[53F] Experiencing severe dizziness, nausea, and other symptoms

Patient Description

A 53-year-old female reports severe dizziness described as the room moving in and out, with episodes where everything starts turning sideways. These episodes began yesterday, are rated 9/10 in severity, worsen upon standing, and occur mostly at night, lasting about 20 minutes. Accompanying the dizziness is sudden onset nausea followed by frequent vomiting, occurring approximately 5 times last night. The patient also experiences swelling in both feet and hands (right side more than the left), with the affected areas appearing red, warm, and sometimes purple. This has been ongoing for months, with hand swelling starting a few days ago. Additionally, there is a tingling sensation in both hands described as pins and needles, also starting a couple of days ago. The patient feels hot on the left side of the face, which began yesterday. Past medical history includes high cholesterol and hypothyroidism, diagnosed over ten years ago. The patient has allergies to Percoset, Vicodin, Zythromiacin, and Reglan, and is currently taking Flecanide, Diltiazem, Xarelto, a water pill, Atorvastatin, Requip, and Metoprolol.

Arora's Assessment

What might be happening

Based on the symptoms you've described, several conditions could be at play:

Dehydration: This can cause symptoms like dizziness, nausea, and vomiting. Dehydration can occur if you've been vomiting a lot and not drinking enough fluids to replace what you've lost.
Side Effects of Medication: Some of the medications you're taking, such as Flecainide and Diltiazem, can cause side effects like dizziness, nausea, and swelling.
Hypothyroidism: This condition can cause a variety of symptoms, including swelling, tingling, and feeling cold. However, it's less likely to cause dizziness and nausea.
Atrial Fibrillation: This heart condition can sometimes cause dizziness and lightheadedness. However, it's less likely to cause the other symptoms you're experiencing.

Please note that this is not a comprehensive list of all possible conditions, and these are just potential explanations for your symptoms. It's important to consult with a healthcare professional for a definitive diagnosis.

What you can do

Stay Hydrated: Make sure you're drinking enough fluids, especially if you're vomiting a lot. This can help prevent dehydration.
Rest: Try to get plenty of rest. This can sometimes help alleviate symptoms like dizziness and nausea.
Monitor Your Symptoms: Keep track of your symptoms and note any changes or patterns. This can be helpful information to share with your doctor.
Consult with a Healthcare Professional: Given the severity and number of your symptoms, it's important to seek medical attention as soon as possible. They can perform a thorough evaluation and provide appropriate treatment.

What you should look out for

If your symptoms worsen or don't improve, seek medical attention immediately.
If you experience severe dizziness, chest pain, difficulty breathing, or fainting, these could be signs of a serious condition and you should seek emergency medical attention.

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, diagnosis, and treatment.

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11 mo ago

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[53F] Experiencing severe dizziness, nausea, and other symptoms

What might be happening

What you can do

What you should look out for

Experiencing symptoms?