[38F] Experiencing lightheadedness, upset stomach, and visual disturbances

Patient Description

A 38-year-old female presents with a 6-day history of lightheadedness and upset stomach, with symptoms worsening over the past two days. The lightheadedness is disorienting, exacerbated by standing or quick changes in position, and is accompanied by occasional dime-sized green spots in her vision. The patient also reports watery stools every two hours, starting today, and a sensitivity to greasy foods. Additionally, the patient experiences night sweats and hot flashes. Past medical history includes gallbladder and appendix removal, anxiety, depression, and the presence of a spinal cord stimulator. Current medications include Zoloft, Concerta, Tizandine, Buspar, and Hydroxyzine as needed. The patient has a known adverse reaction to Tylenol 3.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include diarrhea, stomach cramps, and nausea. Dehydration from gastroenteritis can lead to lightheadedness.

    • Treatment typically involves rest, hydration, and eating bland foods when you're able to tolerate them.
  • Irritable Bowel Syndrome (IBS): This is a common disorder that affects the large intestine. Symptoms can include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. Your history of gallbladder removal may make you more susceptible to IBS.

    • Treatment often involves long-term management of diet, lifestyle, and stress. More-severe symptoms can be treated with medication and counseling.
  • Side effects of medications: Zoloft, Concerta, Tizanidine, Buspar, and Hydroxyzine can all potentially cause gastrointestinal side effects, including nausea and diarrhea. Some of these medications can also cause lightheadedness and visual disturbances.

    • If you suspect your symptoms might be related to your medications, do not stop taking them without first consulting your healthcare provider.
  • Migraine: This is a type of headache characterized by severe, throbbing pain, often on one side of the head. It can be accompanied by nausea and visual disturbances, such as seeing spots or flashing lights.

    • Treatment typically involves medications to relieve symptoms and prevent future attacks.

What you can do

  1. Stay hydrated: Diarrhea and vomiting can cause you to lose fluids and electrolytes, which can lead to dehydration. Try to drink plenty of fluids, such as water, broth, or an oral rehydration solution.

  2. Rest: Your body needs energy to fight off the virus or bacteria causing your symptoms. Getting enough sleep can boost your immune system and help you recover.

  3. Eat small, light meals: If you can eat without vomiting, try eating small amounts of bland foods, such as rice, bananas, or toast.

  4. Monitor your symptoms: Keep track of any new or worsening symptoms. This information will be helpful if you need to seek medical attention.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe abdominal or rectal pain
  • Bloody or black stools
  • High fever (above 102°F)
  • Signs of dehydration, such as excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, or lightheadedness
  • Persistent or worsening symptoms

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, testing, and care recommendations.

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11 mo ago

People Also Ask


What are the common causes of lightheadedness and visual disturbances?

Common causes of lightheadedness and visual disturbances include dehydration, low blood pressure, migraines, and side effects from medications. It's important to monitor these symptoms and consult a healthcare provider if they persist.


How can gallbladder removal affect digestion and lead to symptoms like diarrhea?

Gallbladder removal can affect digestion by altering the way bile is released into the digestive system, which can lead to difficulty digesting fats and result in symptoms like diarrhea. This condition is sometimes referred to as postcholecystectomy syndrome.


What are the potential side effects of medications like Zoloft and Concerta?

Zoloft and Concerta can cause side effects such as nausea, diarrhea, dizziness, and visual disturbances. It's important to discuss any concerning side effects with a healthcare provider, as they may need to adjust the dosage or switch medications.


What are the signs of dehydration and how can it be prevented during episodes of diarrhea?

Signs of dehydration include excessive thirst, dry mouth, little to no urination, severe weakness, dizziness, and lightheadedness. To prevent dehydration during diarrhea, it's important to drink plenty of fluids, such as water, broth, or oral rehydration solutions.


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