[31F] Experiencing dizziness, nausea, fatigue, and shakiness

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

• Vestibular Neuritis: This is an inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. It often may be associated with nausea and fatigue.

  • Treatment typically involves medications to relieve symptoms such as nausea, vomiting and dizziness. Vestibular rehabilitation therapy may also be recommended.

• Benign paroxysmal positional vertigo (BPPV): This is one of the most common causes of vertigo. It creates a false sensation of spinning.

  • Treatment includes canalith repositioning maneuvers - a series of specific head and body movements that may be able to move the crystals out of your ear canal.

• Generalized Anxiety Disorder (GAD): This is a common condition, characterized by long-lasting anxiety that is not focused on any one object or situation. Those suffering from generalized anxiety disorder experience non-specific persistent fear and worry and become overly concerned with everyday matters. Dizziness, fatigue, nausea, and feeling shaky (jittery) are common symptoms.

  • Treatment options include psychotherapy and are often combined with medications which could be SSRI's like your Sertraline (Zoloft).

• Side effects of your medications: Dizziness, nausea, fatigue, and shakiness are common side effects of Subutex and Sertraline. It's possible that your symptoms are a side effect of your medication.

  • If this is the case, your doctor may adjust the dose or change the medication.

What you can do

1. Make sure you are staying hydrated and eating nutritious meals. Dehydration and low blood sugar can sometimes cause dizziness and fatigue.
2. Try to get plenty of rest. Fatigue can often make symptoms of dizziness and nausea worse.
3. Avoid sudden changes in position, especially from lying down to standing up. This can often trigger dizziness.
4. If you suspect your symptoms might be related to your medication, do not stop taking them without consulting your doctor first.

What you should look out for

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

• A sudden severe headache, worse than any you've had before
• Fainting or loss of consciousness
• Chest pain or shortness of breath
• Sudden difficulty speaking or understanding speech
• Sudden vision changes

Remember, while I strive to provide accurate information based on the symptoms you've described, it's always a good idea to consult with a healthcare professional who can evaluate your condition and medical history in person.