What causes dizziness and imbalance after a fall?
Patient: Dear Sir, My father, 75 year old man is a diabetic since last 25 years and is on insulin twice a day. He was also diagnosed with Ischemic heart disease some 15 years back and is on medication since then. A month back, suddenly, he felt dizziness and fell down while performing puja in standing position. His chin got hit & also left ear bled for 2 days. After that, he slowly recovered and everything became normal within a fortnight. Only, he felt dizziness occassionally. However, recently he has developed walking problems like loss of balance, lack of strength in one leg. We had not conducted CT Scan after his fall last month, so we are not aware of any clotting in the brain. We are not able to know whether the walking problem is due to the previous ear injury or some disorder in the brain. He is being taken for a CT Scan and consulatation with Neurologist on 6.4.10. Sir, please let us know the gravity of the problem and advise us on the further course of action. Regards. (B.M.Baral) E-mail: YYYY@YYYY Doctor: Thankyou for your query.Your father`s dizziness might probably due to hypoglycaemia as a result of insulin. Kindly check the blood glucose fasting as well as post prandial and HbA1c. Do mention the units of insulin your father is taking. Also get his TMT done. Are there any other symptoms like shortness of breath, pain in chest etc.Kindly get an opinion for angiography from any cardiologist. Regarding loss of balance or lack of strength in one leg do consult a neurosurgeon as that might be related to bleeding from ear. Kindly tell the CT scan findings also.Feel free to get in touchGod bless