[22M] Experiencing severe lightheadedness and nausea

What might be happening

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

• Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of vertigo, or a sensation of spinning, that is often triggered by specific changes in the position of your head. This might explain why you feel worse when lying down and better when sitting up.

  • Treatment typically involves a series of movements known as the Epley maneuver, which can be performed by a healthcare professional to move the displaced particles causing the vertigo.

• Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It could explain why you feel better when sitting up.

  • Treatment usually involves lifestyle changes, such as drinking plenty of fluids and standing up slowly.

• Vestibular Neuritis or Labyrinthitis: These are inflammations of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. Nausea is a common symptom.

  • Treatment typically involves medications to relieve symptoms, such as prescription drugs to reduce inflammation and control nausea.

Remember, these are only possible explanations and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

1. Try to avoid sudden changes in position, particularly moving from lying down to standing up, as this may exacerbate your symptoms.
2. Stay hydrated and eat small, frequent meals, which can help manage your nausea.
3. Rest and avoid activities such as driving, operating heavy machinery, or anything else that could be dangerous if you become dizzy.
4. Consult with a healthcare professional as soon as possible. They may refer you to an ear, nose, and throat (ENT) specialist or a neurologist for further evaluation.

What you should look out for

Seek immediate medical attention if:

• Your dizziness is accompanied by a severe headache, chest pain, shortness of breath, or irregular heartbeats.
• You have a high fever, severe vomiting, or convulsions.
• You experience sudden hearing loss or have difficulty speaking or moving your limbs.
• Your symptoms persist or worsen over time.

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.