09/12/2022
What are the manifestations of long covid dizziness?
A large proportion of long-term COVID-19 symptoms are associated with neurological symptoms, and some medical communities use a folk colloquial vocabulary’brain fog’to facilitate the unified classification and description of post COVID-19 symptoms associated with the brain. Brain fog has not previously been regarded as a medical or scientific term, but rather a colloquial description of a state in which people cannot think normally and clearly when they develop influenza or other diseases. Ordinary people use the fog in their brains to describe problems arising in their usual cognition or thinking, such as dizziness, tinnitus, difficulty concentrating, memory loss, slower thinking speed, inability to think keenly without creativity, and difficulty formulating plans.
During rehabilitation following COVID-19 illness, many patients said they experienced "brain fog". According to figures given in the study report, about 10% of patients infected with COVID-19 will experience long-term COVID-19 symptoms. At present, it has become customary in the medical community to classify the symptoms of dizziness and tinnitus caused by COVID-19 infection as long COVID brain fog. According to the statistics in the study report, up to 60% of patients with long-term COVID-19 had some degree of dizziness or vertigo, and up to 30% had some degree of tinnitus. And dizziness, vertigo, tinnitus, the three symptoms have a very high degree of coincidence.
According to the published medical papers on the symptoms of long-term COVID-19 of dizziness, we concluded clinical manifestations of dizziness as follows:
(1) Dizziness: feel a false sense of movement or rotation, vertigo, feel lightheaded, unstable to stand or walk, and likely to lose balance and fall.
(2) Blurry vision: blurred vision is found in the morning, and if look at the computer and mobile phone screen for a slightly longer time, feel that vision is trance and eyes are tired.
(3) Tinnitus: refers to the condition in which the external environment does not make a sound, but feels to hear a certain noise, feels that the ear is blocked by cotton, over-high internal pressure,buzzing,and it’s easy to be anxious or difficult to concentrate.
(4) Common accompanying symptoms, brain fatigue: feel drowsy, it’s easy for brain to feel tired, feel fatigued when thinking,it’s easy to feel sleepy when reading, feel sleepy in the daytime.
(5) Common accompanying symptoms, chronic headache: feel symmetrical chronic headache bilaterally on the head; often feel hot on the head and tightness on the head.
Inner ear problems that lead to dizziness (vertigo) are usually related to the person 's brain, eyes, inner ear, sensory nerves, which are input systems for the sense of balance in the human body.
(1) Brain is used to automatically calculate the sense of balance of the human body.
(2) Eyes help people determine the position of the body in space and its mode of movement.
(3) Sensory nerves send information to the brain about the motor state and position of various parts of the body.
(4) Inner ears with built-in sensor can detect gravity and anteroposterior movement.
Vertigo is an illusion that makes you feel as if surroundings are spinning or moving. When suffering from inner ear disease, your brain receives signals from the inner ear that are different from those received by your eyes and sensory nerves. Vertigo is the result of your brain dealing with confusion. The usual causes of vertigo are the following:
(1) Benign paroxysmal positional vertigo (BPPV). The disease leads you to have a strong and brief illusion that you are rotating or moving. Seizures are caused by rapid changes in head movement, such as turning over in bed, sitting up, or getting a heavy blow to your head. BPPV is the most common cause of vertigo.
(2) Infection. A viral vestibular nerve infection called vestibular neuritis can cause severe persistent vertigo. If you also have sudden hearing loss, you may have labyrinthitis.
(3) Meniere 's disease. This disease presents with excessive accumulation of fluid in the inner ear. It is characterized by a sudden onset of vertigo that lasts for hours. You may also have fluctuating hypoacusis, tinnitus, and blockage of your ears.
(4) Migraine. Even people who have migraines do not have severe headaches, they may experience vertigo or other types of dizziness. Such episodes of vertigo may last from minutes to hours and may be associated with headache and sensitivity to light and noise.
Causing dizziness is also associated with problems with your body 's blood circulation system, and if your heart does not pump enough blood to your brain, you may feel dizzy, weak, or unable to maintain balance. For example:
(1) Blood pressure decreased. A sharp drop in systolic blood pressure (the larger of your blood pressure reading) can cause a brief feeling of dizziness or lightheadedness. This may occur when sitting up or standing up too quickly. This condition is called orthostatic hypotension.
(2) Poor blood circulation. Cardiomyopathy, heart attack, irregular heartbeat, and transient ischemic attack can all cause dizziness. In addition, decreased blood flow may lead to insufficient blood supply to the brain and inner ear.
Causing dizziness is also associated with problems with the nervous system of the body, such as the following:
(1) Neurological disorders. Neurological conditions such as Parkinson 's disease and multiple sclerosis may lead to progressive loss of balance. Can cause dizziness.
(2) Drugs. Certain medications (such as antiepileptics, antidepressants, sedatives, and tranquilizers) may cause side effects such as dizziness. In particular, blood pressure medications can cause fainting if blood pressure drops too low.
(3) Anxiety disorder. Certain anxiety disorders cause lightheadedness or dizziness, often called dizziness. These disorders include panic attacks and fear of leaving home or staying in an empty large square (agoraphobia).
(4) Low iron content (anemia). If anaemic, dizziness may occur with other signs and symptoms, including fatigue, weakness, and pallor.
(5) Low blood glucose levels (hypoglycemia). This condition usually occurs in diabetic patients taking insulin. Dizziness (lightheadedness) may be accompanied by sweating and anxiety.
(6) Carbon monoxide poisoning. Symptoms of carbon monoxide poisoning are usually described as "flu-like" and include headache, dizziness, weakness, stomach discomfort, vomiting, chest pain, and confusion.
(7) Overheating and dehydration. You may get dizzy from overheating (hyperthermia) or dehydration if you join activities or drink too little water in hot weather. This is especially true when you take certain heart medicines.
In this paper, from the perspective of COVID-19 infection, we simply analyze why COVID-19 infection will cause a large number of people suffering from long covid dizziness, vertigo and tinnitus.