[40F] Experiencing dizziness, nausea, headache, and recent weight gain

Patient Description

A 40-year-old female has been experiencing severe dizziness rated 9/10, lasting for minutes, and not affected by head position changes. The dizziness worsens with standing up and walking but improves when laying down. She also reports a throbbing headache on the left side, rated 5/10 in severity, with associated blurry vision, but no vomiting or severe abdominal pain. Additionally, she mentions nausea, occasional constipation, and recent weight gain. Her last menstrual period began on January 20th, and her cycles typically last 7 days. The patient is currently taking Prozac, Trazodone, and Ropinerol, with no known allergies or adverse reactions to medications. There is no reported history of chronic illnesses or pre-existing conditions.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • Vertigo: This is a sensation of feeling off balance and experiencing a dizzy spell as if the world is spinning. It can be caused by problems in the brain or the inner ear.

    • Treatment usually involves medications that can help reduce inflammation and manage symptoms. Physical therapy can also be helpful in some cases.
  • Migraine: Migraines are a type of headache characterized by intense, throbbing pain usually on one side of the head. They can also cause nausea and blurred vision.

    • Treatment can involve pain relievers and other medications designed to reduce the frequency and severity of migraines.
  • Hormonal changes: Given your age and the recent changes in weight and menstrual cycle, it's possible that you're experiencing perimenopause, the transition period before menopause. This can cause a variety of symptoms including dizziness, headaches, and changes in menstruation.

    • Treatment often involves hormone therapy or other medications to manage symptoms.

Please note that these are possibilities based on your symptoms and not a definitive diagnosis.

What you can do

  1. Keep a symptom diary: Note down when your symptoms occur, what you're doing at the time, and what foods you've eaten. This can help identify any patterns or triggers.
  2. Stay hydrated: Dehydration can exacerbate feelings of dizziness and headaches.
  3. Rest and avoid triggers: If certain activities make your symptoms worse, try to avoid them. Make sure you're getting enough sleep as fatigue can also worsen symptoms.
  4. Over-the-counter medications: For your headache, you could try over-the-counter pain relievers. For your constipation, over-the-counter remedies may help. However, always check with a pharmacist or doctor before starting any new medication.

What you should look out for

  • If your symptoms persist or get worse, you should seek medical attention.
  • If you experience severe headache, sudden vision changes, difficulty speaking, or weakness on one side of your body, seek immediate medical attention as these could be signs of a serious condition like a stroke.

Remember, while I strive to provide accurate information, I'm not a doctor. Please consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What are the common causes of vertigo and how is it treated?

Vertigo is often caused by issues in the inner ear, such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease. It can also be related to migraines or other neurological conditions. Treatment may include medications to reduce symptoms, physical therapy, or lifestyle changes.


How can migraines be managed and what are the typical symptoms?

Migraines are typically characterized by intense, throbbing headaches on one side of the head, often accompanied by nausea, vomiting, and sensitivity to light and sound. Management includes pain relievers, preventive medications, lifestyle changes, and identifying and avoiding triggers.


What are the signs of perimenopause and how can it affect my health?

Perimenopause is the transition period before menopause, marked by changes in menstrual cycles, hot flashes, sleep disturbances, mood swings, and weight gain. It can affect overall health by causing hormonal fluctuations. Management may involve hormone therapy and lifestyle adjustments.


Can my current medications contribute to dizziness or weight gain?

Yes, some medications, including antidepressants like Prozac and Trazodone, can cause side effects such as dizziness and weight gain. It's important to discuss any concerns with your healthcare provider to adjust your treatment plan if necessary.


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