[49F] With nausea, headache, and dizziness

Patient Description

A 49-year-old female presents with sudden onset nausea, worsened by movement, and a sharp headache at the back of the head, rated 5/10 in intensity, persisting intermittently for three days. The patient reports dizziness, ringing in the ears, and difficulty with balance and walking. No recent infections, illnesses, or environmental changes noted. Medical history includes chronic constipation, P.O.T.S., and heart valve regurgitation. Current medications are Trazodone 150 mg, Lamictal 200 mg, Dextroamphetamine 30 mg twice daily and 15 mg once daily, Omeprazole 20 mg, Linaclotide 145 mcg, Desvenlafaxine 50 mg, Propranolol 60 mg, Bupropion 75 mg, Buspirone 30 mg four times daily, and Ozempic 0.25 mg twice a month, along with a 400 mg magnesium supplement. No known drug allergies.

Show More

Arora's Assessment

What might be happening

Based on your symptoms and medical history, a possible explanation could be:

  • Vestibular Migraine: This type of migraine can cause dizziness, nausea, and headaches, often triggered by movement. It may also lead to ringing in the ears and balance issues.

    • Treatment typically involves lifestyle changes, medications to prevent migraines, and managing triggers.
  • Benign Paroxysmal Positional Vertigo (BPPV): This condition causes brief episodes of dizziness related to changes in head position. It can also lead to nausea and balance problems.

    • Treatment often includes specific head movements (Epley maneuver) to reposition inner ear crystals.
  • Medication Side Effects: Some of your medications, like Propranolol or Buspirone, can cause dizziness or nausea.

    • Discussing potential side effects with your doctor might be helpful.

What you can do

  1. Rest and Hydration: Try to rest in a comfortable position and stay hydrated. Avoid sudden movements that might worsen your symptoms.

  2. Track Symptoms: Use MDandMe to journal your symptoms, noting any patterns or triggers. This can help your healthcare provider make a more accurate diagnosis.

  3. Consult Your Doctor: It's important to discuss these symptoms with your healthcare provider, especially given your medical history and current medications.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening symptoms
  • New symptoms like vision changes or weakness
  • Persistent vomiting or inability to keep fluids down

Remember, this information is not a substitute for professional medical advice. Please consult your healthcare provider for a formal diagnosis and treatment plan.

Show More

1
 Hugs
0
 Comments

Save

3 mo ago

Top picked over-the-counter products for BPPV (Benign Paroxysmal Positional Vertigo)

People Also Ask


What is a vestibular migraine and how is it treated?

A vestibular migraine is a type of migraine that can cause dizziness, nausea, and headaches, often triggered by movement. Treatment typically involves lifestyle changes, medications to prevent migraines, and managing triggers.


What are the symptoms and treatment options for Benign Paroxysmal Positional Vertigo (BPPV)?

BPPV is a condition that causes brief episodes of dizziness related to changes in head position, and it can also lead to nausea and balance problems. Treatment often includes specific head movements, such as the Epley maneuver, to reposition inner ear crystals.


Can my current medications cause dizziness or nausea?

Yes, some medications like Propranolol or Buspirone can cause dizziness or nausea as side effects. It's important to discuss potential side effects with your doctor.


What should I do if my symptoms worsen or new symptoms appear?

If your symptoms worsen or you experience new symptoms like vision changes, weakness, persistent vomiting, or inability to keep fluids down, you should seek medical attention promptly.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback

All Stories

Experiencing symptoms?

Our AI will conduct a medical interview and assess what might be happening. You can also make a post afterwards.

Share your feedback