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  5. I am a 33-year-old male, 5?6? tall, weighing 62 kg. While walking, I occasionally feel dizzy or slightly disoriented, especially when out in the sunlight. I have been taking 20 mg of rosuvastatin for high cholesterol (genetic) for about two months. All my blood tests are normal except for elevated cholesterol, for which I?m already on medication. Which specialist should I consult, and what tests should I undergo?

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I am a 33-year-old male, 5?6? tall, weighing 62 kg. While walking, I occasionally feel dizzy or slightly disoriented, especially when out in the sunlight. I have been taking 20 mg of rosuvastatin for high cholesterol (genetic) for about two months. All my blood tests are normal except for elevated cholesterol, for which I?m already on medication. Which specialist should I consult, and what tests should I undergo?

Asked by Male, 33 · 2 months ago

You should first consult a neurologist or an ENT specialist to determine whether your dizziness is caused by a neurological issue or an inner ear (vestibular) problem. Recommended tests include a vestibular assessment (such as videonystagmography or electronystagmography) and a complete neurological examination. It is also important to rule out other possible underlying causes, such as dehydration, low blood pressure, heat exposure from sunlight, or side effects of your medication. Since your dizziness is triggered by sunlight, testing for vitamin D deficiency or evaluating for vestibular migraine may also be helpful.
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I understand that experiencing occasional dizziness and disorientation, especially in sunlight, can be concerning. Since you are taking rosuvastatin for high cholesterol, it is important to evaluate these symptoms carefully.

Recommended Tests:

  • Complete Blood Count (CBC): To check for any underlying infections or anemia.
  • Blood Glucose (Random): To rule out blood sugar fluctuations that might cause dizziness.
  • Thyroid Function Tests (Free T3, Free T4, TSH): Since thyroid abnormalities can contribute to dizziness and disorientation.
  • Liver Function Tests: Rosuvastatin can affect liver enzymes, so monitoring liver health is important.
  • Creatine Kinase (CK) Levels: To check for muscle damage, as rosuvastatin may cause muscle-related side effects.
  • Electrolyte Panel: To assess for any imbalances that might cause dizziness.
  • Hearing and Vestibular Tests: If vertigo or inner ear issues are suspected, these can help diagnose conditions like Meniere’s disease or benign paroxysmal positional vertigo.

Medication Side Effect:
Rosuvastatin may cause dizziness, headache, muscle pain, and rarely more serious muscle or liver issues. Monitoring through tests is important to ensure safety.

Relevant Specialties:

  1. Neurology – Specializes in disorders related to dizziness, vertigo, and neurological causes of disorientation.
  2. Cardiology – For evaluation of cardiovascular causes of dizziness, especially related to blood flow or carotid artery issues.
  3. Endocrinology – To assess thyroid function and metabolic causes contributing to symptoms.

Please consult a neurologist or your primary care doctor to discuss these symptoms and arrange appropriate testing. They can help determine the exact cause and adjust your treatment if needed. If symptoms worsen or you experience additional issues like chest pain, severe headache, or weakness, seek immediate medical attention.

Answered 2 months ago

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