[34F] Experiencing dizziness, nausea, vomiting, weakness, and fatigue

Patient Description

A 34-year-old female has been experiencing spontaneous episodes of dizziness, nausea, vomiting, weakness, and fatigue for the past three weeks. The dizziness is severe, with a spinning sensation rated 8 out of 10, occurring mostly in the morning or during physical activity, and is relieved by lying down. Nausea and vomiting are also severe, with nausea often preceding spontaneous projectile vomiting that varies from 2 to 8 times a week. The patient reports significant weakness upon waking or after extensive movement, which impairs her ability to perform daily activities. Additionally, she experiences severe headaches but no changes in vision or hearing. There is no known family history of similar symptoms, except her mother has vertigo. The patient has no known allergies, is not on any medications, and has no past medical history of chronic illnesses or neurological disorders.

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Arora's Assessment

What might be happening

Based on the symptoms you've described for your daughter, several conditions could be causing her symptoms:

  • Vestibular Neuritis: This is an inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. The symptoms can last for several weeks and are often severe enough to affect balance.

    • Treatment typically involves medications to relieve symptoms, such as prescription drugs to reduce inflammation or control nausea and vomiting.
  • Meniere's Disease: This is a disorder of the inner ear that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear.

    • Treatment can involve a combination of medications, lifestyle changes, physical therapy, and devices to improve hearing. In some cases, surgery may be necessary.
  • Migraines: Migraines are a type of headache characterized by severe, throbbing pain usually on one side of the head. They can cause nausea, vomiting, and sensitivity to light and sound. Some people may also experience an aura, a short period of visual disturbance, before the headache begins.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks. Lifestyle changes, such as avoiding triggers and regular physical activity, can also help manage migraines.
  • Benign Paroxysmal Positional Vertigo (BPPV): This is a common cause of vertigo. It creates a false sensation of spinning due to changes in the position of tiny calcium particles in the inner ear.

    • Treatment usually involves a series of movements performed in a doctor's office to help reposition these particles.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate her symptoms and medical history more thoroughly.

What you can do

Here are some general suggestions that might help your daughter:

  1. Encourage her to rest and avoid sudden movements, especially when she's feeling dizzy.
  2. Make sure she stays hydrated, especially if she's been vomiting.
  3. Try to identify any potential triggers for her symptoms, such as specific activities or foods.
  4. Over-the-counter medications like meclizine can help with dizziness and nausea, but you should check with a healthcare provider before starting any new medication.

What you should look out for

If your daughter's symptoms persist or worsen, or if she experiences any of the following, seek immediate medical attention:

  • A severe headache or a headache that comes on suddenly
  • Difficulty walking or trouble keeping her balance
  • Fainting or loss of consciousness
  • Hearing loss
  • Vision changes
  • Difficulty speaking or understanding speech
  • Weakness or numbness on one side of her body

Remember, this advice is intended to be general in nature, and specific causes may not apply to your daughter's unique situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.

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10 mo ago

People Also Ask


What are the common causes of dizziness and vertigo?

Common causes of dizziness and vertigo include vestibular neuritis, Meniere's disease, migraines, and benign paroxysmal positional vertigo (BPPV). These conditions affect the inner ear or brain and can lead to symptoms like spinning sensations and balance issues.


How can nausea and vomiting be managed at home?

To manage nausea and vomiting at home, ensure adequate hydration by sipping clear fluids, eat small and bland meals, and rest in a comfortable position. Over-the-counter medications like meclizine may help, but consult a healthcare provider before use.


What lifestyle changes can help manage migraines?

Lifestyle changes that can help manage migraines include identifying and avoiding triggers (such as certain foods or stress), maintaining a regular sleep schedule, staying hydrated, exercising regularly, and managing stress through relaxation techniques.


When should I seek medical attention for dizziness and headaches?

Seek medical attention for dizziness and headaches if you experience severe or sudden headaches, difficulty walking, fainting, hearing loss, vision changes, difficulty speaking, or weakness on one side of the body, as these could indicate a more serious condition.


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