[26F] Experiencing severe dizziness, nausea, and neurological symptoms

Patient Description

A 26-year-old female presents with severe dizziness and nausea rated 8 out of 10, with episodes of lightheadedness, weakness in limbs rated 6 out of 10, sensitivity to motion and light, reduced appetite, difficulty speaking, lethargy, and occasional blurred vision. Symptoms have been occurring on and off since Sunday and are exacerbated by movement, looking at screens, and bright light. Relief is found when lying down in a dark room. The patient has a history of asthma diagnosed in her mid-teens and possible aspirin allergy. She uses marijuana recreationally on weekends and has taken over-the-counter medications such as ibuprofen, acetaminophen, and Excedrin for severe headaches, which have not been alleviated. No recent use of prescription medications or birth control. No known family history of migraines or neurological conditions.

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Arora's Assessment

What might be happening

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

  • Migraine: A type of headache characterized by severe pain, nausea, and sensitivity to light and sound. Some people may also experience visual disturbances or difficulty speaking.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as stress management and regular exercise, may also be helpful.
  • Vestibular neuritis or labyrinthitis: Inflammation of the inner ear, which can cause dizziness, nausea, and loss of balance. These conditions can also cause nystagmus, a condition in which the eyes make repetitive, uncontrolled movements.

    • Treatment typically involves medications to relieve symptoms, such as anti-nausea drugs and medications to reduce dizziness. Vestibular rehabilitation therapy may also be recommended.
  • Meniere's disease: A disorder of the inner ear that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear.

    • Treatment typically involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Anxiety or stress: These can cause a variety of physical symptoms, including dizziness, nausea, and difficulty speaking.

    • Treatment typically involves a combination of therapy, medication, and lifestyle changes.

What you can do

  1. Make an appointment to see a healthcare provider. They can help determine the cause of your symptoms and recommend appropriate treatment.
  2. In the meantime, try to rest and stay hydrated. Avoid activities that make your symptoms worse.
  3. Keep a symptom diary. Note when your symptoms occur, what you're doing at the time, and anything that makes them better or worse. This can be helpful information for your healthcare provider.

What you should look out for

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

  • A sudden, severe headache
  • A sudden loss of balance or coordination
  • Difficulty speaking or understanding speech
  • Sudden, severe vomiting
  • A high fever or stiff neck

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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10 mo ago

People Also Ask


What are the common symptoms of a migraine and how can they be managed?

Common symptoms of a migraine include severe headache, nausea, sensitivity to light and sound, and sometimes visual disturbances or difficulty speaking. Management typically involves medications to relieve symptoms and prevent future attacks, as well as lifestyle changes like stress management and regular exercise.


How does vestibular neuritis differ from Meniere's disease, and what are their treatments?

Vestibular neuritis is inflammation of the inner ear that causes dizziness and loss of balance, while Meniere's disease is a disorder that can lead to vertigo and hearing loss, usually affecting one ear. Treatment for vestibular neuritis includes anti-nausea drugs and vestibular rehabilitation, while Meniere's disease may require medications, lifestyle changes, and sometimes surgery.


Can anxiety or stress cause physical symptoms like dizziness and nausea?

Yes, anxiety or stress can cause physical symptoms such as dizziness, nausea, and difficulty speaking. These symptoms are often managed with a combination of therapy, medication, and lifestyle changes.


What lifestyle changes can help prevent or reduce the severity of migraines?

Lifestyle changes that can help prevent or reduce the severity of migraines include maintaining a regular sleep schedule, managing stress, staying hydrated, avoiding known migraine triggers, and engaging in regular physical activity.


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