<s>[INST] since june 28 i am suffering from head realing.all of a sudden head is realing.age 63,suffering from diabetic.I took few Tablets of pine bark extract pills for two three days before 28 th June 2014 and if this may be the reason to induce head reeling. [/INST] The commonest reasons for a 63-year-old to develop such symptoms would be due to an inner ear mechanical problem triggered by certain positions adapted by the head while getting up from a lying or sitting position or on looking down, this could be evaluated and treated by an ENT(Ear, nose and throat) specialist. The next likely cause could be due to cervical spondylosis which is a degenerative age related change in the cervical spine(neck spine), this could be ad Chat Doctor. The treating physical therapist would want a radiological imaging like a X-ray prior to beginning treatment. Pine bark extract pills are not known to be a precursor for such symptoms however It's very difficult to comment on such products which do not have a complete scientific analysis behind its usage/ efficacy /side effects. </s>