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18 Jul 2005

DIzziness and fainting
My father has been struggkling with dizziness and fainting epsiodes since December 2004, the frequency of which is increasing lately specifically at night when he goes to bed.
He has seen several specialists and had a battery of tests including: sleep clinic for sleep apnoea, ecg, brain mri, blood tests, hearing and balance clinic. He has a c-pap machine which he cannot get used. The cardiologist said his ecg did not reveal much but perhaps a pacemaker would help with any irregular heart beats. His mri showed previous cardiac activity. He is diabetic and has high blood pressure.
What could be causing the dizzy episodes?
Answer 345 views
Expert
HeartDoc

01 Jan 0001


Dear Worried,

It sounds as though your Dad has been thoroughly investigated, by doctors who have examined him and interpreted the results of his tests. I am thus not in a position to add much more Iā€™m afraid. If he was given a CPAP machine, that implies that he has some form of respiratory problem, possibly with a heart problem too. As he is diabetic and hypertensive, he is at high risk for heart problems. Also, remember that the symptoms experienced by diabetics with heart problems are very often unusual, and this can make it very difficult to reach a diagnosis, because the classical signs are missing. For example, diabetics often do not have angina, even when they have extensive atheroma of their coronary arteries, so they may remain untreated for years until they finally have a heart attack. This heart attack might have been prevented if they had experienced the usual warning signs of chest pain ā€“ but, because they did not, their problem was never known, until the damage was done.

Your Dad may do best in the care of a Diabetologist ā€“ that it, a specialist physician who has extra training and experience in the management of diabetes.

I wish him well.

HeartDoc
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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