[36F] Experiencing dizziness, nausea, and other symptoms

Patient Description

A 36-year-old female presents with a constellation of symptoms including constant lightheadedness rated 7/10 in severity, exacerbated by standing up and alleviated by laying down. She has been experiencing this for approximately 9 hours. Accompanying the dizziness is constant nausea, rated 8/10, which started about 5 hours ago. The patient also reports gradual and mild hot flashes that have been occurring on and off all day, a type of symptom she has encountered before when sick. Additionally, she describes a one-sided headache that travels down into her neck and sometimes wraps around to her eye/nose area. This headache has been occurring all day off and on, with a steady ache and sharp pain behind the ear at the base of the head, rated 7/10 in severity. The patient frequently experiences this type of headache. She also reports a steady ache in the low abdomen rated 3/10 in severity, lasting for about 3 hours, and a sharp mid-lower backache that has persisted for 2 days, rated 6/10. The patient has a medical history of polycystic ovary syndrome (PCOS), irritable bowel syndrome (IBS), and overactive bladder, diagnosed approximately 5 years ago. She is allergic to penicillin and is currently taking Ozempic and buspirone, with no other medications reported.

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Arora's Assessment

What might be happening

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

  • Migraine: Migraines are a type of headache characterized by moderate to severe pain that is throbbing or pulsing and often on one side of the head. Accompanying symptoms can include nausea, dizziness, and sensitivity to light and sound.

    • Treatment often involves medications to relieve symptoms and prevent future attacks.
  • Premenstrual Syndrome (PMS): This is a group of symptoms that occur in women, typically between ovulation and a period. Symptoms can include mood swings, fatigue, food cravings, and physical discomfort such as bloating or breast tenderness.

    • Treatment typically involves lifestyle changes and sometimes medication to manage symptoms.
  • Anxiety: This is a mental health disorder characterized by feelings of worry, anxiety, or fear that are strong enough to interfere with one's daily activities. Symptoms include stress that's out of proportion to the impact of the event, inability to set aside a worry, and restlessness.

    • Treatment typically involves psychotherapy, medication, or both.
  • Menopause: This is the time that marks the end of your menstrual cycles. It's diagnosed after you've gone 12 months without a menstrual period. Menopause can happen in your 40s or 50s, but the average age is 51 in the United States. Symptoms include hot flashes, night sweats, sleep problems, and mood changes.

    • Treatment typically involves hormone therapy, medications, and lifestyle changes.

Please note that these are possibilities based on the symptoms you've provided and not a definitive diagnosis.

What you can do

  1. Rest and hydrate: Ensure you're getting enough sleep and drinking plenty of fluids.
  2. Over-the-counter medication: For your headache, you can try over-the-counter pain relievers.
  3. Relaxation techniques: Techniques such as deep breathing, yoga, and meditation can help manage symptoms of stress and anxiety.
  4. Regular exercise: Regular physical activity can help reduce symptoms of fatigue and improve your mood.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days.
  • You experience severe pain.
  • You have difficulty breathing or chest pain.
  • You have sudden, severe headache unlike your usual headaches.

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

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11 mo ago

People Also Ask


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

Common symptoms of migraines include throbbing or pulsing pain on one side of the head, nausea, dizziness, and sensitivity to light and sound. Management often involves medications to relieve symptoms, such as pain relievers or triptans, and preventive treatments like lifestyle changes and prescription medications.


How can premenstrual syndrome (PMS) affect women and what are some ways to alleviate its symptoms?

Premenstrual syndrome (PMS) can cause mood swings, fatigue, food cravings, and physical discomfort such as bloating or breast tenderness. Alleviating symptoms may involve lifestyle changes like regular exercise, a healthy diet, stress management techniques, and sometimes medications like pain relievers or hormonal treatments.


What are the signs of anxiety and what treatments are available?

Signs of anxiety include excessive worry, restlessness, fatigue, difficulty concentrating, and sleep disturbances. Treatments typically involve psychotherapy, such as cognitive-behavioral therapy (CBT), medications like antidepressants or anti-anxiety drugs, and lifestyle changes including stress management and regular exercise.


What are the typical symptoms of menopause and how can they be treated?

Typical symptoms of menopause include hot flashes, night sweats, sleep problems, and mood changes. Treatment options include hormone therapy, medications to manage specific symptoms, and lifestyle changes such as maintaining a healthy diet, regular exercise, and stress reduction techniques.


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