[25F] Experiencing dizziness, fatigue, headache, and stomach pain

Patient Description

A 25-year-old female reports experiencing dizziness, fatigue, a tension headache, and stomach pain with no appetite. The headache, which is most intense on the sides of her head, started suddenly this morning and has persisted for 7 hours. The pain intensity is rated at 7 out of 10. Standing up exacerbates the headache and dizziness, and she feels unable to concentrate. There have been no recent injuries, changes in health, stress, or changes in routine that might have triggered these symptoms. The patient has not taken any medications or tried any treatments for the headache today.

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Arora's Assessment

What might be happening

Based on the symptoms you've described—dizziness, fatigue, an all-day headache, and stomach pain with no appetite—there are a few potential explanations:

  1. Tension Headache: Given that your headache is worse on the sides of your head and you believe it to be a tension headache, this is a likely cause. Tension headaches can be triggered by stress, poor posture, or muscle strain. They often cause a band-like pain around the head and can be associated with dizziness and fatigue.

  2. Dehydration: Dizziness, headache, and stomach pain can also be symptoms of dehydration. If you haven't been drinking enough fluids, this could be contributing to your symptoms.

  3. Viral Infection: A viral infection, such as the flu or a stomach virus, can cause a combination of symptoms including headache, dizziness, fatigue, and stomach pain. These infections often come on suddenly and can make you feel quite unwell.

  4. Low Blood Sugar: If you haven't been eating well, low blood sugar could be causing your dizziness, headache, and lack of appetite. This is especially likely if you skipped meals or haven't eaten much today.

What you can do

For Dizziness and Headache:

  • Stay Hydrated: Drink plenty of water throughout the day. Dehydration can worsen both dizziness and headaches.
  • Rest: Try to rest in a quiet, dark room. Sometimes lying down can help alleviate dizziness and headache.
  • Over-the-Counter Pain Relief: Consider taking an over-the-counter pain reliever like ibuprofen (Advil) or acetaminophen (Tylenol) to help with the headache. Be sure to follow the dosing instructions on the package.
  • Avoid Sudden Movements: Move slowly and avoid sudden changes in position to help manage dizziness.

For Stomach Pain and Lack of Appetite:

  • Eat Small, Bland Meals: If you can, try to eat small, bland meals like toast, crackers, or bananas. Avoid heavy, greasy, or spicy foods.
  • Stay Hydrated: Sip on clear fluids like water, broth, or an electrolyte solution to stay hydrated.
  • Rest: Give your stomach a break and rest as much as possible.

What you should look out for

While your symptoms are concerning, they are not necessarily life-threatening. However, you should seek medical care if you experience any of the following:

  • Severe or Worsening Symptoms: If your headache, dizziness, or stomach pain becomes severe or worsens.
  • Fainting or Loss of Consciousness: If you faint or lose consciousness, seek immediate medical attention.
  • Persistent Vomiting: If you are unable to keep fluids down due to vomiting.
  • Chest Pain or Shortness of Breath: If you experience chest pain or shortness of breath, seek emergency care.

Remember, it's important to consult with a healthcare professional to get a formal diagnosis and appropriate treatment. You can use MDandMe to journal your symptoms, track your progress, get insights, and share your medical notes with your provider. If you have more questions or need further assistance, feel free to continue the conversation.

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5 mo ago


People Also Ask


What are the common causes of tension headaches?

Tension headaches are often caused by stress, poor posture, or muscle strain. They typically present as a band-like pain around the head and can be associated with symptoms like dizziness and fatigue.


How can dehydration lead to dizziness and headaches?

Dehydration can lead to dizziness and headaches because it reduces blood volume, which can lower blood pressure and reduce the flow of oxygen to the brain, causing these symptoms.


What are the symptoms of a viral infection that could cause headaches and stomach pain?

A viral infection, such as the flu or a stomach virus, can cause symptoms like headache, dizziness, fatigue, and stomach pain. These infections often start suddenly and can make you feel quite unwell.


How does low blood sugar affect your body and cause symptoms like dizziness and headaches?

Low blood sugar, or hypoglycemia, can cause dizziness, headaches, and lack of appetite because the brain relies on glucose for energy. Without enough glucose, brain function can be impaired, leading to these symptoms.


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