I feel top-heavy, what's going on?

Feeling top-heavy and light-footed is a symptom. This condition indicates dizziness, which is also called vertigo. It is not a disease but a symptom. Dizziness can be divided into two types. One is rotational vertigo. Generally, this is caused by dysfunction of the vestibular nervous system or cerebellum, which often leads to falling. The other is general vertigo, which is mostly caused by some systemic diseases. Let us learn about it.

I feel top-heavy, what's going on?

1. Rotational vertigo

According to its cause, it can be divided into two categories: peripheral vertigo and central vertigo.

(1) Peripheral vertigo: refers to vertigo caused by lesions in the inner ear labyrinth or vestibular nerve. It is common in Meniere's disease (formerly Meniere's disease), labyrinthitis, drug-induced vertigo (caused by the use of drugs such as streptomycin or gentamicin) and vestibular neuritis.

(2) Central vertigo: refers to vertigo caused by lesions of the brainstem, cerebellum, cerebrum and spinal cord. It is common in vertebral-basilar artery insufficiency, intracranial tumors, intracranial infection, multiple sclerosis, vertigo epilepsy and traumatic vertigo.

2. General vertigo

(1) Cardiac vertigo: common in arrhythmias, heart failure, etc. (2) Pulmonary vertigo: can be seen in lung dysfunction caused by various reasons. (3) Ocular vertigo: common in refractive errors, retinal arteriosclerosis, hemorrhage and ophthalmoplegia. (4) Hypertensive vertigo: Both high blood pressure and low blood pressure can cause vertigo. (5) Others: Anemia, cervical spondylosis, acute fever, gastroenteritis, endocrine disorders and neurosis can all cause dizziness 1. If anemic elderly people experience dizziness, fatigue, or pale complexion, they should go to the hospital for a check-up to see if they have anemia. If the elderly do not pay attention to nutritional health, they are likely to suffer from anemia. In addition, elderly patients with indigestion, peptic ulcer, gastrointestinal bleeding and chronic inflammatory diseases may all develop secondary anemia. 2. High blood viscosity, hyperlipidemia, thrombocythemia, etc. can all cause high blood viscosity and slow blood flow, resulting in insufficient blood supply to the brain and symptoms such as fatigue, dizziness, and weakness. There are many reasons for high blood lipids, the most important of which is unreasonable diet structure.

3. Cerebral arteriosclerosis

The patient feels dizzy and often suffers from insomnia, tinnitus, emotional instability, forgetfulness, and numbness in the limbs. Cerebral arteriosclerosis reduces the inner diameter of blood vessels, reduces blood flow in the brain, causes insufficient blood and oxygen supply to the brain, and causes dizziness.

4. Cervical spondylosis

Tightness in the neck, limited flexibility, occasional pain, numbness, coldness, and heaviness in the fingers are common. Cervical spondylosis compresses the cervical vertebral arteries, causing insufficient blood supply to the brain, which is the main cause of dizziness caused by this disease.

5. Hypertension

In addition to dizziness, patients with hypertension often also experience discomfort such as headache, palpitations, irritability, tinnitus, and insomnia.

6. Heart disease

In the early stages of coronary heart disease, some people may experience headaches, dizziness, weakness in the limbs, and difficulty concentrating. Dizziness is mainly caused by atherosclerosis of the coronary arteries of the heart, resulting in insufficient blood supply. 1. The best solution to dizziness is prevention. The elderly should regularly undergo examinations of their blood pressure, heart sounds, heart rhythm, as well as routine blood tests, blood lipids, blood viscosity, electroencephalogram, cerebral blood flow graph, neck X-ray, etc. to prevent problems before they occur.