[34F] Experiencing dizziness, vomiting, chills, and malaise

Patient Description

A 34-year-old female reports feeling a general sense of discomfort (malaise) that comes and goes, which started yesterday. She is also experiencing chills, constant dizziness that worsens upon standing, described as a spinning sensation, and vomiting. The severity of the dizziness is mild (rated 2 out of 10) but is persistent and exacerbated by standing up. No alleviating factors for the malaise have been identified. The patient is not currently pregnant.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, possible conditions include:

  • Viral Gastroenteritis: Also known as the "stomach flu," this condition can cause nausea, vomiting, and a general feeling of being unwell (malaise). It's caused by a viral infection in your intestines.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Vertigo: This is a condition where you feel like you or the room is spinning. It can be caused by issues in the inner ear or brain. It can be worse when you change your head position.

    • Treatment can involve physical therapy, medication, or in some cases, surgery.
  • Dehydration: This can result from not drinking enough fluids, especially if you've been vomiting. It can cause dizziness, especially upon standing, and a general feeling of being unwell.

    • Treatment involves rehydrating your body by drinking plenty of fluids and, if severe, may require intravenous fluids.

Please note that these are just possibilities and not a definite diagnosis.

What you can do

  1. Stay hydrated: Drink plenty of fluids, especially water and electrolyte-replenishing drinks.
  2. Rest: Give your body time to recover.
  3. Over-the-counter medication: You may find relief from symptoms with over-the-counter medication. Please consult with a pharmacist or healthcare provider for appropriate options.
  4. Seek medical attention: If your symptoms persist or worsen, please seek medical attention.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Blood in your vomit or stool
  • High fever (temperature over 100.4°F)
  • Signs of severe dehydration such as dry mouth, not urinating, sunken eyes, and feeling extremely thirsty, dizzy or lightheaded
  • Symptoms that persist for more than a few days

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for accurate information.

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10 mo ago

People Also Ask


What are the common symptoms of viral gastroenteritis?

Common symptoms of viral gastroenteritis include nausea, vomiting, diarrhea, stomach cramps, and a general feeling of malaise. It may also be accompanied by a low-grade fever and headache.


How can vertigo be managed at home?

Vertigo can be managed at home by avoiding sudden movements, staying hydrated, and resting. Some people find relief with over-the-counter medications like antihistamines. It's also helpful to avoid bright lights and loud noises.


What are the signs of dehydration to watch out for?

Signs of dehydration include dry mouth, extreme thirst, infrequent urination, dark-colored urine, fatigue, dizziness, and confusion. Severe dehydration may require medical attention.


When should I seek medical attention for dizziness and vomiting?

You should seek medical attention if your dizziness and vomiting are accompanied by severe abdominal pain, blood in vomit or stool, high fever, or signs of severe dehydration. Persistent symptoms lasting more than a few days also warrant a doctor's visit.


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