What could cause dizziness,nausea and blurred vision?
Patient: i have been experiencing dizziness, nausea and blurred vision for several years. It is worse around 3 am  best in evening. Getting incapacitating. Had MRI to rule out MS. Lesions in brain  but not spine. Neurologist thought it was normal 52 yr old brain. Saw an ENT, did all the tests. No answer. Quality of life terrible.   Have tried every anti nausea med, Serc, ..   I also have very labile BP. Diastolic from 40-110.Suggestions? Doctor: Hello!Thank you for asking on HCM!I carefully read your question and understand your concern. You should know that blood pressure fluctuation can cause these lesions in the brain. They are related to low blood flow to the brain and damage to the small vessels. Migraine can also cause similar troubles. For this reason, I would recommend consulting with a cardiologist to help you maintain stable blood pressure values. I would recommend taking flunarizine for your troubles. Sertraline can also help. It is also necessary taking aspirin 80-100mg daily to help prevent future strokes. Hope to have been helpful!Wishing all the best, Dr. Aida