[42F] Experiencing vertigo, nausea, and abdominal pain

Patient Description

A 42-year-old female has been experiencing moderate vertigo, constant nausea, and a dull ache at the top of her stomach for the past four days. The vertigo is triggered by any sudden movement and is alleviated when lying on her side. The abdominal pain worsens after eating and is rated as a 5 on a scale of 1-10. Additionally, she has been feeling palpitations described as momentary skips or a hollow feeling for the past 2-3 days. The patient has a history of anemia diagnosed a year ago, for which she takes 365 mg of iron every other day. She also takes ibuprofen as needed. She has no known allergies to medications and her bowel movements are normal but soft.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible conditions:

  • Vestibular neuritis or labyrinthitis: These are inflammations of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. The vertigo is typically severe and constant for several days, and then slowly improves.

    • Treatment typically involves medications to control nausea and dizziness. Physical therapy can also be beneficial.
  • Meniere's disease: This is a disorder of the inner ear that can lead to dizzy spells (vertigo) and hearing loss. In most cases, Meniere's disease affects only one ear.

    • Treatment can involve a combination of medications, lifestyle changes, physical therapy, and occasionally surgery.
  • Gastroenteritis: This is an inflammation of the digestive tract, often caused by a virus, bacteria, or parasites. Symptoms can include nausea, vomiting, diarrhea, and abdominal pain.

    • Treatment typically involves rest, hydration, and over-the-counter remedies. Antibiotics may be necessary if the cause is bacterial.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea and abdominal pain. It can be caused by various factors, including long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen.

    • Treatment typically involves medications to reduce stomach acid and potentially changes in diet.
  • Anemia: This is a condition in which you lack enough healthy red blood cells to carry adequate oxygen to your body's tissues. It can cause fatigue, weakness, and palpitations. You mentioned you have been diagnosed with anemia and are taking iron supplements.

    • Treatment typically involves supplements or dietary changes to increase iron intake, and addressing the underlying cause of the anemia.

What you can do

  1. Seek medical attention: Given the severity and duration of your symptoms, it's important to seek medical attention. Your healthcare provider can perform a physical examination and potentially order tests to help determine the cause of your symptoms.

  2. Rest and hydration: Make sure to rest and stay hydrated, especially if your symptoms are caused by gastroenteritis.

  3. Monitor your symptoms: Keep track of your symptoms and any potential triggers or patterns. This can be helpful information to share with your healthcare provider.

What you should look out for

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

  • Severe abdominal pain
  • Blood in your stool or vomit
  • Sudden, severe headache
  • Sudden weakness or numbness on one side of your body
  • Difficulty speaking or understanding speech
  • Loss of vision in one or both eyes

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

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8 mo ago

People Also Ask


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

Common causes of vertigo include inner ear infections like vestibular neuritis or labyrinthitis, Meniere's disease, and benign paroxysmal positional vertigo (BPPV). Treatment often involves medications to control dizziness and nausea, and sometimes physical therapy to improve balance.


How can gastritis be managed, especially if caused by NSAIDs like ibuprofen?

Gastritis can be managed by reducing stomach acid with medications such as proton pump inhibitors or H2 blockers, avoiding NSAIDs, and making dietary changes like eating smaller, more frequent meals and avoiding spicy or acidic foods.


What are the symptoms of anemia and how can it affect the body?

Symptoms of anemia include fatigue, weakness, pale skin, shortness of breath, and palpitations. Anemia affects the body by reducing the oxygen supply to tissues, which can lead to these symptoms. Treatment typically involves iron supplements and addressing the underlying cause.


What lifestyle changes can help manage Meniere's disease?

Lifestyle changes for managing Meniere's disease include reducing salt intake to decrease fluid retention, avoiding caffeine and alcohol, managing stress, and sometimes using diuretics to reduce inner ear fluid pressure.


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1 Comments


Anonymous#45856

5 mo ago

Great website it went deep into my problems and my medications

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