Talk:Dizziness

Site of Blood
what about dizziness which is caused by the site of blood — Preceding unsigned comment added by 217.132.102.216 (talk) 21:35, 28 December 2005 (UTC)


 * Please be more specific. Site of the blood? You mean http://www.bloodjournal.org ? JFW | T@lk  13:34, 29 December 2005 (UTC)


 * Come now, JFW, I think we all know what he means. Dizziness caused by the sight of blood is more than likely a symptom of hemophobia, the fear of blood. StratfordHeights 00:19, 25 March 2007 (UTC)


 * What about dizziness caused by excessive consumption of alcohol, marijuana, etc. — Preceding unsigned comment added by 70.71.2.114 (talk) 04:41, 7 September 2006 (UTC)


 * This would be a symptom of drunkenness or cannabis intoxication, respectively. StratfordHeights 00:19, 25 March 2007 (UTC)


 * Fainting at the sight of blood would be a type of vasovagal syncope, likewise, feeling dizzy but not fainting would come under pre-syncope 90.204.248.239 (talk) 23:28, 11 November 2015 (UTC)

Title
Should the title of the article be Dizziness instead of dizzy? I'm not an expert at grammatical terms but "dizzy" seems to be more a state of being such as "I am dizzy" or "They are dizzy" whereas dizziness is the state being experienced. The article is describing the sensation of dizziness. There is no such term as the sensation of dizzy. Rajrajmarley (talk) 05:23, 27 January 2010 (UTC)


 * One can say "I am dizzy" I think this is correct but ask over at WT:MED  Doc James  (talk · contribs · email) 14:57, 27 January 2010 (UTC)


 * One does indeed say "I am dizzy" but the article is about the sensation "dizziness", there is no sensation of dizzy. As proven in conversation in the section above, the neutral, infinitive form is "dizziness". I suppose it's semantics but my proposal still stands. Rajrajmarley (talk) 12:44, 29 January 2010 (UTC)


 * Maybe ask on the page  Doc James  (talk · contribs · email) 13:16, 29 January 2010 (UTC)


 * It looks like dizziness is the preferred name. Doc James (talk · contribs · email) 03:04, 4 February 2010 (UTC)

Epidemiology
This section needs some clarification, undoubtedly just about everyone experiences dizziness at some point in their life, not 20–30% of people. – Acdx (talk) 04:50, 21 July 2010 (UTC)


 * From the reference "Dizziness (including vertigo and nonvestibular dizziness) ranks among the most common complaints in medicine, affecting ~20 to 30% of the general population.[7][8][9]" Now I do not know if that means yearly. Doc James (talk · contribs · email) 04:54, 21 July 2010 (UTC)


 * Looking at the refs they ref to in the paper it is clear that they mean in the previous year. Many thanks.  Doc James  (talk · contribs · email) 04:56, 21 July 2010 (UTC)


 * Great, thanks. – Acdx (talk) 01:41, 22 July 2010 (UTC)

External Review Comments
Dizziness Hello, Dizziness article writers and editors. This article currently a priority article for the Wikipedia talk:WikiProject Medicine/Google Project. The goal of this project to is provide a useful list of suggested revisions to help promote the expansion and improvement of this article.

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

General comments
To expand this article, the following outline from WikiProject Medicine for signs and symptoms articles will be helpful:

“Most articles about medical signs and symptoms should follow the below recommended structure. Omit sections that your sources do not address and combine sections when this seems sensible. For example, the definition of some signs is amply covered by an explanation of the mechanism, so having a section dedicated to the definition would be redundant.
 * Definition (current definitions)
 * Differential diagnoses or Associated medical conditions
 * Pathophysiology or Mechanism
 * Diagnostic approach or Evaluation
 * Treatment or Management (for the symptom itself, if any: e.g., analgesics for pain)
 * Epidemiology (incidence, prevalence, risk factors)
 * History (of the science, not of the patient: e.g., "The oldest surviving description is in a medical text written by Avicenna.")
 * Society and culture (e.g., cachexia was a literary symbol for tuberculosis in the 19th century and for AIDS in the 1980s.)
 * Research (Is anything important being done?)
 * In other animals"

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

Introduction
The introduction needs to be rewritten, but probably this would be best to do after expansion of the article so it can be summarized in the Introduction.

