How can one manage dizziness caused by chronic fatigue syndrome?

April 9, 2025

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How can one manage dizziness caused by chronic fatigue syndrome?

Dizziness is among the chronic fatigue syndrome (CFS) symptoms, or myalgic encephalomyelitis (ME), and a very challenging one at that. CFS dizziness is typically related to conditions like low blood pressure, autonomic nervous system dysfunction, and muscle weakness. Here are some of the methods by which CFS dizziness can be managed:

1. Hydration and Salt Intake
Stay hydrated: Dizziness can be worsened by dehydration, thus it’s vital to drink plenty of fluids throughout the day. Water, electrolyte drinks (not very sugary), or coconut water are all appropriate choices.

Increase salt levels: In some individuals with CFS, the addition of salt can help increase blood volume and reduce dizziness, especially if there is low blood pressure (hypotension). This needs to be done under the care of a health professional since excessive salt is detrimental.

2. Postural Management (Orthostatic Training)
Rise gradually: Individuals with CFS frequently develop orthostatic hypotension (reduction in blood pressure upon standing), which may lead to dizziness. To avoid this:

Do not make any abrupt postural changes. When rising from lying down or sitting, do so gradually, and try breaking the change by sitting for a few minutes before standing.

Lie down if you are dizzy: Lying down if you are dizzy can alleviate the symptoms by helping to improve blood flow.

Use support: Use walking supports like a walking stick or cane for balance if you are experiencing unsteadiness while walking.

Compression clothing: Compression clothing, i.e., compression stockings or abdominal binders, can help improve the flow of blood and prevent blood pooling in the legs, hence reducing dizziness.

3. Exercise and Progressive Physical Activity
Pacing: People with CFS need to balance activity and rest. Activity can worsen dizziness and fatigue. Pacing involves taking many breaks and not pushing beyond limits and can prevent exacerbations.

Gentle exercise: Low-impact, low-intensity exercises like stretching, yoga, or swimming can improve circulation, strength, and function without worsening dizziness. Start with very short sessions and gradually increase intensity as tolerated.

Vestibular rehabilitation: A physical therapist can teach some exercises to help improve balance and reduce dizziness, especially if vestibular dysfunction is contributing to your symptoms.

4. Treating Autonomic Dysfunction
Autonomic nervous system support: CFS often involves dysregulation of the autonomic nervous system (ANS), which controls involuntary processes like heart rate, blood pressure, and digestion. Biofeedback and slow breathing exercises are some of the methods that can be utilized to control ANS dysfunction by promoting relaxation and improving circulation.

Caffeine and stimulants: Caffeine or other mild stimulants may boost energy and blood flow in some CFS sufferers. Caffeine, however, should be consumed in limited amounts because it also has a tendency to disrupt sleeping patterns, which can exacerbate the fatigue symptoms.

5. Medication
Fludrocortisone: This medication is sometimes prescribed to expand blood volume and dizziness associated with low blood pressure. It must be taken only under the supervision of a doctor.

Midodrine: Another medication that is prescribed to treat orthostatic hypotension, midodrine works by constricting blood vessels to raise blood pressure.

Beta-blockers: Beta-blockers are sometimes prescribed to regulate heart rate and blood pressure and reduce symptoms of dizziness.

Antihistamines: Antihistamines or anti-vertigo medication may relieve dizziness if dizziness is related to inner ear issues or vestibular dysfunction.

6. Sleep and Stress Management
Improve sleep: Sleep disturbance is a common symptom of CFS and can heighten dizziness. Good sleep hygiene, such as maintaining a regular sleep schedule, creating a sleep-conducive environment, and avoiding stimulants before bedtime, can help improve sleep and reduce dizziness.

Stress reduction: Chronic stress can worsen both dizziness and fatigue. Stress can be managed by using stress reduction techniques such as meditation, mindfulness, progressive muscle relaxation, or slow breathing exercises to reduce dizziness.

7. Diet and Nutrition
Small, frequent meals: Eating smaller meals more frequently can help maintain stable blood sugar levels, which can prevent dizziness. Large meals can cause diversion of blood to the gastrointestinal tract, which can worsen dizziness.

Balanced diet: Obtaining sufficient nutrients, particularly those that are crucial for heart and circulation well-being (such as magnesium, potassium, and vitamin B12), can encourage optimum circulation and energy levels.

8. Monitor and Alter Triggers
Identify triggers: Note activities or environmental circumstances that worsen dizziness (such as hot weather, busy places, or certain foods), and try to avoid or minimize exposure to them.

Track symptoms: A symptom journal can help you monitor patterns, identify potential triggers, and adjust your lifestyle and treatments accordingly.

9. Specialist Consultation
Neurologist or cardiologist: When autonomic dysfunction or other underlying conditions are contributing to dizziness, a neurologist or cardiologist may be helpful.

Vestibular specialist: When your dizziness seems to be vestibular (inner ear)-related, a specialist in vestibular disorders can tailor treatments and exercises specifically for you.

