balance) of the fluids in my ear. the imbalance will happen whenever my head is in a certain position, or turns from one position to another. the doc says it’s a small issue as long as it’s not causing me any problems in my everyday life and that it will go away with time. and if it doesn’t go away, and got worse instead, i could go back and see him, and he can do something about it.
i was thinking along the lines of surgery or something to take out the ‘crystal’ thingy, so i asked “how do you do that? drill a hole near my ear or something?” and he laughed and said no, it’s just a repositioning – basically turning my head around to ‘force’ the ‘crystal’ into a place where it will not hinder the fluid movement in the ear.
so… a few weeks after the visit, the giddiness went away.
it came back last weekend. i was playing mahjong at jackson’s house, and we were ‘mixing’ the tiles when i suddenly felt myself spinning. it was quite bad and i had to press my palms onto the mahjong table with some strength to stabilize myself.
from that day onwards, the spinning became more frequent – about 5 to 8 episodes per day, each episode about 2 seconds. again, i thought nothing of it because it was manageable – just try to stay still for a while and everything will be like normal. in fact, others can’t even tell (cos my body wasn’t swaying – it’s my mind that thinks i’m imbalanced) if i do not verbalize that i just felt dizzy.
but 2 days ago, when i came out of the toilet from prawn fishing, i felt a stronger giddiness while i was walking, and i actually could feel myself steering towards the right while i walk. it was a teeny bit scary. no one was with me so i couldn’t tell whether i was really swaying towards the right, or was it all in my head. again, it all lasted for about 5 seconds and i was fine. but 15 mins later, when dearest caught a huge prawn and was trying to unhook the prawn from the rod, i suddenly held tightly to his arm. he asked me why, and i told him i felt i was falling (it was the right side again). this time round, i think i really moved towards the right side.
the next day, i decided to see a doctor.
before i went in, i felt quite nervous. cos i was wondering if the doctor will think i’m being silly, especially when i can’t find the right words to describe the spinning sensation. before that, i did some research online and found that there are many different kinds of dizziness. other than concluding it’s not related to low blood pressure (because i can differentiate the difference in the sensation compared to the kind of giddiness you feel when one stands up suddenly), and not fainting (the black-out) kind, i can’t decide whether mine was light-headedness, or vertigo or whatever.
so anyway, i described a little of the giddiness to the doctor (my favourite doc by the way) and he asked me: “did you feel the surrounding spin, or feel yourself spin?”. wow… chim question. he asked again in another way, and i still couldn’t recall. he said it’s ok, most patients can’t tell the difference (LOL, and i always thought i’m more sophisticated when it comes to describing symptoms). then he proceeded to take my blood pressure, check my eyes (follow his fingers up, down, left, right) and my ears.
here comes the interesting part. he told me to take off my glasses, stand up, put my feet together, place my hands down alongside my body… and close my eyes.
so i did… and the first time, i felt my body sway… slightly to the left, then to the right.
it was pretty scary. i quickly opened my eyes and tried to balance myself. and i heard the doc went “hmm…”
then he asked me to do it again.
this time round, i was determined not to sway. i even suggested to the doc (haha…) that maybe it was because i didn’t have my glasses on and the eyes needed time to orientate themselves with the surrounding. he said nope, that can’t be the reason.
so anyway, during the second time, my body swayed again… to the right this time.
the doc concluded that it’s indeed an imbalance issue. and he prescribed ginkgo extracts to improve the blood circulation in my ears. here’s what’s written on the box:
adjuvant therapy for improving peripheral blood flow and physical stamina and geriatric tonic for improving age related impairment of cerebral function
what the!! “age related impairment”… so sad… LOL
in any case, doc says it’s likely due to an inflammation of one of the connector from inner ear to brain (there are two, one for hearing, one for balancing. my hearing is fine, so it must be the balancing one) and that it’s not uncommon and the inflammation will usually go away on its own. however, if the symptoms come and go very often, and gets worse each time, he will refer me for a scan. he rules out brain related issues because that will usually bring about other symptoms such as numbness, facial distortion, etc.
oh, and the right type of dizziness is called vertigo. so yeah… i’m diagnosed to have vertigo!
i’m on the ginkgo for 2 days and i really feel more fresh and alert, and less giddy. i have a good feeling it works! in the meantime, i’ll make sure dearest stands on my right whenever we go out together so that he can stop me from walking towards my right… hahaha…
and while i’m at the doc, i also took a chicken pox vaccine! save on consultation fees mah… $132 poorer…