‘One can induce dizziness by engaging in disorientating activities such as spinning.’- while this is certainly true, the idea should be expanded and moved to the Definition section. Introductions are usually unreferenced in Wikipedia, and these statements would be more appropriate in the Definition section.

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

Differential diagnoses or Associated medical conditions
I recommend removing the bulleted list of differential diagnoses and associated medical conditions from the introduction and moving it to this new section. It should be noted that any list will be a partial list, because this is such a common symptom. However, the most common subcategories can reportedly be broken dows as follows: 40% peripheral vestibular dysfunction, 10% central nervous system lesion, 15% psychiatric disorder, 25% presyncope/dysequilibrium, and 10% nonspecific dizziness (see Chan 2009, below). The medical conditions that often have ‘dizziness’ as a symptom include: See:
 * pregnancy
 * low blood pressure (hypotension)
 * low blood oxygen content (hypoxemia)
 * iron deficiency (anemia)
 * low blood sugar (hypoglycemia)
 * hormonal changes (eg, thyroid disease, menstruation, pregnancy)
 * panic disorder
 * hyperventilation
 * anxiety
 * depression
 * age-diminished visual, balance, and perception of spatial orientation abilities
 * Benign paroxysmal positional vertigo
 * Meniere's disease
 * Vestibular neuronitis
 * Labyrinthitis
 * Otitis media
 * Acoustic neuroma
 * Chronic motion sickness
 * Ramsay Hunt syndrome
 * Migraine
 * Multiple sclerosis
 * Chan Y. Differential diagnosis of dizziness. Curr Opin Otolaryngol Head Neck Surg. 2009 Jun;17(3):200-3.
 * Tusa RJ. Dizziness. Med Clin North Am. 2009 Mar;93(2):263-71, vii.
 * Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist. 2008 Nov;14(6):355-64.
 * Dizziness and Vertigo in the Merck Manual (http://www.merck.com/mmpe/sec08/ch084/ch084e.html?qt=dizziness&alt=sh)
 * Bronstein AM, Lempert T. Management of the patient with chronic dizziness. Restor Neurol Neurosci. 2010;28(1):83-90.

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

These changes were made. BSW-RMH (talk) 03:30, 12 August 2010 (UTC)

Pathophysiology or Mechanism
This section would explain how the above conditions cause dizziness. The Merck Manual has a good overview:

“Dizziness has many causes because many body parts work together to maintain balance. They include the inner ear, the eyes (which provide visual cues needed to maintain balance), muscles and joints, the brain (mainly the brain stem and cerebellum), and the nerves that connect all of the parts.

Each type of dizziness tends to have characteristic causes. For example, faintness and light-headedness may result from a sudden fall in blood pressure (see Low Blood Pressure: Introduction) or from other disorders that result in an inadequate blood supply to the brain. In these disorders, the heart may be unable to pump enough to the brain, or the arteries to the brain may be blocked or narrowed.

Loss of balance may result from vision disturbances because the body depends on visual cues to maintain balance. Loss of balance may also result from musculoskeletal disorders, which cause muscle weakness and thus interfere with walking. Other causes include use of certain drugs (such as anticonvulsants and sedatives) and disorders of the inner ear.”
 * Dizziness and Vertigo in the Merck Manual (http://www.merck.com/mmpe/sec08/ch084/ch084e.html?qt=dizziness&alt=sh)

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

This information was added. BSW-RMH (talk) 03:44, 12 August 2010 (UTC)

