End Fatigue

Dizziness

To figure out what is causing your dizziness, move your head quickly up and down and back and forth while you're sitting. If this makes you feel like you are spinning in a circle, this is vertigo and usually is caused by a middle ear or auditory nerve problem. If it just started, it is usually caused by an ear infection, and is called a viral labrynthitis. This is best treated in the first few days with prednisone. If it has lasted more than two months, and you feel well otherwise, consider benign positional vertigo, which can be treated with muscle relaxants like valium or herbal equivalents. Strangely, it can actually be benefited by wearing a hat of a certain shape. Meniere's is another cause of vertigo and is associated with ringing in the ears and hearing loss. Diuretics can help. If you have vertigo plus fatigue, achiness and/or brain fog, this suggests an infection such has Lyme's Disease which has inflamed the nerve to the ear. Treatment should be aimed at the infection. The herb Ginger and medications such as Antivert can also be effective for many kinds of dizziness.

If your dizziness is simply lightheadedness without feeling like you are spinning in a circle, and occurs mostly on standing, see if you have a low blood pressure that drops with standing. Mild cases, called orthostatic hypotension are common and not dangerous or a problem if you feel well otherwise. If it is more severe or associated with the fatigue, insomnia, and brain fog of CFS it is likely NMH (Neurally Mediated Hypotension). Increasing water and salt intake a lot can help. If symptoms persist and are uncomfortable, consider a tilt table test to confirm NMH and if positive, consider treatment with Prozac or Dexedrine—both of which interestingly also help with NMH as well as fatigue. NMH also is aggravated by exercise.