[28F] Experiencing dizziness, diarrhea, fatigue, and shortness of breath

Patient Description

A 28-year-old female has been experiencing moderate dizziness described as feeling like being on a boat for 4 days, which worsens with bending over and standing still, but improves when lying down. Additionally, she has had loose diarrhea, particularly after eating meat, for 2 days. She also reports fatigue and shortness of breath when talking, walking, or climbing stairs for the past 3 days. Her medical history includes psoriasis diagnosed 10 years ago and slightly elevated cholesterol diagnosed 2 years ago. She is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you've provided, several conditions could be causing your symptoms:

  • Vestibular Neuritis: This is inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. Typically, symptoms of vestibular neuritis come on suddenly and then gradually fade.

    • Treatment usually involves medications to relieve symptoms of vertigo and nausea, and physical therapy to help improve balance.
  • Benign paroxysmal positional vertigo (BPPV): This condition causes intense, brief episodes of dizziness or vertigo associated with moving the head, often when rolling in bed or getting up in the morning. Some people also feel out of balance when standing or walking.

    • Treatment is usually with physical maneuvers. Medications may also be used but are not as effective.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. Having anemia can make you feel tired and weak. There are many forms of anemia, each with its own cause.

    • Treatment depends on the kind of anemia you have.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, nausea, and stomach cramps.

    • Treatment usually involves rest, hydration, and self-care.
  • Food intolerance or malabsorption: Certain foods might be triggering your digestive symptoms. Common culprits include lactose, fructose, and gluten.

    • Treatment involves identifying and avoiding the offending foods.

Please remember that this is not an exhaustive list and other conditions could also be causing your symptoms.

What you can do

  1. Try to rest and stay hydrated. Dehydration can worsen feelings of dizziness and fatigue.
  2. Try to identify if certain head movements trigger your dizziness and avoid them if possible.
  3. Keep a food diary to identify potential food triggers for your diarrhea.
  4. Avoid heavy meals and foods that are high in fiber until your diarrhea improves.
  5. If you're feeling short of breath, try to take slow, deep breaths. Sitting down can also help.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms persist or worsen
  • You develop a high fever
  • You notice blood in your stool
  • Your dizziness is accompanied by a severe headache, chest pain, or trouble speaking
  • You feel faint or actually faint

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional who can evaluate your symptoms and condition properly.

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11 mo ago

People Also Ask


What are the common causes of dizziness that feels like being on a boat?

Common causes of dizziness that feels like being on a boat include vestibular neuritis, benign paroxysmal positional vertigo (BPPV), and other inner ear disorders. These conditions can affect balance and spatial orientation.


How can I manage diarrhea that occurs after eating certain foods?

To manage diarrhea after eating certain foods, try keeping a food diary to identify potential triggers. Avoiding these foods, staying hydrated, and eating bland, low-fiber foods can help. If symptoms persist, consult a healthcare professional.


What are the symptoms and causes of anemia?

Symptoms of anemia include fatigue, weakness, shortness of breath, and dizziness. Anemia can be caused by iron deficiency, vitamin deficiencies, chronic diseases, or genetic conditions. Treatment depends on the underlying cause.


What should I do if I experience shortness of breath during daily activities?

If you experience shortness of breath during daily activities, try to rest and take slow, deep breaths. If the symptom persists or worsens, or if it's accompanied by chest pain or fainting, seek medical attention promptly.


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