What could cause head reeling and sweating for two months?

Hello,

Welcome to icliniq.com.

I understand your concern.

You are reporting head reeling (dizziness) with sweating for the past two months, with blood pressure around 110/80 mmHg and fasting blood sugar (FBS) at 106 mg/dL, which is slightly elevated but still in the prediabetic range. Your pulse rate is 59 bpm, which may be considered on the lower side (bradycardia) in some individuals.

Based on your description, possible causes may include:

1. Benign paroxysmal positional vertigo (BPPV) or inner ear imbalance.
2. Orthostatic hypotension (a drop in blood pressure when standing up).
3. Hypoglycemia (although your FBS is normal, fluctuations can still cause symptoms).
4. Autonomic nervous system dysfunction.
5. Medication side effects (if you are on any).

While your blood pressure and sugar levels appear acceptable, the combination of head reeling and sweating may require further evaluation, especially if the symptoms are persistent or affecting your quality of life.

I recommend a clinical consultation for:

1. A neurological and ENT (ear, nose, and throat) evaluation.
2. ECG (electrocardiogram) and blood tests to rule out cardiac or metabolic causes.
3. Possibly a vestibular function test.

If needed, I would be happy to assist you through a teleconsultation for a more detailed assessment.

Wishing you better health.