<s>[INST] Hi. I was going to take my wife to the emergency as she was having dizzy spells with a small pains in her head. She as well felt a woosh feeling (similar to a quick hot flash at the back of her head). She had something like this before and did a bunch of tests which were all negative. Did get a bit of tingling in her face but nowhere else. The did say it might be a panic attack and she can t figure out why she should have that tonight. Any help or do you need more information? [/INST] HIWell come to HCMI really appreciate your concern, such symptoms needs to be sent for CT of brain prior to label it as functional condition if the CT of brain is unremarkable then it could be due to panic attack, for the time being then Tab Amitriptyline can be tried once in day,  hope this information helps. </s>