Diagnostic approach or evaluation
This section could discuss that the first approach to determining what is causing the dizziness is to distinguish non-specific dizziness from vertigo: “vertigo is most likely due to vestibular organ dysfunction, whereas nonvertigo symptomsmay be due to a variety of central nervous system, cardiovascular, or systemic diseases. Vertigo is the illusion of true rotational movement of self or surroundings. Nonvertigo symptoms include light-headedness, generalized weakness, imbalance, tilting sensation, or unsteadiness.” (Chan 2009, below)

In addition, Chan et al. goes on to describe how others symptoms, the duration of the dizziness, aspects of physical examination, and history of other conditions can help refine the diagnosis of cause of dizziness.

See also:
 * Chan Y. Differential diagnosis of dizziness. Curr Opin Otolaryngol Head Neck Surg. 2009 Jun;17(3):200-3.
 * Tusa RJ. Dizziness. Med Clin North Am. 2009 Mar;93(2):263-71, vii.
 * Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist. 2008 Nov;14(6):355-64.
 * Dizziness and Vertigo in the Merck Manual (http://www.merck.com/mmpe/sec08/ch084/ch084e.html?qt=dizziness&alt=sh)

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

Treatment or Management
Because dizziness is associated with so many conditions, I would recommend this section state that treatment and management depends on diagnosis and direct readers to seek specific information for conditions individually.

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

Epidemiology
" Dizziness is among the most common complaints in medicine, affecting approximately 20% to 30% of persons in the general population. Dizziness is a general term for a sense of disequilibrium.” (Karatas 2008)

“Dizziness is the third most common complaint among outpatients. Only chest pain and fatigue are more common. In 80% of these cases, the dizziness is severe enough to require medical intervention. Dizziness affects more than 50% of the elderly population and is the most common reason for visiting a physician after the age of 75 years.” (Tusa 2009)

“The incidence of dizziness in the general population ranges from 20 to 30% and it has been demonstrated that with every 5 years of age increase, there is a 10% increase in the probability of suffering from dizziness. A population-based study estimated that 7.5 million patients with dizziness are examined in the ambulatory care setting in the United States each year.” (Chan 2009)

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

History, Society and culture, Research, In other animals
I don’t have specific recommendations for these sections. I think they can be omitted for now, added later if needed.

BSW-RMH (talk) 16:02, 1 August 2010 (UTC)

what about dizziness when ya spin around really fast
? —Preceding unsigned comment added by 174.25.95.32 (talk) 19:30, 10 October 2010 (UTC)
 * I came to read more about this too. The article seems rather technical... a bit too technical if it doesn't even cover something as common as this. :) CodeCat (talk) 04:07, 11 December 2012 (UTC)
 * I feel the two paragraphs in the Introduction section are repetitive to me. I see that "dizziness" is a symptom and is a broader term that can cover vertigo, etc. And an annotation was made at MeSH that dizziness differ from vertigo. And causes are listed under Differential diagnosis section.Ms12334 (talk) 22:53, 24 May 2020 (UTC)
 * I'm not sure if this approach makes sense. One web page can have two versions of texts by using conditional texts. One version is for potential patient and another for physicians/researchers. Ms12334 (talk) 11:05, 25 May 2020 (UTC)

Reviews
Doc James (talk · contribs · email) 22:10, 24 October 2010 (UTC)

Vertiqo frequency
Two conflicting figures for the rate of veritgo are given, 25% (ref #4) and 50% (ref #6). --Belg4mit (talk) 18:18, 22 March 2013 (UTC)

Proposed merge with Disequilibrium (medicine)
Disequilibrium is currently a dictionary definition, and is primarily known in association with dizziness. At some point, if the section on disequilibrium becomes too long, it can be split into its own article again. But currently, it would better serve the project if disequilibrium were merged into dizziness. &thinsp;&mdash; Mr. Guye (talk) (contribs)&thinsp; 23:04, 25 July 2018 (UTC)
 * ✅ Klbrain (talk) 20:40, 15 August 2019 (UTC)