[24F] Experiencing dizziness, vomiting, and abnormal eye movements

Patient Description

A 24-year-old female is presenting with symptoms of severe dizziness, inability to walk straight, vomiting bile, and abnormal eye movements. One eye has become crossed, deviating to the opposite side, while the other eye remains unaffected. The patient is not currently pregnant and has not provided any further medical history at this time.

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Arora's Assessment

What might be happening

Based on the symptoms you've described for your grandfather, the most concerning possibilities include:

  • Stroke: A stroke occurs when blood flow to a part of the brain is cut off, often due to a blood clot or burst blood vessel. Symptoms can include dizziness, difficulty walking, vomiting, and abnormal eye movements. Immediate medical attention is crucial in the event of a stroke.

    • Treatment typically involves medications to break up clots or prevent new ones from forming, and in some cases, surgery may be necessary.
  • Vestibular neuritis: This is inflammation of the inner ear, usually caused by a viral infection, which can lead to dizziness, difficulty walking, and abnormal eye movements. Vomiting can also occur due to the nausea often associated with this condition.

    • Treatment often involves medications to reduce inflammation and manage symptoms, such as anti-nausea drugs.
  • Meniere's disease: This is a disorder of the inner ear that can lead to vertigo (a spinning sensation), tinnitus (ringing in the ear), hearing loss, and a feeling of fullness or pressure in the ear. Vomiting can occur due to severe vertigo.

    • Treatment typically involves a combination of medications, dietary changes, and sometimes surgery.

What you can do

Given the severity and sudden onset of your grandfather's symptoms, it's crucial that he receives immediate medical attention. Please call an ambulance or take him to the nearest emergency department right away.

What you should look out for

If your grandfather's symptoms worsen or if he develops additional symptoms such as severe headache, difficulty speaking, or weakness on one side of the body, these could be signs of a more serious condition like a stroke. Again, immediate medical attention is necessary.

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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1 yr ago

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People Also Ask


What are the common symptoms of a stroke?

Common symptoms of a stroke include sudden numbness or weakness in the face, arm, or leg, especially on one side of the body, confusion, trouble speaking or understanding speech, difficulty seeing in one or both eyes, difficulty walking, dizziness, loss of balance or coordination, and severe headache with no known cause.


How is vestibular neuritis diagnosed and treated?

Vestibular neuritis is typically diagnosed through a physical examination and tests to assess balance and hearing. Treatment often includes medications to reduce inflammation, such as corticosteroids, and to manage symptoms like dizziness and nausea, such as antihistamines or anti-nausea drugs.


What lifestyle changes can help manage Meniere's disease?

Lifestyle changes that can help manage Meniere's disease include reducing salt intake, avoiding caffeine and alcohol, managing stress, and avoiding triggers that can worsen symptoms. Some patients may also benefit from physical therapy to improve balance.


What should I do if I experience sudden severe dizziness and vomiting?

If you experience sudden severe dizziness and vomiting, it is important to seek immediate medical attention, as these could be signs of a serious condition such as a stroke. Call emergency services or go to the nearest emergency department.


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