[41F] Experiencing nausea, dizziness, and a metallic smell

Patient Description

A 41-year-old female reports experiencing intermittent symptoms of nausea, dizziness, and lightheadedness, which occur at various times during the day and night. The most bothersome symptom is a persistent metallic smell in her nose. The patient is not currently pregnant, and there is no additional information provided about her medical history, medication use, or other relevant factors at this time.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes of your symptoms include:

  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause a metallic smell in the nose, along with other symptoms such as headache, facial pain, and nasal congestion.

    • Treatment typically involves using a nasal decongestant or saline spray. In some cases, antibiotics may be necessary.
  • Migraine: Migraines are a type of headache characterized by severe pain, and they can sometimes be accompanied by symptoms such as nausea, dizziness, and sensitivity to smells.

    • Treatment usually involves taking pain relievers and other medications to prevent or reduce the frequency of migraines.
  • Certain neurological conditions: Some neurological conditions, such as Parkinson's disease or a brain tumor, can cause changes in smell perception. However, these conditions usually present with other symptoms as well.

    • Treatment depends on the specific condition and may involve medication, surgery, or other therapies.

Please remember that this is not a comprehensive list of all possible causes, and you should seek care from a healthcare professional for a formal diagnosis and treatment.

What you can do

  1. Try to identify any triggers for your symptoms. This could include certain foods, smells, or activities.
  2. Stay hydrated and eat a balanced diet. This can help manage symptoms of nausea and dizziness.
  3. Try using a saline nasal spray to help clear your nasal passages.
  4. Rest and avoid activities that worsen your symptoms.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms worsen or do not improve after a few days.
  • You experience severe headache, vision changes, difficulty speaking, or weakness on one side of your body.
  • You have a high fever, severe neck stiffness, or a rash. These could be signs of a serious infection.
  • You experience sudden, severe abdominal pain or vomiting. These could be signs of a serious gastrointestinal condition.

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11 mo ago

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People Also Ask


What could cause a persistent metallic smell in the nose?

A persistent metallic smell in the nose can be caused by sinusitis, certain neurological conditions, or exposure to certain chemicals. It is important to consult a healthcare professional for an accurate diagnosis.


Are nausea and dizziness common symptoms of sinusitis?

Yes, nausea and dizziness can be associated with sinusitis, especially if there is significant sinus pressure or infection. However, these symptoms can also be related to other conditions, so it's important to consider the full range of symptoms.


Can migraines cause changes in smell perception?

Yes, migraines can sometimes cause changes in smell perception, including heightened sensitivity to smells or experiencing unusual smells. This is due to the neurological nature of migraines.


What are some serious symptoms that require immediate medical attention?

You should seek immediate medical attention if you experience severe headache, vision changes, difficulty speaking, weakness on one side of your body, high fever, severe neck stiffness, rash, sudden severe abdominal pain, or vomiting, as these could indicate serious conditions.


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