[18F] Experiencing dizziness, nausea, and ear ringing

Patient Description

An 18-year-old female is experiencing constant nausea, which worsens with movement, and dizziness, rated 6/10 in severity, which intensifies upon standing and feels like she might fall or pass out. She also reports a high-pitched, static-like ringing in her ears, rated between 5 and 7/10 in intensity, occurring more frequently when laying her head down. These symptoms have been ongoing for the last half hour. The patient has a history of severe headaches, and the current episode is described as worse than previous ones. She has not had any recent head injuries or exposure to loud noises that could explain the ear ringing.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Vestibular Neuritis: This is an inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. It often comes on suddenly and includes vertigo (a spinning sensation), unsteadiness, nausea, and vomiting.

    • Treatment often involves medications to relieve symptoms of vertigo and nausea. Vestibular rehabilitation therapy may be recommended.
  • Meniere's disease: This is a disorder of the inner ear that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear. It can also cause ringing in the ear (tinnitus) and sometimes a feeling of fullness or pressure in your ear.

    • Treatment often involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Benign paroxysmal positional vertigo (BPPV): This is one of the most common causes of vertigo. It creates a false sensation of spinning due to changes in the position of the head. It can also cause unsteadiness, difficulty with balance, nausea, and vomiting.

    • Treatment often involves maneuvers performed by a healthcare professional to move the tiny loose particles in the inner ear.
  • Migraines: Some people may have symptoms such as dizziness, vertigo, and tinnitus before a migraine headache. The exact cause of migraines is unknown, but they're thought to be the result of abnormal brain activity temporarily affecting nerve signals, chemicals and blood vessels in the brain.

    • Treatment often involves medications to relieve symptoms and lifestyle changes to help prevent migraines.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. Try to rest and keep still when you're feeling dizzy. Avoid sudden changes in position and try not to turn your head quickly.
  2. Stay hydrated and avoid substances that can affect your circulation, such as caffeine, tobacco, and alcohol.
  3. Over-the-counter medications like meclizine can help with nausea and dizziness, but you should check with a healthcare provider before starting any new medication.
  4. If your symptoms are related to migraines, identifying and avoiding triggers can be helpful.

What you should look out for

Seek immediate medical attention if:

  • Your dizziness is accompanied by a severe headache, chest pain, or trouble breathing.
  • You have a high fever, stiff neck, severe weakness, or difficulty waking up.
  • You have convulsions or ongoing vomiting.
  • You're experiencing hearing loss or have trouble speaking.
  • Your symptoms are worsening or not improving with rest.

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

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7 mo ago


People Also Ask


What are the common causes of dizziness and nausea in young adults?

Common causes of dizziness and nausea in young adults include vestibular disorders like vestibular neuritis and BPPV, migraines, dehydration, low blood pressure, and anxiety. It's important to consult a healthcare provider for an accurate diagnosis.


How can I differentiate between vestibular neuritis and Meniere's disease?

Vestibular neuritis typically presents with sudden onset of vertigo, nausea, and balance issues, often following a viral infection. Meniere's disease, on the other hand, is characterized by episodes of vertigo, tinnitus, hearing loss, and a feeling of fullness in the ear, usually affecting one ear. A healthcare provider can perform specific tests to differentiate between the two.


What are some effective treatments for tinnitus?

Effective treatments for tinnitus can include sound therapy, cognitive behavioral therapy, hearing aids, and medications to manage underlying conditions. It's important to consult with an audiologist or ENT specialist for personalized treatment options.


Can migraines cause symptoms like dizziness and ear ringing?

Yes, migraines can cause symptoms like dizziness and ear ringing, known as vestibular migraines. These symptoms can occur before or during a migraine headache. Treatment typically involves medications to relieve symptoms and lifestyle changes to prevent migraines.

1 Comments


Anonymous#17807

6 mo ago

P. O. T. S. Get checked

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