[18M] Experiencing sudden severe dizziness and blurry vision

Patient Description

An 18-year-old male reports experiencing sudden, severe dizziness with episodes lasting around 2-3 minutes. The dizziness is accompanied by a sensation of head rushing and blurry vision. These symptoms improve when sitting down. The patient has had adequate fluid intake and has not been exposed to hot weather. There have been no recent changes in activity level or stress, and no new medications have been started. The patient denies any alcohol or drug use. There is no personal or family history of heart disease, stroke, or blood pressure issues. The patient has no known allergies, is not currently taking any medications, and has no pre-existing medical conditions.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Orthostatic Hypotension: This occurs when your blood pressure drops suddenly upon standing, leading to dizziness and blurry vision. It can be due to dehydration, prolonged bed rest, or certain medications.

    • Treatment typically involves lifestyle changes, such as staying hydrated and rising slowly from sitting or lying positions.

  • Vestibular Disorders: Conditions affecting the inner ear can cause dizziness and balance issues.

    • Treatment may include vestibular rehabilitation exercises or medications to manage symptoms.

  • Anemia: A condition where you don't have enough healthy red blood cells, leading to dizziness and fatigue.

    • Treatment involves addressing the underlying cause, which may include dietary changes or supplements.

  • Migraine: Some migraines can cause dizziness and visual disturbances without a headache.

    • Treatment may involve medications to prevent or relieve symptoms.

What you can do

  • Stay Hydrated: Ensure you're drinking enough fluids throughout the day.
  • Move Slowly: When standing up, do so gradually to prevent dizziness.
  • Rest: Sit or lie down when you feel dizzy to prevent falls.
  • Track Symptoms: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Persistent or worsening symptoms
  • Chest pain or shortness of breath
  • Severe headache or confusion
  • Fainting

Remember, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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2 mo ago

People Also Ask

What is orthostatic hypotension and how can it be managed?

Orthostatic hypotension is a condition where your blood pressure drops suddenly when you stand up, causing dizziness and blurry vision. It can be managed by staying hydrated, rising slowly from sitting or lying positions, and sometimes making dietary changes or using medications as advised by a healthcare provider.

How do vestibular disorders cause dizziness and what are the treatment options?

Vestibular disorders affect the inner ear and can lead to dizziness and balance issues. Treatment options include vestibular rehabilitation exercises, medications to manage symptoms, and in some cases, lifestyle changes to reduce triggers.

Can anemia cause dizziness and what are the common treatments?

Yes, anemia can cause dizziness due to a lack of healthy red blood cells. Common treatments include addressing the underlying cause, which may involve dietary changes, iron supplements, or other medications as prescribed by a doctor.

What are the symptoms of a migraine without a headache and how is it treated?

A migraine without a headache, also known as a silent migraine, can cause symptoms like dizziness and visual disturbances. Treatment typically involves medications to prevent or relieve symptoms, and lifestyle changes to avoid known triggers.

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