[28F] Experiencing dizziness and nausea

Patient Description

A 28-year-old female is experiencing intermittent dizziness and nausea for the past week. The dizziness is described as both a spinning sensation and lightheadedness, rated at a severity of 7 out of 10. It is triggered by walking and sitting and lasts for approximately twenty minutes. Relief is found when remaining still or closing her eyes. The symptoms do not appear to be worse at any specific time of day. The patient is unsure about a potential pregnancy, and the first day of her last menstrual period was confirmed but not specified. Further evaluation is recommended to determine the cause of these symptoms and to address the possibility of pregnancy.

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Arora's Assessment

What might be happening

Based on the information you provided, the most likely causes of your symptoms could be:

  • Vestibular neuritis or labyrinthitis: These are inner ear problems that can cause balance disorders, including dizziness and a spinning sensation. They are often caused by an infection.

    • Treatment typically involves medications to relieve symptoms, such as antihistamines or sedatives, and physical therapy to help improve balance.
  • Meniere's disease: This is a disorder of the inner ear that can lead to dizziness and a spinning sensation. It's often accompanied by hearing loss and a ringing sound in the ear.

    • Treatment often involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Benign paroxysmal positional vertigo (BPPV): This is a condition where tiny calcium particles clump up in the inner ear, causing brief episodes of mild to intense dizziness.

    • Treatment usually includes maneuvers to help move the calcium deposits out of the canal into an inner ear chamber so they can be absorbed by the body.
  • Orthostatic hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down, causing dizziness and lightheadedness.

    • Treatment typically involves lifestyle modifications, such as drinking plenty of fluids and standing up slowly.

Please note that these are possibilities based on the information you provided and not a definitive diagnosis.

What you can do

Here are some things you can do to help manage your symptoms:

  1. Avoid quick changes in position, especially from lying down to standing up.
  2. Stay hydrated and avoid alcohol, caffeine, and tobacco, which can worsen dizziness.
  3. Use a cane or walker for stability if necessary.
  4. If your symptoms persist or worsen, seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • A new, severe headache
  • A stiff neck
  • Chest pain
  • High fever
  • Shortness of breath
  • Fainting
  • Sudden change in speech, vision, or hearing

Remember, I'm an AI and this advice is based on the information you provided. It's always best to consult with a healthcare professional for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are common causes of dizziness and nausea?

Common causes of dizziness and nausea include inner ear disorders like vestibular neuritis, Meniere's disease, and BPPV, as well as conditions like orthostatic hypotension. Other causes can include dehydration, low blood sugar, and anxiety.


How can I differentiate between dizziness caused by inner ear problems and other conditions?

Dizziness caused by inner ear problems often includes a spinning sensation (vertigo) and may be triggered by changes in head position. Other conditions might cause lightheadedness without the spinning sensation. A healthcare provider can perform specific tests to determine the cause.


What lifestyle changes can help manage dizziness and nausea?

To manage dizziness and nausea, avoid sudden movements, stay hydrated, and limit intake of alcohol, caffeine, and tobacco. Using a cane for stability and performing balance exercises may also help. Consult a healthcare provider for personalized advice.


Could dizziness and nausea be a sign of pregnancy?

Yes, dizziness and nausea can be early signs of pregnancy, often referred to as morning sickness. If pregnancy is a possibility, taking a home pregnancy test or consulting a healthcare provider can help confirm it.


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