[50F] Experiencing nausea and lightheadedness

Patient Description

A 50-year-old female presents with symptoms of nausea and lightheadedness that started today. She reports a strong aversion to food and a feeling of sickness in the stomach, indicative of significant nausea. There is no mention of any other symptoms or relevant medical history at this time.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible causes of your symptoms include:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually resulting from a bacterial or viral infection. Symptoms can include nausea, vomiting, and a general feeling of being unwell.

    • Treatment typically involves rest, hydration, and over-the-counter medication to manage symptoms.
  • Gastritis: This is an inflammation of the stomach lining, which can cause nausea and a loss of appetite. It can be caused by factors such as excessive alcohol consumption, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), or infection with bacteria such as H. pylori.

    • Treatment typically involves medications to decrease stomach acid, and lifestyle changes such as avoiding alcohol and certain medications.
  • Vertigo: This is a sensation of feeling off balance and can cause lightheadedness and nausea. It's often caused by issues in the inner ear or brain.

    • Treatment typically involves physical therapy, medications, and in some cases surgery.

What you can do

It would be best to consult a doctor about your symptoms so that they can provide a formal assessment and order relevant tests if necessary. In the meantime, you can try the following to relieve your symptoms:

  1. Rest and stay hydrated. Dehydration can worsen feelings of nausea and lightheadedness.
  2. Try to eat small amounts of bland foods, like rice, applesauce, or bananas.
  3. Avoid activities that worsen your symptoms, such as moving quickly or looking at moving objects.

What you should look out for

Reasons to seek immediate medical attention:

  • If your symptoms worsen or persist for more than a day.
  • If you experience severe abdominal pain.
  • If you start vomiting and can't keep down fluids.
  • If you feel faint or actually faint.

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

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11 mo ago

People Also Ask


What are the common causes of nausea and lightheadedness?

Common causes of nausea and lightheadedness include gastroenteritis, gastritis, vertigo, dehydration, and sometimes more serious conditions like heart issues or infections. It's important to consider other symptoms and consult a healthcare provider for an accurate diagnosis.


How can I differentiate between gastroenteritis and gastritis?

Gastroenteritis often involves symptoms like diarrhea and vomiting, along with nausea and lightheadedness, and is usually caused by an infection. Gastritis, on the other hand, is inflammation of the stomach lining and may not involve diarrhea but can include nausea, loss of appetite, and stomach pain. A healthcare provider can help differentiate between the two through symptoms and possibly tests.


What lifestyle changes can help manage symptoms of gastritis?

To manage symptoms of gastritis, it's recommended to avoid alcohol, spicy foods, and NSAIDs. Eating smaller, more frequent meals and avoiding lying down immediately after eating can also help. Stress management and quitting smoking are beneficial as well.


When should I seek medical attention for nausea and lightheadedness?

You should seek medical attention if your symptoms worsen or persist for more than a day, if you experience severe abdominal pain, if you start vomiting and can't keep down fluids, or if you feel faint or actually faint. These could be signs of a more serious condition that requires prompt medical evaluation.


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