[50F] Experiencing dizziness, toothache, sinus drainage, nausea, and low-grade fever

Patient Description

A 50-year-old female presents with a variety of symptoms including severe dizziness described as a spinning sensation lasting for 3 hours and most severe for 10 minutes at a time, which is alleviated by sitting up and not closing her eyes. She reports a broken molar on the left side causing an aching and throbbing pain rated 8 out of 10 in severity. Additionally, she experiences clear sinus drainage and stuffiness, a condition present for 15 years, accompanied by tinnitus in the right ear without hearing loss. Nausea rated 4 out of 10 in severity with vomiting was also reported. The patient has a low-grade fever of 99 degrees Fahrenheit. No other symptoms were noted, and no recent neurological deficits such as weakness, numbness, or difficulty speaking were reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be causing your symptoms:

  • Benign Paroxysmal Positional Vertigo (BPPV): This condition is characterized by brief episodes of mild to intense dizziness, often triggered by specific changes in the position of your head. This could explain your severe spinning sensation when looking up or down.

    • Treatment typically involves a series of maneuvers performed by a healthcare professional to help dislodge the tiny calcium particles in the inner ear that cause the condition.
  • Dental Abscess: Your broken molar and the associated ache and throbbing could indicate a dental abscess, which is a pocket of pus that's caused by a bacterial infection.

    • Treatment usually involves draining the abscess and treating the infection, often with antibiotics. It's also important to address the broken tooth, which could involve a filling, crown, or possibly extraction.
  • Allergic Rhinitis: Your clear, stuffy sinuses and history of allergies suggest allergic rhinitis. This is an allergic response to specific allergens, and can cause sinus drainage, congestion, and other symptoms.

    • Treatment can involve avoiding known allergens, over-the-counter medication like antihistamines, and prescription medication.
  • Tinnitus: The ringing in your right ear is known as tinnitus. This can be caused by a variety of things, including age-related hearing loss, ear injury, or a circulatory system disorder.

    • Treatment depends on the underlying cause of the tinnitus. In some cases, treating the underlying cause will resolve the tinnitus. In other cases, treatment will focus on managing the symptom.

What you can do

  1. Schedule an appointment with a healthcare provider to discuss your symptoms. They may refer you to an Ear, Nose, and Throat (ENT) specialist for further evaluation and treatment.
  2. Visit a dentist as soon as possible to address your broken tooth and associated pain.
  3. Continue to avoid allergens and consider over-the-counter antihistamines to manage your sinus symptoms.
  4. Stay hydrated and rest as much as possible to help manage your symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • A high fever (over 101°F)
  • Severe headache
  • Increased swelling or pain in your mouth
  • Difficulty breathing or swallowing
  • Persistent or worsening dizziness

Please remember that while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


What is Benign Paroxysmal Positional Vertigo (BPPV) and how is it treated?

Benign Paroxysmal Positional Vertigo (BPPV) is a condition that causes brief episodes of dizziness or vertigo, often triggered by changes in head position. It is typically treated with specific head maneuvers performed by a healthcare professional to reposition the calcium particles in the inner ear.


What are the symptoms and treatment options for a dental abscess?

A dental abscess is a pocket of pus caused by a bacterial infection, often resulting in severe toothache, swelling, and sometimes fever. Treatment usually involves draining the abscess, treating the infection with antibiotics, and addressing the underlying dental issue, such as a broken tooth.


How can allergic rhinitis be managed effectively?

Allergic rhinitis can be managed by avoiding known allergens, using over-the-counter antihistamines, and sometimes prescription medications. Keeping the environment clean and using air purifiers can also help reduce symptoms.


What causes tinnitus and how can it be treated?

Tinnitus, or ringing in the ears, can be caused by factors such as age-related hearing loss, ear injury, or circulatory issues. Treatment depends on the underlying cause and may involve managing the condition with sound therapy, hearing aids, or medication to alleviate symptoms.

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