[40F] Experiencing severe dizziness, sweating, and nausea

What might be happening

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

• Benign paroxysmal positional vertigo (BPPV): This is a common cause of vertigo, or the sensation that the room is spinning. BPPV is caused by tiny calcium particles clumping up in the inner ear. It can cause brief episodes of mild to intense dizziness, often triggered by specific changes in the position of your head.

  • Treatment typically involves a series of maneuvers performed by a doctor or physical therapist to move the calcium deposits out of the canal into an inner ear chamber so they can be absorbed by the body.

• Meniere's disease: This is an inner ear disorder thought to be caused by a buildup of fluid and changing pressure in the ear that can cause episodes of vertigo along with tinnitus (ringing in the ear) and hearing loss.

  • Treatment typically involves a combination of medications, lifestyle changes, and sometimes surgery.

• Migraines: Some people may experience vertigo and other types of dizziness before or during migraines. You mentioned a history of migraines, so this could be a possibility.

  • Treatment typically involves medications to treat and prevent migraines as well as lifestyle changes to manage triggers.

• Panic attacks or anxiety: These can cause symptoms such as dizziness, sweating, and nausea. Given your history of anxiety (indicated by your use of Buspar and buspirone), this could be a possibility.

  • Treatment typically involves a combination of therapy, lifestyle changes, and medication.

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

What you can do

It's important to seek medical attention to get a proper diagnosis. Here are some steps you can take:

1. Schedule an appointment with your primary care doctor to discuss your symptoms. They may refer you to a specialist, such as an ear, nose, and throat (ENT) doctor or a neurologist, for further evaluation.
2. Try to notice if anything in particular triggers your dizziness, such as specific movements or situations. This information could be helpful to your doctor.
3. Stay hydrated and avoid sudden movements, especially when getting up from sitting or lying down.
4. If your doctor determines that anxiety is contributing to your symptoms, they may recommend therapy or adjustments to your medication.

What you should look out for

Seek immediate medical attention if you experience any of the following:

• A new, severe headache
• Sudden hearing loss
• Difficulty speaking
• A drooping face or weakness in your arms or legs
• Chest pain or rapid heartbeat
• Fainting

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