Conversation: The conversation between human and AI assistant.
[|Human|] I have been experiencing vertigo-type symptoms for the past 5 weeks.  I also am having periods fast heart rate, and a pins-and-needles sensation in my arms, hands, legs, and feet.  I am getting incredibly frustrated because I have seen my primary, and ENT, and a neurologist.  I am not pregnant.  I had a MRI that came back negative for MS or any neurommas.  I have been on prednisone consistently for about a month now, and have been weening myself off.  Over the past 2 days, my symptoms seem to be getting worse (without the prednisone).  I dont know what else to do.
[|AI|]  constant dizziness lasting months is usually psychogenic, not vestibular. However, the physician must be clear on what a patient means by "constant." Some patients who say they have constant dizziness for months actually mean that they have a constant susceptibility to frequent episodic dizziness; this can be a vestibular problem. Headache, photophobia, and monophobia suggest migraines vertigo. Most patients with migraines vertigo will also experience visual aura in at least some of their attacks. Shortness of breath, palpitations, pins and needle feelings and sweating may suggest a panic attack, but true vertigo is often so terrifying that such symptoms are not uncommon with vestibular disease. Take care