Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I have been experiencing some dizziness the last couple of days...not spinning, just feeling unstable on the feet, sometimes I feel like I step onto an uneven ground and kind of wobble a little...occasionally, I also feel sudden tingling/numb in the lower back of the head...the dizziness can last for hours but mostly when I am standing up and walking around...I was at the emergency room twice with some signs of heart attack (chest pain) but all test came back normal except with some imaging from stress test that indicated a potential insufficient blood to the heart...(very mild case and may not been conclusive according to my cardiologist)..heart CT scan is scheduled.   I am otherwise very healthy with a little of thyroid issue and no family history of heart issue...I have continued with my exercise routine (cardio and strength training) and have not created any problems....Could I possibly had a mini stroke that they did not get picked up on??  I will need to travel (fly) for work and I am a little concern....thanks
[|AI|]  Hello dear, The symptoms as mentioned in your post need to be evaluated in details before certifying you as fit for flying. The symptoms can be attributed to pathology in the Vestibular Apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthine or Benign Paroxysmal Positional Vertigo. Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Linearizing preparations (to be taken only under the guidance of a Physician). So, kindly consult your Physician/ ENT Specialist & get a complete clinical examination done. Investigations like estimation of blood pressure, blood sugar levels, serum electrolytes & vestibular function tests will be required to rule out any pathological cause for the symptoms. There is no need to worry, you will be fine. Till then, maintain adequate HY Chat Doctor. And also take precautions of getting up from bed slowly & avoid sudden head movements. Wishing you a Good Health. Take care.