Falling for no apparent reason: Any ideas?

Posted by callalily74 @callalily74, Aug 11, 2016

I'm 75, active, female, and constantly falling for seemingly no reason. I just fall! Three times already this week. In one fall, I split my ear and required 8 stitches. No dizziness, etc.

I need falling prevention classes in Seacoast NH. I am getting very worried that one of these falls will result in serious injury. Perhaps I need some kind of testing. Tomorrow, I'm going to an ENT doctor who was referred to me by a doctor at the Urgent Care Clinic who said my ear was infected. The ENT receptionist said maybe he'll refer me to an audiologist or optometrist to do balance, inner ear testing, etc. Does that sound about right to anybody who knows what I'm talking about. Remember, no lightheadedness or dizziness, etc. I take several medications for depression, anxiety, cholesterol, etc, but my mind does not feel foggy or cloudy.

Please help me find an appropriate doctor specializing in this issue. Or a suitable class or program. I am getting scared now. It happens too much. I only was really hurt once so far when I split my ear when I fell, but I know it can happen any time now and maybe disable me, or worse.

Please help me. I'll be here to see any posts all day today and am free to answer any questions you may have.

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@crawford

you need an mri and ct scan of your brain

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I agree! A health problem gets diagnosed by a combination of history of signs and symptoms, a physical examination and then tests such as imaging and labwork. A neurologist will do the history and physical exam and then order a Ct or MRI and other appropriate tests to get answers for you. Please don’t delay in having this checked out by a specialist! Let us know what transpires and stay safe!

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You definitely need to see a Neurologist and/or see if you have Neuropathy in your feet. I am shocked your Doctor hasn’t referred you to Neurologist right away….

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I totally agree . A neurologist visit is most important.
My story started with just little falls to one side when walking then legs got heavy and the symptoms got worse . Turned out to be SFN …so a neuro will sort out a diagnosis very quickly. Hope it’s curable anyway.

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@bunstuffer

I was taking 30mg. My doctor told me to up the dose to 60mg and 2 days later, I was in the hospital with serotonin syndrome. I am sensitive to almost all medication. A couple of my friends are taking 1800mg of gabapentin, for example, but 100mg causes me to be light-headed feel weak.

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There is absolutely nothing worse than to experience a serotonin syndrome episode. You probably are not a candidate for the SSRI and/or SNRI's. That leaves few treatment options for anxiety and depression. I too am very drug sensitive and have what one physician called "pharmaco-phobia." but not without reason. That's why I have made an effort to decrease the number of medications that I take, which is good practice anyway. If starting a new medication I always start at 1/2 the recommended dosage. I hope you get resolution soon!

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@kndaustin71

There is absolutely nothing worse than to experience a serotonin syndrome episode. You probably are not a candidate for the SSRI and/or SNRI's. That leaves few treatment options for anxiety and depression. I too am very drug sensitive and have what one physician called "pharmaco-phobia." but not without reason. That's why I have made an effort to decrease the number of medications that I take, which is good practice anyway. If starting a new medication I always start at 1/2 the recommended dosage. I hope you get resolution soon!

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Glad to hear that I'm not alone in this. My husband didn't believe me about the drug sensitivity until the serotonin syndrome incident. I tried to go on Cymbalta again a few months ago because it DID take care of my anxiety and helped with fibromyalgia pain but after the second dose I became nauseous. You are right--I can't take any of that drug family. Realizing that, my PCP prescribes 2mg valium which is just enough level me off when I am very anxious.

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U need to provide more pragmatic symptoms before u fall for “no reason”. As a perff sr on dealing with complications from diabetes, I’ve had my share of falling after I developed PN. One time, my right leg just buckled underneath me and I had an awkward fall in a tight laundry room. But I must say, there was a split second, my leg was about to give out; that should be a clue to as to why you fell for “no apparent reason. Obviously there’s a reason but I think having an understanding of how and why we stand for any period of time should give u a clue as to what might be the problem.
I imagine u have an issue with your motor nerves, but of course, u should see a neurologist and have them conduct their standard nerve conduction test that will determine if u have any deficits with your nerves.

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Has anyone been referred to a neurologist lately? I might be different elsewhere but here it is usually a 6 month wait. I requested a referral for chronic headaches and was told I didn't need to see a specialist. The headache clinic at our university teaching hospital consists of two nurse practitioners who consult with a neurologist. I asked to see him but was turned down. They said I had trigeminal headaches and prescribed oxcarbazepine which did nothing except force me to use a quad cane to stay on my feet. I finally got into the pain center here and am seeing a Mayo-trained pain specialist who says I have supraorbital neuralgia. She did a nerve block in my eyebrow and no more pain. She says I can repeat the procedure every 90 days if necessary or she can try different medicine. This is the 6th doctor I have seen for this issue.

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When you can’t get a timely appointment, be pesty and call the office frequently and ask them to check for a cancellation spot to move your appointment sooner. You can do this numerous times until you get something within reason. Even if they have you on a cancellation list, you’re more likely to get a cancellation spot if you call frequently.

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Consider a helmet.
My mother in her late 60's had been a brittle diabetic for 35 years. She did an amazing job of managing her symptoms's but time is not a friend to this disease.
She had a few very mild strokes she wasn't even aware she had at the time, but her balance was affected. She had to wear a helmet walking around the house because for no apparent reason she would just keel over, fully concience, and without warning.

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Ask your Dr if one of your medications might cause the falls. Also ask your Dr to take your BP lying down, sitting, standing to see if if drops. when you stand up.
Several years ago I had several unexplained falls, my PCP had no clue. I went to a PT who found weakness in one leg due to knee problems and recent total hip surgery. PT exercises resolved the troublesome dangerous falls!
Ask to see a PT to check you out.

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