[42F] Experiencing dizziness, ear pain, and other symptoms

Patient Description

A 42-year-old female presents with a one-week history of non-spinning dizziness that worsens with movement and is accompanied by waves of nausea. The dizziness does not improve with any specific measures but is less severe when avoiding quick movements. The patient denies any specific timing or triggers for the dizziness. Additionally, she reports left-sided ear pain that has persisted despite an ENT consultation on November 3rd, where nothing significant was noted. She denies any recent ear injuries or exposure to loud noises. The patient also describes a long-standing issue with constipation, although recent colonoscopy and endoscopy were clear. She experienced diarrhea on Sunday, which has since resolved. The patient reports no recent weight changes. She is experiencing new-onset left-sided head pain with movement, rated as a 4 out of 10 in severity, and scalp sensitivity on the left side, both of which started approximately 24 hours ago. The patient notes that her left ear feels blocked but hearing is not significantly impaired; however, she experienced nausea when exposed to the sound of a vacuum cleaner. She denies any severe headaches, stiff neck, double vision, confusion, slurred speech, or weakness. There are no other symptoms reported. The patient does not mention any past medical history, pre-existing conditions, or chronic illnesses.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Migraine: Migraines are a common cause of headaches and can sometimes be associated with other symptoms such as dizziness, nausea, and sensitivity to light or sound. They can be triggered by various factors including stress, certain foods, and hormonal changes.

    • Treatment typically involves medications to relieve symptoms and prevent future migraines. Lifestyle changes such as regular exercise, adequate sleep, and stress management can also help.
  • Vertigo: Vertigo is a sensation of feeling off balance and is often caused by problems in the inner ear or brain. It's more than just feeling dizzy because people with vertigo feel like their surroundings are spinning or moving.

    • Treatment depends on the cause. Physical therapy maneuvers can be used for certain conditions, while medications and lifestyle changes can help with others.
  • Tension Headache: This is the most common type of headache and it can cause a constant ache and pressure around your head, especially at your temples or back of your head and neck. This could also be associated with the sensitivity of your scalp.

    • Over-the-counter pain relievers such as ibuprofen or aspirin might be helpful. Lifestyle modifications like regular physical activity, healthy eating habits, staying hydrated, getting enough sleep, and managing stress might prevent tension headaches.
  • Gastrointestinal issues: Your constipation and recent episode of diarrhea could be due to a variety of gastrointestinal issues, such as Irritable Bowel Syndrome (IBS), dietary changes, or stress.

    • Treatment often involves dietary changes, such as increasing fiber intake, and over-the-counter remedies.

Please note that these are potential explanations based on the symptoms you've described, but only a healthcare professional can provide a definitive diagnosis.

What you can do

  1. For your headaches, try over-the-counter pain relievers, rest in a quiet, dark room, and apply a warm or cold compress to your forehead or neck.
  2. For dizziness, try to sit down as soon as you feel dizzy to avoid falling and hurting yourself. Avoid sudden changes in position, especially from lying down to standing up.
  3. For constipation, try to increase your fiber intake, drink plenty of water, and engage in regular physical activity.
  4. Keep a symptom diary: noting when each symptom occurs, its severity, and any potential triggers (such as foods, activities, or stressors) can be helpful information for your doctor.
  5. Seek medical attention: Given the range and persistence of your symptoms, it would be wise to seek medical attention. A healthcare provider can perform a thorough evaluation and provide a definitive diagnosis and treatment plan.

What you should look out for

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

  • Severe headache or headache that comes on suddenly
  • Dizziness or vertigo that does not improve
  • Difficulty walking, speaking, or understanding speech
  • Sudden numbness or weakness in your face, arm, or leg, especially on one side of your body
  • Changes in vision, such as double vision or loss of vision
  • Any other severe or worsening symptoms

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

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11 mo ago

People Also Ask


What could be causing my dizziness and nausea?

Dizziness and nausea can be caused by several conditions, including migraines, vertigo, or inner ear issues. It's important to identify any potential triggers and consult with a healthcare provider for a proper diagnosis and treatment plan.


How can I manage my constipation and occasional diarrhea?

Constipation and occasional diarrhea can be symptoms of gastrointestinal issues like Irritable Bowel Syndrome (IBS) or dietary changes. Increasing fiber intake, staying hydrated, and regular physical activity can help manage these symptoms. If they persist, consult a healthcare provider.


What are the possible reasons for my left-sided head pain and scalp sensitivity?

Left-sided head pain and scalp sensitivity could be due to tension headaches or migraines. Over-the-counter pain relievers and lifestyle changes such as stress management and adequate rest may help. If symptoms persist, seek medical advice.


Why does my ear feel blocked, and should I be concerned about it?

A blocked ear sensation can be due to fluid buildup, earwax, or pressure changes. If there's no significant hearing loss or pain, it might not be serious, but if symptoms persist or worsen, it's advisable to consult a healthcare provider.


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