[56F] Experiencing severe dizziness and vomiting

Patient Description

A 56-year-old female reports severe dizziness described as a spinning sensation that worsens with movement, leading to vomiting. These symptoms have been ongoing for approximately 8 hours. There is no reported relief from the dizziness, and it does not appear to be influenced by the time of day. The patient also notes some weakness but no numbness. There is no associated hearing loss, ringing in the ears, severe headache, double vision, or difficulty speaking. No other symptoms have been reported. The patient's medical history has not been disclosed, and no further details on pre-existing conditions or chronic illnesses are available at this time.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Benign paroxysmal positional vertigo (BPPV): This is a common cause of vertigo, or a spinning sensation, that worsens with changes in head position. It's caused by tiny calcium particles clumping up in the inner ear canals.

    • Treatment typically involves a series of movements performed in a doctor's office to help move the particles out of the ear canal.
  • Meniere's disease: This is an inner ear disorder caused by a buildup of fluid and changing pressure in the ear that can cause episodes of vertigo.

    • Treatment typically involves a combination of medications, lifestyle changes, and sometimes surgery.
  • Vestibular neuritis or labyrinthitis: Both are inflammation of the inner ear usually caused by a viral infection, resulting in dizziness and loss of balance.

    • Treatment typically involves medications to relieve symptoms, including prescription drugs to reduce inflammation and/or to control nausea and vomiting.

What you can do

  1. Rest and avoid sudden head movements.
  2. Drink plenty of fluids to stay hydrated, especially if you've been vomiting.
  3. Over-the-counter antihistamines may help with the dizziness, but they can cause drowsiness.

What you should look out for

It's important to seek immediate medical attention if:

  • Your dizziness is accompanied by a severe headache, chest pain, or shortness of breath.
  • You have a high fever or stiff neck.
  • You experience sudden hearing loss.
  • Your symptoms are not improving or are getting worse.

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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10 mo ago

People Also Ask


What is benign paroxysmal positional vertigo (BPPV) and how is it treated?

Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo characterized by a spinning sensation that worsens with changes in head position. It is caused by tiny calcium particles clumping up in the inner ear canals. Treatment typically involves a series of specific head movements performed by a healthcare provider to help move the particles out of the ear canal.


What are the symptoms and treatment options for Meniere's disease?

Meniere's disease is an inner ear disorder caused by a buildup of fluid and changing pressure in the ear, leading to episodes of vertigo, hearing loss, and tinnitus. Treatment options include medications to reduce symptoms, lifestyle changes such as a low-salt diet, and in some cases, surgery.


How can vestibular neuritis or labyrinthitis cause dizziness, and what are the treatment options?

Vestibular neuritis or labyrinthitis are conditions involving inflammation of the inner ear, often due to a viral infection, resulting in dizziness and loss of balance. Treatment typically involves medications to relieve symptoms, such as anti-inflammatory drugs and medications to control nausea and vomiting.


When should someone with dizziness seek immediate medical attention?

Immediate medical attention should be sought if dizziness is accompanied by severe headache, chest pain, shortness of breath, high fever, stiff neck, sudden hearing loss, or if symptoms are not improving or are worsening.


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