[27F] Experiencing persistent dizziness and fatigue

Patient Description

A 27-year-old female has been experiencing persistent dizziness for three weeks, described as lightheadedness and spinning when lying down. The dizziness is moderate and occurs regardless of position, but is somewhat relieved by sleeping. The patient also reports significant fatigue despite sleeping 8-10 hours nightly. Additional symptoms include back hip pain, shoulder and arm pain, headaches, neck pain, and abdominal pain. The patient experiences nausea and weakness in the arms, along with leg pain. There are no changes in hearing or vision, no recent illnesses, injuries, or head trauma. The patient has a history of migraines since adolescence and is currently taking Vitamin D (1.25mg once a week). There is no use of alcohol or recreational drugs, and no recent travel. No known allergies or other medications reported.

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Arora's Assessment

What might be happening

Your symptoms could be related to a few different issues:

  1. Vestibular Disorders: The combination of dizziness, especially spinning when lying down, and nausea might suggest a vestibular issue like benign paroxysmal positional vertigo (BPPV) or vestibular migraine. These conditions can cause dizziness and are sometimes linked to migraines.

  2. Cervical Spine Issues: Neck pain, headaches, and arm weakness could be related to cervical spine problems, such as a pinched nerve or cervical spondylosis. These can cause referred pain and dizziness.

  3. Chronic Fatigue: Your persistent fatigue despite adequate sleep could be due to a variety of causes, including stress, sleep disorders, or other underlying health issues.

Typical treatments might include physical therapy, medications for dizziness or migraines, and lifestyle modifications. Testing could involve imaging studies or vestibular function tests.

What you can do

Dizziness and Nausea:

  • Try to avoid sudden movements and get up slowly from lying or sitting positions.
  • Stay hydrated and eat small, frequent meals to help with nausea.
  • Consider vestibular exercises, which a physical therapist can guide you through.

Neck and Arm Pain:

  • Apply heat or cold packs to the affected areas to reduce pain.
  • Gentle stretching and strengthening exercises may help, but consult a healthcare provider for specific recommendations.
  • Over-the-counter pain relief like ibuprofen may be helpful, but follow dosing instructions.

Fatigue:

  • Maintain a regular sleep schedule and create a restful sleeping environment.
  • Engage in light physical activity, such as walking, to boost energy levels.
  • Monitor your symptoms using MDandMe to track progress and share with your provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening symptoms
  • New or worsening weakness or numbness
  • Difficulty walking or maintaining balance
  • Any changes in vision or speech

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago

People Also Ask

What could be causing my persistent dizziness and nausea?

Persistent dizziness and nausea could be caused by vestibular disorders such as benign paroxysmal positional vertigo (BPPV) or vestibular migraines. These conditions are often linked to migraines and can cause symptoms like spinning sensations and nausea.

How can I manage my neck and arm pain at home?

To manage neck and arm pain at home, you can apply heat or cold packs to the affected areas, perform gentle stretching and strengthening exercises, and use over-the-counter pain relief like ibuprofen. However, it's important to consult a healthcare provider for specific recommendations.

Why am I feeling so fatigued despite getting enough sleep?

Feeling fatigued despite adequate sleep could be due to various factors, including stress, sleep disorders, or other underlying health issues. It's important to maintain a regular sleep schedule, create a restful sleeping environment, and engage in light physical activity to help boost energy levels.

When should I seek medical attention for my symptoms?

You should seek medical attention if you experience severe or worsening symptoms, new or worsening weakness or numbness, difficulty walking or maintaining balance, or any changes in vision or speech. These could indicate more serious underlying conditions that require prompt evaluation.

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