### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
WOW this is amazing! I really just want an answer to why my heart is hurting, and often I feel dizzy. I am a runner, in good physical condition, but about three weeks ago I noticed dizzy spells.... now I was running yesterday and started to walk, then all of a sudden overcome by a dizzy spell which quite nearly took me out. Stupidly, as I was running home from work, I carried on running. Please give me an answer, if you can.

### output:

Thanks for contacting Chat Doctor with your health concern and following is the step wise approach and symptom wise management:1. One should get himself examined by a Cardiologist for Blood pressure, neck movements, for pallor and Murmur and if on further inquiry there are cochlear symptoms (deafness & tinnitus) & vestibular symptoms (vertigo & nystagmus) then opinion of ENT Surgeon is also must.2. If dizziness is not promptly controlled, ask for HBO, X-ray Cervical spine, ENT & Ophthalmic check up3. If giddiness is severe, or associated with any neurological sign, refer immediately to a Neurologist. Till then:4. Bed Rest, Avoid movements of the head, if giddiness is severe. Stop smoking & alcohol. Check whether any Chat Doctor.  Use cervical collar if cervical spondylitis comes out5. Take tablet Cinnarzine 25 mg: 1 tablet thrice daily or tablet Prochlorperazine 5 mg thrice daily. In. Erosion 2cc I'm every alternate day. Capsule B complex 1 twice daily. If there are cochlear symptoms: tablet betahistine 8 mg thrice daily