[27F] Experiencing episodic nausea, vomiting, and neurological symptoms

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

• Narcolepsy: This is a neurological disorder that affects the control of sleep and wakefulness. People with narcolepsy experience excessive daytime sleepiness and intermittent, uncontrollable episodes of falling asleep during the daytime. It can also cause symptoms like fatigue, but it doesn't typically cause nausea, vomiting, or dizziness.

  • Diagnosis usually involves sleep studies and potentially a cerebrospinal fluid analysis. Treatment typically involves medications to manage symptoms.

• Migraines: These are a type of headache characterized by intense, debilitating headaches, often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraines can cause significant fatigue, but they don't typically cause excessive daytime sleepiness or falling asleep during the day.

  • Diagnosis is usually based on clinical symptoms and potentially imaging to rule out other causes. Treatment involves pain management and potentially preventive medications.

• Hypoglycemia (low blood sugar): This condition can cause symptoms like shakiness, dizziness, fatigue, and even nausea and vomiting. It's more common in people with diabetes, but it can occur in people without diabetes under certain circumstances.

  • Diagnosis involves blood tests to check your blood sugar levels. Treatment involves eating or drinking something with sugar to raise your blood sugar levels.

• Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. It can cause symptoms like fatigue, dizziness, and even headaches. However, it doesn't typically cause nausea, vomiting, or excessive daytime sleepiness.

  • Diagnosis involves blood tests to check your red blood cell levels. Treatment depends on the cause of the anemia, but it may involve dietary changes, supplements, or medications.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the range and severity of your symptoms, it's important to seek medical attention. A healthcare provider can perform a thorough evaluation, order appropriate tests, and provide a definitive diagnosis.

In the meantime, try to get plenty of rest, stay hydrated, and eat a balanced diet. If you notice that certain activities or foods seem to trigger your symptoms, try to avoid them.

What you should look out for

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

• Severe headache or a headache that is different from your usual headaches
• Difficulty speaking or understanding speech
• Weakness or numbness on one side of your body
• Severe dizziness or loss of balance
• Any other severe or worsening symptoms

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.