Conclusion
Treating dizziness in chronic fatigue syndrome is multifaceted with numerous elements, including lifestyle modification (hydration, pacing, and exercise), management of underlying conditions like autonomic dysfunction, medications as appropriate, and stress and sleep management. It’s critical to work closely with a healthcare provider to develop an individualized plan and adjust strategies as necessary. With these interventions, many individuals with CFS can reduce dizziness and improve their quality of life.
Probiotics are live microorganisms that, when consumed in adequate amounts, confer health benefits, particularly for gut health. Although there is still limited research on the application of probiotics for the management of vertigo and dizziness specifically, there is growing interest in their potential indirect benefits, largely through their impact on gut health, the immune system, and the gut-brain axis. Here’s how probiotics may help in the management of vertigo and dizziness:

1. Gut-Brain Axis and Its Influence on Dizziness:
Gut-brain axis refers to the two-way communication between the gut and the brain that is facilitated by the gut microbiota (the community of microbes that live in the digestive system). The gut microbiota can affect brain function and behavior, as well as vestibular (balance) function.

There is increasing evidence to suggest that gut health can influence neurological conditions, including vertigo and dizziness, through the gut-brain axis. Changes in the gut microbiota (often referred to as dysbiosis) have been linked to a variety of neurological symptoms and conditions, including depression, anxiety, and also conditions like vestibular migraines, which result in vertigo.

Probiotics can normalize a gut microbiota, which in turn can have positive influences on brain function and symptoms of dizziness.

2. Inflammation Reduction:
Chronic inflammation in the body, and even in the brain, can also cause neurological symptoms of vertigo and dizziness. Probiotics have been known to regulate the immune system and lower inflammation, which can assist in reducing the severity or frequency of vertigo symptoms in individuals with inflammatory conditions.

Certain gastrointestinal disorders (e.g., leaky gut or irritable bowel syndrome) may contribute to higher systemic inflammation, which may result in vestibular dysfunction. By promoting a healthier gut, probiotics may then reduce such inflammation and alleviate dizziness.

3. Vestibular Migraine Control:
Vestibular migraines are a prominent cause of dizziness and vertigo, and it has been shown that gut health may play a role in the severity and frequency of migraine attacks.

Gut dysbiosis (a gut microbiome imbalance) has been seen in migraine patients. Through normalization of the gut microbiota, probiotics might decrease the number of vestibular migraine attacks and, as a result, the dizziness.

Probiotics have been shown in some research to improve migraine symptoms by lessening inflammation, oxidative stress, and achieving a more harmonized immune response. This can indirectly diminish vestibular migraine-associated dizziness.

4. Management of Anxiety and Stress:
Anxiety and stress are known to be vertigo and dizziness causatives, especially in conditions like benign paroxysmal positional vertigo (BPPV) or vestibular migraines. Probiotics can help alleviate anxiety by promoting gut health because the gut microbiome influences the production of neurotransmitters like serotonin, which play a crucial role in mood regulation.

The anxiolytic effect of probiotics can reduce the anxiety or stress that tends to worsen the symptoms of vertigo, bringing relief indirectly.

5. Helping General Balance and Vestibular Function:
Some evidence suggests that the health of the gut could impact the body’s general balance and coordination, which are essential for a stable sense of orientation and the avoidance of dizziness. A disruption in the balance of the gut microbiome has been implicated in a variety of neurological disorders, including those involved in balance.

Through the enhancement of general health and the lessening of inflammation systemically, probiotics could lead to improved neurological and vestibular (balance) functioning and a lessening of dizziness.

6. Application of Probiotics in Some Vestibular Disorders:
Some vestibular disorders may be improved with the application of probiotics, particularly if they are also linked with gastrointestinal or immune system dysfunction. Examples include:

Chronic dizziness or non-specific vertigo occurring in conjunction with gastrointestinal disorders like irritable bowel syndrome (IBS) can improve with probiotics because IBS and vertigo may sometimes occur together.

Labyrinthitis (infection of the inner ear) or Meniere’s disease (disorder of the inner ear) cannot be directly treated using probiotics, but improving overall gut health may have the effect of reducing inflammation or improving symptoms, particularly if there is a co-existing gut issue.

7. Evidence and Research:
While the potential application of probiotics in the treatment of vertigo and dizziness is promising, it must be noted that direct investigation into this field is still in its earliest stages. Additional studies are required to determine precisely how probiotics affect vestibular function and if probiotics may be used as a first-line treatment for dizziness.

Some research has found that probiotic supplements are useful for inflammatory markers and intestinal health, and it may well improve conditions causing dizziness. However, proof for their immediate impact on vertigo or dizziness is limited.

Conclusion:
While probiotics are not a direct cure for dizziness and vertigo, they can play a helpful supporting role by maximizing gut health, reducing inflammation, and potentially helping to regulate associated conditions such as vestibular migraines, stress, and anxiety. If you’re considering probiotics for dizziness or vertigo, you’ll want to discuss this with a healthcare provider, especially if your dizziness is related to a specific medical condition or vestibular disorder. Probiotics may work better if they are part of a broader holistic approach to managing symptoms, along with other interventions.


The Stop Snoring And Sleep Apnea Program™ a well-researched program created to help stop snoring and sleep apnea so that you can have a good night sleep. The techniques that you will learn from this program works immediately. It will only take you 3-7 minutes to perform these simple exercises that the author has recommended but the results that you will get will help you have a good night sleep as soon as tonight. Within a week, snoring will be a thing of the past.