[18F] Experiencing dizziness, blurred vision, nausea, and chills

Patient Description

An 18-year-old female is reporting persistent dizziness for the past 2 days, which is exacerbated by standing up quickly and turning her head fast. She also experiences blurred vision and almost passed out. Additionally, she is experiencing nausea and chills. The symptoms are constant throughout the day and are not relieved by any specific measures, although she mentioned 'lights' without further context. She is not currently pregnant. Further medical evaluation is necessary to determine the underlying cause of these symptoms.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. This could explain your dizziness, especially when standing up or turning your head quickly.

    • Treatment usually involves lifestyle changes, such as drinking plenty of fluids and avoiding alcohol. In some cases, medication may be necessary.
  • Vestibular Neuritis: This is an inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance.

    • Treatment often involves medications to relieve symptoms, such as prescription drugs to reduce inflammation and control nausea and vomiting.
  • Migraine: Migraines can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound.

    • Treatment is aimed at relieving symptoms and preventing additional attacks.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. This could explain your dizziness and blurred vision.

    • Treatment depends on the cause and severity of the condition but may include dietary changes, supplements, or medications.

Please note that these are possibilities based on the symptoms you've described, and it's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Try to stand up slowly from a sitting or lying position.
  2. Stay hydrated and maintain a balanced diet.
  3. Avoid sudden head movements if they make your dizziness worse.
  4. Limit your intake of caffeine and alcohol, as they can lead to dehydration and exacerbate your symptoms.
  5. Rest and avoid driving or operating heavy machinery if you're feeling dizzy.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms persist or worsen.
  • You experience a severe headache, chest pain, shortness of breath, or fainting.
  • You have difficulty speaking, seeing, or moving your arms or legs.
  • You have a high fever, stiff neck, or severe vomiting.

Remember, I'm an AI and this advice is based on the symptoms you've provided. It's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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9 mo ago


People Also Ask


What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a form of low blood pressure that occurs when standing up from sitting or lying down, causing dizziness. Management includes lifestyle changes like staying hydrated, avoiding alcohol, and sometimes medication.


What are the symptoms and treatment options for vestibular neuritis?

Vestibular neuritis is an inflammation of the inner ear, often due to a viral infection, causing dizziness and balance issues. Treatment includes medications to relieve symptoms, such as anti-inflammatory drugs and anti-nausea medications.


How can migraines cause dizziness and what are the treatment options?

Migraines can cause dizziness due to severe throbbing pain or a pulsing sensation, often with nausea and sensitivity to light. Treatment focuses on relieving symptoms and preventing future attacks, using medications and lifestyle changes.


What are the signs of anemia and how is it treated?

Anemia is characterized by a lack of healthy red blood cells, leading to dizziness and blurred vision. Treatment depends on the cause and may include dietary changes, supplements, or medications.


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