[18F] Experiencing dizziness, nausea, and vivid dreams

Patient Description

An 18-year-old female has been experiencing sudden onset dizziness for the past three days, rated as a 7 out of 10 in severity. The dizziness worsens with head movements or changes in position. Accompanying symptoms include nausea, gagging, and vivid dreams. The patient reports a late menstrual period this month, though her cycles are usually regular. She has a history of asthma diagnosed in infancy and is currently on testosterone injections. There are no recent head injuries, infections, significant stress, or changes in routine. The patient has not traveled recently and reports no known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  1. Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of dizziness that occurs when you change the position of your head. It happens when tiny calcium particles clump up in the inner ear canals. BPPV can cause brief episodes of mild to intense dizziness. Treatment often involves specific head movements, known as the Epley maneuver, to help reposition the particles.

  2. Vestibular Migraine: This type of migraine can cause dizziness, nausea, and sometimes vivid dreams. It doesn't always come with a headache. Treatment may involve lifestyle changes, medications to prevent migraines, and managing triggers.

  3. Hormonal Changes: Since you mentioned taking testosterone injections, it's possible that hormonal changes could be contributing to your symptoms, including dizziness and changes in your menstrual cycle. It's important to discuss this with your healthcare provider to ensure your treatment plan is appropriate.

What you can do

Dizziness and Nausea:

  • Positional Changes: Move slowly and avoid sudden head movements. When getting up from lying down, sit up slowly and pause before standing.
  • Hydration: Ensure you're well-hydrated, as dehydration can worsen dizziness.
  • Diet: Eat small, frequent meals to help manage nausea. Ginger tea or ginger candies may also help alleviate nausea.

Vivid Dreams:

  • Sleep Hygiene: Maintain a regular sleep schedule, create a restful environment, and avoid screens before bedtime to improve sleep quality.

General:

  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider. This can help identify patterns or triggers.
  • Consult a Healthcare Provider: It's important to discuss your symptoms with a healthcare provider, especially considering your recent testosterone treatment and changes in your menstrual cycle.

What you should look out for

While your symptoms are not immediately life-threatening, you should seek medical attention if you experience:

  • Severe or worsening dizziness
  • Fainting or loss of consciousness
  • New or severe headaches
  • Any other concerning symptoms

Remember, this information is not a substitute for professional medical advice. Please consult a healthcare provider for a formal diagnosis and treatment plan.

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1 mo ago

People Also Ask


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it treated?

Benign Paroxysmal Positional Vertigo (BPPV) is a condition that causes brief episodes of dizziness when you change the position of your head. It is caused by tiny calcium particles clumping in the inner ear canals. Treatment often involves specific head movements, known as the Epley maneuver, to reposition these particles.


Can hormonal changes from testosterone injections cause dizziness and menstrual irregularities?

Yes, hormonal changes from testosterone injections can potentially cause dizziness and affect menstrual cycles. It's important to discuss these symptoms with your healthcare provider to ensure your treatment plan is appropriate and to address any side effects.


What are vestibular migraines and how do they differ from regular migraines?

Vestibular migraines are a type of migraine that primarily causes dizziness, nausea, and sometimes vivid dreams, without necessarily having a headache. They differ from regular migraines, which typically involve severe headaches. Treatment may involve lifestyle changes, medications, and managing triggers.


How can I manage nausea and dizziness at home?

To manage nausea and dizziness at home, move slowly and avoid sudden head movements. Stay well-hydrated, eat small, frequent meals, and consider ginger tea or candies to help alleviate nausea. Maintaining a regular sleep schedule and creating a restful environment can also help improve symptoms.


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