What causes head spinning and dizziness after bruising my chin?
Patient: Hi. About 3 weeks ago I got slapped on the right side of my face. I had a quarter size of bruising on the right of my chin and a broken lip. It happened about 7 p.m. at 9 p.m. I went to sleep. When I woke up the next day I could not sit up. My head was spinning. I have not been the same since. For 2 weeks I experienced dizziness as if I were drunk, then 1week ago I developed real bad right ear pains and the right hemisphere of my head is sensitive to touch. I have been taking amoxillin 500 mg 3 times per day, for 6 days. Ear pain stopped, but now is back again. To recap: 1. 1/17/2014. A couple of hard blows in my face, mostly in the right, including my jaw. 2. 1/18/2014 Dizziness the next morning combined with severe vertigo, but no vomiting or naucea. 3. 01/28/14. Ear pain started. Headspinning continues when my head changes position. 4. 01/30/14. Began amoxicillin treatment and neomycin drops. Pain stopped 02/02 5. 02/05/14 Pain came back, still taking amoxicillin orally and neomycin drops (in my ear) and aleve for pain. 6. I ve done the Epley maneuver, 4 times. It has not worked. My questions: Do you think that blow to my face injured something in my ear? What should my next step be? Should my prescription be changed? Doctor: Welcome to hcm!From my clinical experince I can say that you have suffered an injury to nervous system ( due to the blow on your face). It does not apper to be due to infection ( that is why antibiotic will not work properly in subsiding it). You should get an MRI brain to rule out any injury / concussion syndrome. Get visual screening test done. I would advice that you shoud see a neurologist and get your self throughly examined. Any further change in medicine should be done only after complete investigation.Hope the reply is usefulPlease feel free to ask more questionsDr. Manisha GopalMD psychiatry