[34F] Experiencing nausea, dizziness, and sweet-smelling urine

Patient Description

A 34-year-old female reports experiencing severe nausea and dizziness, which began suddenly about 7-8 hours ago. The dizziness is severe enough to cause near blackouts, even when sitting down. The patient also notes a change in the smell of her urine, describing it as sweet. She started taking meloxicam approximately a week ago, and the symptoms began after starting this medication. Laying down in a fetal position provides slight relief from the nausea and dizziness. There are no recent infections, illnesses, or head injuries reported. The patient has checked her blood sugar and ketone levels, which are normal, and she is drinking plenty of water. No changes in thirst, urination frequency, bowel movements, or appetite are noted.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Medication Side Effects: Meloxicam, a nonsteroidal anti-inflammatory drug (NSAID), can sometimes cause side effects such as dizziness, nausea, and stomach pain. These symptoms may be related to your recent start of this medication.

    • If meloxicam is the cause, your doctor might suggest stopping the medication or switching to a different one. It's important not to stop any prescribed medication without consulting your healthcare provider.

  • Vertigo: This is a condition that can cause severe dizziness and a sensation of spinning. It can be triggered by various factors, including inner ear issues or certain medications.

    • Treatment for vertigo often involves medications to relieve symptoms and sometimes physical therapy exercises to help manage dizziness.

  • Diabetes or Metabolic Issues: Sweet-smelling urine can sometimes be a sign of diabetes or other metabolic conditions, although your normal blood sugar and ketone levels are reassuring.

    • If there is concern for diabetes, further testing by a healthcare provider would be necessary to rule this out.

What you can do

  1. Consult Your Doctor: It's important to discuss your symptoms with your healthcare provider, especially since they may be related to your new medication. They can provide a formal assessment and determine if any changes to your medication are needed.

  2. Stay Hydrated: Continue drinking plenty of water, as staying hydrated can help manage dizziness and prevent dehydration.

  3. Rest and Positioning: Since lying down in the fetal position provides some relief, continue to rest in positions that help alleviate your symptoms.

  4. Track Your Symptoms: Use MDandMe to journal your symptoms, track any changes, and share this information with your healthcare provider. This can help in identifying patterns or triggers.

What you should look out for

Seek medical attention if you experience any of the following:

  • Worsening dizziness or nausea that doesn't improve with rest
  • Severe abdominal pain or any new symptoms
  • Any signs of dehydration, such as dry mouth or decreased urination
  • If you feel faint or actually lose consciousness

Remember, while I can provide information, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.

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16 d ago

People Also Ask

Can meloxicam cause severe nausea and dizziness?

Yes, meloxicam, which is a nonsteroidal anti-inflammatory drug (NSAID), can cause side effects such as nausea and dizziness. If you suspect meloxicam is causing these symptoms, consult your healthcare provider before making any changes to your medication.

What are the symptoms of vertigo and how is it treated?

Vertigo is characterized by a sensation of spinning or dizziness, which can be severe. It may be caused by inner ear issues or certain medications. Treatment often includes medications to relieve symptoms and sometimes physical therapy exercises to help manage dizziness.

What could cause sweet-smelling urine if blood sugar and ketone levels are normal?

Sweet-smelling urine can sometimes be a sign of diabetes or other metabolic conditions. However, if blood sugar and ketone levels are normal, it might not be related to diabetes. It's important to consult a healthcare provider for further evaluation if this symptom persists.

What should I do if my dizziness and nausea worsen?

If your dizziness and nausea worsen, it's important to seek medical attention. Rest in positions that provide relief, stay hydrated, and consult your healthcare provider for a formal assessment and appropriate treatment.

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