Dear Doctor,
I am a 27-year-old male experiencing recurrent episodes of dizziness and imbalance. I do not feel that the room is spinning. Instead, I feel as if there is movement inside my head, which makes me feel dizzy and off-balance. I often feel like I may lose my balance or fall, especially while standing, walking, or travelling on a bike or in an e-rickshaw.
My recent health check-up showed:
• Vitamin D: 13.7 ng/mL (Deficient)
• Vitamin B12: 167 pg/mL (Low)
• Platelet Count: 117 × 10³/µL (Low)
• HDL: 23.7 mg/dL (Low)
• LDL: 131.4 mg/dL (Borderline High)
My blood sugar (Fasting Glucose & HbA1c), thyroid profile, kidney function, iron studies, ESR, and urine tests were normal.
Could my symptoms be related to an inner ear (vestibular) disorder or another balance-related condition? Please advise if I need an ENT examination, hearing assessment, vestibular function tests, or any other investigations.
Thank you.
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