[21M] Experiencing dizziness and chills with flushed cheeks

Patient Description

A 21-year-old male has been experiencing mild dizziness for the past two days, which is triggered by sudden movements, particularly when getting up quickly from bed. The dizziness is worse upon waking and before sleeping, lasting about 10-20 minutes, and is alleviated by rest. The patient also feels like vomiting but has not vomited and reports dark red flushed cheeks after long days spent outside, starting four days ago. The patient had a mild fever of 100.1°F a few days prior and has been experiencing chills. There is no recent history of contact with sick individuals, large gatherings, or travel. The patient is taking half a pill of Montelukast daily, though the dosage is unspecified, and does not have any known allergies or adverse reactions to medications. There is no significant past medical history, no use of recreational drugs, alcohol, or other medications. The patient also mentioned recent exposure to dust from ripping up a carpet.

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Arora's Assessment

What might be happening

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

  • Benign paroxysmal positional vertigo (BPPV): This condition causes brief episodes of mild to intense dizziness. BPPV is usually triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. It's not a serious condition unless it increases the risk of falls.

    • Treatment typically includes a series of movements performed in a doctor's office that can help move the tiny particles causing the dizziness to a part of your inner ear where they won't cause problems.
  • Viral gastroenteritis (stomach flu): This intestinal infection is commonly known as stomach flu. Symptoms include watery, usually nonbloody diarrhea — bloody diarrhea usually means you have a different, more severe infection — abdominal cramps and pain, bloating, nausea, vomiting and, occasionally, fever.

    • The goal of treatment is to prevent dehydration by drinking plenty of fluids. Over-the-counter medicines may help with symptoms.
  • Heat exhaustion or heat stroke: Given your flushed cheeks and recent outdoor activity, it's possible that heat exhaustion or heat stroke could be contributing to your symptoms. These conditions can cause dizziness, nausea, and fever.

    • Treatment involves cooling the body down, drinking plenty of fluids, and in severe cases, seeking immediate medical attention.
  • Dehydration: Dehydration can occur if you're not drinking enough water, especially if you're active outdoors. This can cause dizziness and nausea.

    • Treatment involves rehydrating the body by drinking water or sports drinks.

What you can do

  1. Try to stay hydrated. Drink plenty of fluids, especially water. If you're feeling nauseous, try sipping small amounts of water gradually rather than drinking a large amount at once.
  2. Rest as much as possible. This can help alleviate your dizziness.
  3. Avoid sudden movements that trigger your dizziness. If you need to get up from lying down, do so slowly.
  4. If your symptoms persist or worsen, please seek medical attention.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe dizziness or dizziness that doesn't improve with rest
  • Vomiting that prevents you from keeping down fluids
  • High fever (over 102°F)
  • Severe headache
  • Chest pain
  • Shortness of breath
  • Fainting

Remember, I'm an AI and this advice is based on the information you've provided. It's always a good idea to consult with a healthcare provider for a formal diagnosis and treatment.

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1 yr ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

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 triggered by changes in head position. It is treated with specific head movements performed by a healthcare provider to move particles in the inner ear to a location where they do not cause dizziness.


What are the symptoms and treatment options for viral gastroenteritis?

Viral gastroenteritis, commonly known as stomach flu, causes symptoms like watery diarrhea, abdominal cramps, nausea, vomiting, and sometimes fever. Treatment focuses on preventing dehydration by drinking fluids and using over-the-counter medications to manage symptoms.


How can you differentiate between heat exhaustion and heat stroke?

Heat exhaustion and heat stroke both result from prolonged exposure to high temperatures. Heat exhaustion includes symptoms like heavy sweating, weakness, and nausea, while heat stroke is more severe, with symptoms like confusion, high body temperature, and loss of consciousness. Immediate cooling and hydration are crucial, and heat stroke requires emergency medical attention.


What are the signs of dehydration and how can it be treated?

Signs of dehydration include thirst, dry mouth, dark urine, dizziness, and fatigue. It is treated by drinking fluids, such as water or sports drinks, to replenish lost fluids and electrolytes.


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