[44M] Experiencing nausea, vomiting, and neurological symptoms

Patient Description

A 44-year-old male reports experiencing a sudden onset of multiple symptoms including nausea, vomiting, cold sweats, a numb and foamy-feeling tongue with a persistent weird taste, disorientation with a spinning sensation, and severe ringing in the ears (tinnitus) for the past 8 hours. The patient rated the severity of nausea as 8 out of 10, which worsens with movement and noise, and has not found relief from any measures yet. The vomiting episode involved a significant amount of brown vomit. The patient describes the disorientation as feeling off balance, with a severity of 7 out of 10 for the spinning sensation. Additionally, the patient mentioned using a vape shortly before the onset of these symptoms. The patient denies any pre-existing conditions, allergies, or current medication use. No recent injuries, loud noise exposure, severe headaches, changes in vision, chest pain, shortness of breath, fever, or neck stiffness were reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possibilities:

  • Migraine: This is a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head. It's often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Migraine attacks can last for hours to days, and the pain can be so severe that it interferes with your daily activities. The spinning sensation (vertigo) and ringing in the ears (tinnitus) could be related to a variant of migraine known as vestibular migraine. However, the change in taste and numbness in the tongue are not typical symptoms of a migraine.

  • Vestibular neuritis or labyrinthitis: These are inflammations of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance. Symptoms can include nausea, vomiting, and tinnitus. However, these conditions typically do not cause changes in taste or tongue numbness.

  • Side effects of vaping: Vaping can cause a variety of symptoms, including nausea, vomiting, dizziness, and changes in taste. The specific symptoms can vary depending on the substance being vaped.

  • Anxiety or panic disorder: These conditions can cause a variety of physical symptoms, including nausea, dizziness, cold sweats, and tinnitus. The numbness in your tongue and change in taste could potentially be related to hyperventilation associated with anxiety or panic.

Please note that this is not an exhaustive list of all possible conditions, and having these symptoms does not necessarily mean you have one of these conditions. It's important to speak with a healthcare provider who can evaluate your symptoms in the context of a full medical history and physical examination.

What you can do

Given the severity and duration of your symptoms, it's important to seek medical attention as soon as possible. Here are some steps you can take:

  1. Seek immediate medical attention: Because your symptoms are severe and have lasted for several hours, it's important to get medical help right away. This could be a visit to an urgent care clinic or emergency department.

  2. Stop vaping: If you believe your symptoms may be related to vaping, it would be wise to stop using the vape device until you can speak with a healthcare provider.

  3. Stay hydrated: Nausea and vomiting can lead to dehydration, so try to sip on water or an electrolyte solution if you can.

  4. Rest: Try to rest in a quiet, dark room. This may help reduce some of your symptoms.

What you should look out for

If your symptoms worsen or if you develop new symptoms, you should seek medical attention immediately. These could include:

  • Severe headache
  • Fever
  • Stiff neck
  • Chest pain
  • Difficulty breathing
  • Seizures
  • Loss of consciousness

Remember, while I strive to provide accurate information, I'm not a doctor and this advice is not a substitute for professional medical advice.

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9 mo ago

People Also Ask


What could cause a sudden onset of nausea, vomiting, and dizziness?

A sudden onset of nausea, vomiting, and dizziness can be caused by several conditions, including migraines, vestibular disorders like vestibular neuritis or labyrinthitis, and side effects from substances such as vaping. It's important to consider the context and any recent activities or exposures.


Can vaping cause symptoms like nausea, dizziness, and changes in taste?

Yes, vaping can cause symptoms such as nausea, dizziness, and changes in taste. These symptoms can vary depending on the substance being vaped and individual sensitivity. It's advisable to stop vaping and consult a healthcare provider if you experience these symptoms.


What is vestibular neuritis and how does it relate to my symptoms?

Vestibular neuritis is an inflammation of the inner ear, often due to a viral infection, that can cause dizziness, nausea, vomiting, and balance issues. It may also cause tinnitus, but typically does not affect taste or cause tongue numbness.


When should I seek medical attention for these symptoms?

You should seek medical attention if your symptoms are severe, persistent, or worsening, especially if you experience new symptoms like severe headache, fever, stiff neck, chest pain, difficulty breathing, seizures, or loss of consciousness. Immediate medical evaluation is important to rule out serious conditions.


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