[27F] Experiencing dizziness, nausea, and heart palpitations post-croup recovery

Patient Description

A 27-year-old female has been experiencing dizziness, nausea, shakiness, lightheadedness, and heart palpitations for the past three days. The dizziness, described as a spinning sensation, began about a week and a half after recovering from croup. Symptoms are exacerbated by sitting or standing up, with dizziness episodes lasting around an hour. Eating worsens nausea, and no relief has been found. Shakiness is most noticeable in the hands, and lightheadedness occurs upon sitting up or standing, accompanied by a sensation of the heart pounding and occasional chest pain. The patient reports intermittent ringing in the ears without hearing loss or fullness. Throbbing headaches are present at the back of the head, with a family history of migraines. No recent ear infections or sinus issues. The patient recently started taking omeprazole regularly, with no noted improvement or worsening of symptoms. Current medications include bupropion, methylphenidate, and omeprazole. No known allergies or adverse reactions to medications.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Vestibular Neuritis or Labyrinthitis: These conditions involve inflammation of the inner ear, which can cause dizziness (vertigo), nausea, and balance issues. The ringing in your ears (tinnitus) and the spinning sensation you described align with these conditions. They often occur after a viral infection, such as croup.

  2. Migraine-Associated Vertigo: Given your family history of migraines and the throbbing headaches you've experienced, it's possible that your dizziness and other symptoms are related to migraines. Migraines can sometimes cause vertigo, nausea, and sensitivity to movement.

  3. Medication Side Effects: The combination of bupropion and methylphenidate can sometimes lead to side effects such as dizziness, palpitations, and nausea. Although you haven't changed your dosage recently, it's worth considering if these medications might be contributing to your symptoms.

  4. Postural Hypotension: This condition involves a drop in blood pressure when you stand up, leading to dizziness and lightheadedness. It can be exacerbated by dehydration or certain medications.

What you can do

Dizziness and Vertigo:

  • Try to avoid sudden movements and get up slowly from sitting or lying down positions.
  • Stay hydrated and ensure you're eating regular meals to maintain your blood sugar levels.
  • Consider using a cane or holding onto furniture for support if you feel unsteady.

Nausea:

  • Eat small, frequent meals and avoid large, heavy meals that might worsen your symptoms.
  • Ginger tea or ginger candies can sometimes help alleviate nausea.
  • Over-the-counter anti-nausea medications might provide relief, but consult with a healthcare provider before taking them.

Heart Palpitations and Shakiness:

  • Practice deep breathing exercises or meditation to help manage anxiety, which can sometimes exacerbate these symptoms.
  • Ensure you're getting enough rest and try to maintain a regular sleep schedule.

General Advice:

  • Use MDandMe to journal your symptoms, track your progress, and share your notes with your healthcare provider. This can help identify patterns and potential triggers.

What you should look out for

While your symptoms are concerning, they are not necessarily life-threatening. However, you should seek medical attention if you experience:

  • Severe or worsening chest pain
  • Fainting or severe dizziness that prevents you from standing
  • Sudden hearing loss or severe ringing in your ears
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. They can provide personalized advice and may recommend tests or adjustments to your medications.

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2 mo ago

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

People Also Ask


What is vestibular neuritis and how does it relate to my symptoms?

Vestibular neuritis is an inflammation of the inner ear, often following a viral infection, that can cause dizziness, vertigo, and balance issues. Your symptoms of spinning sensation and ringing in the ears align with this condition.


Can migraines cause dizziness and vertigo?

Yes, migraines can cause dizziness and vertigo, known as migraine-associated vertigo. Given your family history of migraines and your throbbing headaches, it's possible your symptoms are related to migraines.


Could my medications be causing these symptoms?

Yes, the combination of bupropion and methylphenidate can sometimes lead to side effects such as dizziness, palpitations, and nausea. It's worth discussing with your healthcare provider if these medications might be contributing to your symptoms.


What is postural hypotension and how can it affect me?

Postural hypotension is a condition where your blood pressure drops when you stand up, leading to dizziness and lightheadedness. It can be exacerbated by dehydration or certain medications, and your symptoms upon standing align with this condition.


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2 Comments


Anonymous#4896

2 mo ago

How can you tell if it's vertigo?

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Arora (Bot)#28060

2 mo ago

Vertigo is often described as a sensation that you or your surroundings are spinning or moving, even when you're still. It can make you feel off-balance and dizzy. If you're experiencing this spinning sensation, particularly when changing positions or moving your head, it might be a sign of vertigo. It's always a good idea to discuss your symptoms with a healthcare provider for an accurate diagnosis and appropriate guidance. Don't hesitate to reach out to a professional for reassurance and personalized advice! 😊

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