[35M] Experiencing severe dizziness with electrolyte imbalance

Patient Description

A 35-year-old male has been experiencing severe dizziness with a spinning sensation for about a month. The dizziness is rated as a 10 out of 10 in severity and occurs several times a day, lasting from 30 minutes to hours. It improves after drinking electrolytes but returns after urination or when the heart rate increases. Additional symptoms include throbbing in the back of the legs and foamy urine. The patient reports inadequate hydration and a recent jaw infection, for which two teeth were removed. There is a sensation of swelling near the collarbone since the infection began. The patient has not been taking any prescribed antibiotics or medications for the dental infection, nor any over-the-counter medications or supplements. The patient uses kratom, consuming about 1000mg or more a day, but has not noticed any changes or withdrawal symptoms. There are no known pre-existing conditions, chronic illnesses, or allergies, and the patient was taking amoxicillin.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Dehydration and Electrolyte Imbalance: Your dizziness improving with electrolyte intake suggests that dehydration or an imbalance in electrolytes could be contributing to your symptoms. Dehydration can cause dizziness, especially if you're not hydrating properly. Electrolyte imbalances can also lead to symptoms like dizziness and muscle cramps.

  2. Inner Ear Issues: The spinning sensation you describe is characteristic of vertigo, which can be caused by issues in the inner ear, such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis. These conditions can cause sudden episodes of dizziness.

  3. Kratom Use: High doses of kratom can affect your cardiovascular system and may contribute to dizziness and other symptoms. It's important to consider the impact of kratom on your overall health.

  4. Foamy Urine and Leg Throbbing: These symptoms could indicate a kidney issue, especially if related to protein in the urine. It's important to have this evaluated by a healthcare professional.

  5. Infection and Swelling: The infection in your jaw and the sensation of swelling near your collarbone could be related to lymph node enlargement or another inflammatory process. This should be assessed by a healthcare provider.

What you can do

Dizziness and Dehydration:

  • Ensure you are drinking enough fluids throughout the day. Aim for at least 8 cups of water daily, and consider sports drinks with electrolytes if you're losing fluids rapidly.
  • Monitor your symptoms and note any patterns or triggers using the MDandMe journal. This can help you and your healthcare provider identify potential causes.

Kratom Use:

  • Consider reducing your kratom intake gradually, as high doses can have side effects. Consult with a healthcare provider for guidance on safely managing your use.

Foamy Urine and Leg Throbbing:

  • Schedule an appointment with a healthcare provider to evaluate your kidney function and discuss your symptoms. They may recommend urine tests or blood work.

Infection and Swelling:

  • Follow up with a healthcare provider regarding the infection in your jaw and any swelling near your collarbone. They may need to assess for any lingering infection or other issues.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening dizziness that doesn't improve with hydration.
  • New or worsening swelling, especially if accompanied by pain or redness.
  • Changes in urination, such as increased frequency, pain, or changes in color.
  • Any signs of infection, such as fever or increased swelling near your collarbone.

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

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18 d ago


People Also Ask


What could be causing my severe dizziness and spinning sensation?

Severe dizziness and a spinning sensation, known as vertigo, can be caused by inner ear issues such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis. It can also be related to dehydration, electrolyte imbalances, or other factors like medication use.


How can dehydration and electrolyte imbalance affect my symptoms?

Dehydration and electrolyte imbalances can lead to dizziness because they affect the body's ability to maintain proper fluid balance and nerve function. Ensuring adequate hydration and electrolyte intake can help alleviate these symptoms.


Could my kratom use be contributing to my dizziness and other symptoms?

High doses of kratom can impact the cardiovascular system and may contribute to symptoms like dizziness. It's important to consider the effects of kratom on your health and consult a healthcare provider for advice on managing its use.


What does foamy urine indicate about my kidney health?

Foamy urine can be a sign of protein in the urine, which may indicate a kidney issue. It's important to have this evaluated by a healthcare professional to determine the underlying cause and appropriate treatment.

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