[34F] Experiencing severe dizziness, neck pain, and other symptoms

Patient Description

A 34-year-old female has been experiencing severe dizziness, described as a sensation of being about to pass out with double vision, for several months. The dizziness is rated 9/10 in severity, occurs in waves, and is accompanied by neck pain, which is also severe (10/10), radiating up to the lower back of the skull and behind the ears. The patient reports a feeling of suffocation, sensitivity to light, and has been experiencing these symptoms for over a year. Additionally, the patient suffers from dry mouth and eyes, with the tongue feeling hot and burning, and the eyes burning and sensitive to light, leading to squinting and double vision. The patient also reports bloating with bad-smelling gas without a clear trigger, which has been ongoing for months. There is no known family history of migraines or chronic illnesses, no recent injuries, and no use of alcohol, tobacco, or recreational drugs. The patient has an allergy to Penicillin, which causes hives, and is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible conditions include:

  • Migraines: Migraines are a type of headache characterized by severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities.

    • Treatment usually involves medications to help reduce the severity and frequency of migraines.
  • Sjogren's Syndrome: This is an autoimmune disorder characterized by dry eyes and dry mouth. It can also cause fatigue and joint pain. The exact cause of Sjogren's syndrome is unknown, but it may be related to a combination of genetic and environmental factors.

    • Treatment typically involves managing symptoms, which can include artificial tears for dry eyes and sipping water or sucking on hard candies for dry mouth.
  • Vertigo: This is a sensation of feeling off balance and experiencing a dizzy spinning sensation. It's often caused by problems in the inner ear or brain.

    • Treatment depends on the cause and can include medications, physical therapy maneuvers, or surgery.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine and can cause cramping, abdominal pain, bloating, gas, and diarrhea or constipation. The exact cause of IBS isn't known.

    • Treatment usually focuses on relieving symptoms and can include changes in diet, lifestyle, and stress management.

Please note that these are potential conditions based on the symptoms you've described. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

What you can do

  1. For your migraines, try to identify and avoid potential triggers, such as certain foods, stress, changes in sleep patterns, or hormonal changes. Over-the-counter pain relievers may help with symptoms.

  2. For dry eyes and mouth, try using artificial tears and sipping on water or sucking on hard candies to stimulate saliva production. Avoiding wind and dry air can also help.

  3. For vertigo, try to avoid sudden changes in position or rapid movements which might trigger symptoms. There are also specific physical therapy maneuvers which can help with certain types of vertigo.

  4. For IBS, try to identify and avoid foods that trigger your symptoms. Regular exercise, adequate sleep, and managing stress can also help.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms worsen or don't improve
  • You experience severe abdominal pain
  • You have difficulty swallowing
  • You experience sudden, severe headache
  • You have sudden vision changes

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 appropriate examination, diagnosis, and treatment.

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10 mo ago

People Also Ask


What are the common symptoms of migraines and how can they be managed?

Migraines are characterized by severe throbbing pain or a pulsing sensation, often on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. Management includes identifying and avoiding triggers, using over-the-counter pain relievers, and sometimes prescription medications to reduce severity and frequency.


What is Sjogren's Syndrome and how is it typically treated?

Sjogren's Syndrome is an autoimmune disorder that primarily causes dry eyes and dry mouth. Treatment focuses on symptom management, such as using artificial tears for dry eyes and sipping water or sucking on hard candies to stimulate saliva production.


What causes vertigo and what are some common treatments?

Vertigo is often caused by problems in the inner ear or brain, leading to a sensation of dizziness or spinning. Treatment depends on the cause and may include medications, physical therapy maneuvers, or surgery.


What lifestyle changes can help manage Irritable Bowel Syndrome (IBS)?

Managing IBS often involves dietary changes, such as avoiding trigger foods, increasing fiber intake, and staying hydrated. Regular exercise, adequate sleep, and stress management techniques can also help alleviate symptoms.


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