[38F] With sudden dizziness and facial flushing

Patient Description

A 38-year-old female presents with sudden onset of extreme dizziness, described as the room spinning, making it difficult to walk without staggering. This has been occurring for the past 30 minutes to an hour. She also reports a hot sensation in her face, ears, and neck, while the rest of her body feels cold, accompanied by red splotches on her chest and upper arms. She has a lingering cough from a recent illness, possibly an upper respiratory infection. There is a slight chest pain that is tolerable. She denies nausea, vomiting, headaches, vision changes, or heart palpitations. No recent ear infections, head injuries, or exposure to allergens. Medical history includes asthma, depression, anxiety, and hypoglycemia. She uses Albuterol as needed and takes no other medications or supplements. No known allergies.

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Arora's Assessment

What might be happening

Your symptoms could be related to several possible conditions:

  1. Vestibular Neuritis or Labyrinthitis: These are inner ear infections that can cause sudden dizziness and a spinning sensation. They often follow a respiratory infection.

  2. Migraine-Associated Vertigo: Even without a headache, migraines can cause dizziness and a hot sensation in the face.

  3. Allergic Reaction: The red splotches and hot sensation could indicate an allergic reaction, though you mentioned no recent exposure to allergens.

  4. Anxiety or Panic Attack: Anxiety can cause dizziness, tingling, and a hot sensation, especially if you're feeling stressed.

Typical treatments might include medications to relieve dizziness, antihistamines for allergies, or managing anxiety with relaxation techniques.

What you can do

Dizziness and Hot Sensation:

  • Rest: Sit or lie down in a comfortable position. Avoid sudden movements.
  • Hydrate: Drink water to stay hydrated, as dehydration can worsen dizziness.
  • Cool Compress: Apply a cool cloth to your face and neck to help with the hot sensation.

Red Splotches:

  • Monitor: Keep an eye on the splotches. If they worsen or you develop other symptoms, seek medical attention.

Chest Pain:

  • Seek Care: If the pain worsens or is accompanied by other symptoms like shortness of breath, seek immediate medical attention.

Use MDandMe to journal your symptoms, track progress, and share notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Worsening chest pain or shortness of breath
  • Severe dizziness or fainting
  • Swelling of the face or throat
  • New or worsening symptoms

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment.

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2 mo ago

People Also Ask

What could cause sudden dizziness and a spinning sensation?

Sudden dizziness and a spinning sensation, known as vertigo, can be caused by conditions affecting the inner ear, such as vestibular neuritis or labyrinthitis, migraines, or even anxiety. It's important to consult a healthcare provider for an accurate diagnosis.

Can a respiratory infection lead to dizziness or vertigo?

Yes, a respiratory infection can lead to dizziness or vertigo, especially if it affects the inner ear. This condition is known as vestibular neuritis or labyrinthitis, where the inner ear becomes inflamed, leading to balance issues.

What are the possible reasons for experiencing a hot sensation in the face and red splotches on the skin?

A hot sensation in the face and red splotches on the skin could be due to an allergic reaction, a migraine, or even anxiety. Monitoring these symptoms and consulting a healthcare provider is important to determine the cause.

How can anxiety contribute to physical symptoms like dizziness and hot sensations?

Anxiety can cause a range of physical symptoms, including dizziness, a hot sensation, and skin changes like flushing or red splotches. These symptoms occur due to the body's stress response, which can affect circulation and nerve signals.

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