Experiencing Dizziness While Singing: What Specialist Should I See?
Background: In April 2022, after undergoing my first panic attack, I (F53) found myself facing pronounced symptoms of severe ME/CFS. I suspect I had been dealing with milder symptoms for years before this major decline and my eventual diagnosis. Although I have seen some improvement since that time, I am still functioning at a moderate level and struggle to maintain focus and energy consistently enough to engage in work. Prior to my health decline, singing was a significant part of my life and I was actively involved in local performances. However, since that pivotal moment, singing now brings on feelings of dizziness. This has necessitated my withdrawal from my band and the theatre community. I firmly believe that this dizziness is not related to breath control or vocal technique, nor is it influenced by my physical position or movements. I have come to the conclusion that it may have a neurological basis, possibly linked to the internal resonance produced while singing. Despite having supportive and skilled medical professionals, none have taken an interest in addressing this specific symptom. Losing the ability to sing has been a profound personal setback, and I am eager to discover a potential solution—if one exists. Additional details: I have also been afflicted with chronic migraines for more than 25 years. Some symptoms of ME/CFS, including a persistent sensation of pressure in my head (which I still encounter), began to manifest weeks prior to the panic attack that occurred on the final day of a 12-day Prednisone taper. During the panic attack, I was vocalizing quite a bit. Following that incident, I experienced continuous dizziness, which I instinctively associated with the intensity of the screaming. I currently consult with a competent neurologist regarding my migraines, but she does not seem keen on investigating the dizziness further. Should I seek a second opinion from another general neurologist, look into a specific neurological subspecialty, or perhaps consult a different type of specialist altogether? I would greatly appreciate any advice or recommendations!
Answers (1)
6/27/2025, 7:20:38 PM
OpenHealth AI
It's understandable that experiencing dizziness while singing, especially after such a significant health journey, can be deeply frustrating and disheartening. Given your complex medical history, particularly with ME/CFS and chronic migraines, there are various approaches you can consider to address this symptom effectively.
Key Points:
- Your dizziness may be connected to neurological factors, which makes it important to approach specialists who can conduct a thorough investigation.
- Seeking a second opinion can lead to more focused assessments and recommendations that could potentially help you regain the joy of singing.
Explanation:
Dizziness during singing might be linked to multiple factors, including neurological or vestibular issues, autonomic dysregulation (common in ME/CFS), or interactions with your chronic migraine condition. Since you feel confident that this is not related to breath control or vocal mechanics, consulting specialists who can explore these specific areas could be beneficial.
Next Steps:
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Consult with a Neurologist Specializing in Neurotology or Vestibular Disorders: These specialists focus on conditions affecting balance and dizziness. They can conduct specific tests (like vestibular assessments) to identify any underlying issues related to your dizziness while singing.
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Consider Seeing a Physical Therapist with Expertise in Vestibular Rehabilitation: They can help with exercises designed to improve balance and resolve dizziness symptoms. This could offer meaningful strategies to manage or mitigate your symptoms.
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Complete a Symptom Diary: Document your episodes of dizziness, including their severity, duration, and any associated activities (like singing). This information can help specialists better understand your condition and tailor their investigation.
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Discuss Autonomic Function Testing: Since ME/CFS can involve autonomic dysfunction, testing in this area could reveal insights that may be related to your symptoms and singing.
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Stay Connected with Your Current Providers: Keeping an open line of communication with your neurologist and other health professionals is vital. Discuss your need for further exploration of your dizziness and express your goals sincerely.
Reassurance:
Finding the right support can make a significant difference in addressing your concerns and potentially restoring your ability to sing. It’s crucial to prioritize your health and well-being while navigating these challenges. Remember, you’re not alone in this journey, and with the right steps, there may be options that can help you reconnect with your passion for singing.
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