[44F] Experiencing lightheadedness, lower back pain, and post nasal drip

Patient Description

A 44-year-old female reports feeling lightheaded for approximately one week, with symptoms being more pronounced in the morning and improving when lying down. She also experiences intermittent dull lower right back pain over the past three days and has been dealing with post nasal drip for the same duration. Her medical history includes hypothyroidism diagnosed 19 years ago, polycystic ovary syndrome (PCOS) diagnosed 10 years ago, and a partial nephrectomy performed one year ago. She is currently taking Levothyroxine, birth control, and vitamins B12 and D. The patient has allergies to Amoxicillin and sulfa drugs. No recent injuries or other symptoms were reported.

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Arora's Assessment

What might be happening

Based on the information provided, here are some possibilities:

  • Viral Upper Respiratory Infection (Common Cold): Your postnasal drip could be due to a common cold, which is usually caused by a viral infection. This could also explain your feeling of light-headedness. However, a common cold usually comes with other symptoms like a runny or stuffy nose, sore throat, and sometimes a cough, which you did not mention.

    • Treatment usually involves rest, hydration, and over-the-counter medications to relieve symptoms.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses, often caused by a viral infection and sometimes by bacteria. It can cause postnasal drip and feelings of light-headedness or dizziness.

    • Treatment may include nasal sprays, antibiotics (if bacterial), and sometimes corticosteroids.
  • Anemia: Given your history of PCOS and hypothyroidism, you might be at risk for anemia, which can cause light-headedness. However, anemia usually comes with other symptoms like fatigue, weakness, and pale skin.

    • Treatment usually involves taking iron supplements and eating iron-rich foods.
  • Kidney Issues: Your lower right back pain could be related to your kidney, especially given your history of a partial nephrectomy. However, kidney pain is usually severe and constant, not mild and intermittent as you described.

    • Treatment depends on the underlying cause and may involve medications or sometimes surgery.

What you can do

  1. Keep a symptom diary: Note down when your symptoms occur, what you're doing when they happen, and anything that makes them better or worse. This can help identify patterns or triggers.
  2. Stay hydrated: This can help with light-headedness and also helps keep your sinuses moist if you have a cold or sinusitis.
  3. Rest: If you have a viral infection, rest can help your body fight off the virus.
  4. Over-the-counter remedies: Decongestants can help with postnasal drip, and pain relievers can help with your back pain. However, always check with a pharmacist or doctor before starting any new medication.

What you should look out for

Please seek immediate medical attention if:

  • Your symptoms persist or worsen over the next few days
  • You develop new symptoms such as severe headache, fever, difficulty breathing, or severe back pain
  • You have any symptoms that concern you or affect your ability to function

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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11 mo ago

People Also Ask


What could be causing my lightheadedness and how can I manage it?

Lightheadedness can be caused by a variety of factors including dehydration, viral infections, or anemia. Managing it involves staying hydrated, resting, and monitoring your symptoms. If it persists, consult a healthcare provider.


Is my lower right back pain related to my previous kidney surgery?

Lower right back pain could potentially be related to your kidney, especially given your history of partial nephrectomy. However, if the pain is mild and intermittent, it might not be directly related. It's best to consult a doctor if the pain worsens or persists.


How can I alleviate postnasal drip symptoms effectively?

Postnasal drip can be managed by staying hydrated, using saline nasal sprays, and possibly taking over-the-counter decongestants. If symptoms persist, a healthcare provider can offer further advice.


Could my symptoms be related to anemia given my medical history?

Given your history of PCOS and hypothyroidism, anemia is a possibility. Symptoms of anemia include fatigue and pale skin. A blood test can confirm anemia, and treatment typically involves iron supplements and dietary changes.


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