[20F] Experiencing dizziness, nausea, and various pains

Patient Description

A 20-year-old female reports experiencing dizziness and nausea without a clear trigger for the past 2 days, rating the severity as 4 out of 10. She also describes a dull pain around the front and back of her ribs, a throbbing and aching headache all over her head, and intermittent dull chest pain, each with a severity of 4 out of 10 for the rib pain and 5 out of 10 for the headache and chest pain. The headache has persisted for 4 days, while the chest pain started 1 day ago. Additionally, she notes light shakiness in her hands that began today, resembling hypoglycemia, and pain between her shoulder blades. The patient has no known allergies, is not currently taking any medications, and has no pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including chest pain, dizziness, nausea, and shaking. The pain in your ribs and between your shoulder blades could be due to muscle tension related to anxiety.

    • Treatment often involves a combination of therapy and medication. Lifestyle changes, such as regular exercise, adequate sleep, and a healthy diet, can also help manage symptoms.
  • Costochondritis: This is inflammation of the cartilage in your rib cage, and it can cause chest pain and pain in the ribs. The pain may worsen with physical activity or deep breathing.

    • Treatment usually involves pain relievers and physical therapy.
  • Migraine: This is a type of headache characterized by throbbing pain, often on one side of the head. It can also cause nausea and dizziness.

    • Treatment may include over-the-counter or prescription medications to relieve pain and prevent future migraines.

Please note that these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for a proper evaluation.

What you can do

  1. If you're feeling anxious, try deep breathing exercises or other relaxation techniques.
  2. Over-the-counter pain relievers may help with your rib and chest pain. However, it's important to follow the package instructions and not exceed the recommended dose.
  3. If you have a migraine, try resting in a dark, quiet room. Placing a cool cloth on your forehead may also help.
  4. Stay hydrated and eat regular, balanced meals. This can help prevent low blood sugar, which can cause shakiness and dizziness.

What you should look out for

Seek immediate medical attention if:

  • Your chest pain becomes severe or is accompanied by shortness of breath, pain radiating to the arm or jaw, or other signs of a heart attack.
  • Your headache is severe and unlike any you've had before, or it's accompanied by a high fever, stiff neck, confusion, or other serious symptoms.
  • You experience persistent vomiting, which can lead to dehydration.
  • Your symptoms persist or worsen despite self-care measures.

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11 mo ago

People Also Ask


What are common symptoms of anxiety or panic disorder?

Common symptoms of anxiety or panic disorder include chest pain, dizziness, nausea, shaking, rapid heartbeat, sweating, and feelings of impending doom. These symptoms can vary in intensity and duration.


How can costochondritis be distinguished from other causes of chest pain?

Costochondritis is typically characterized by sharp pain in the front of the chest, which may worsen with physical activity or deep breathing. Unlike heart-related chest pain, costochondritis pain is often reproducible by pressing on the affected area.


What are effective treatments for migraines?

Effective treatments for migraines include over-the-counter pain relievers like ibuprofen or acetaminophen, prescription medications such as triptans, and preventive medications for frequent migraines. Lifestyle changes, such as stress management and avoiding known triggers, can also help.


What should I do if I experience persistent dizziness and nausea?

If you experience persistent dizziness and nausea, it's important to stay hydrated and eat small, balanced meals. Resting in a quiet, dark room may help. If symptoms persist or worsen, consult a healthcare professional for further evaluation.


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