[57F] Experiencing malaise, dizziness, and nausea

Patient Description

A 57-year-old female reports a 2-week history of significant malaise, characterized by fatigue and a foggy sensation, which she rates as 7 out of 10 in severity. She also experiences dizziness, described as a spinning sensation, without a specific pattern or trigger, rated as 5 out of 10 in severity. Additionally, she has had nausea for the past 2 days, rated as 3 out of 10 in severity. The patient has a known medical history of pseudo tumor cerebri diagnosed in 1998. Her current medications include Diamox, Celexa, blood pressure medication, Allegra, Aciphex, Vyvanse, Sonesta, and Trazodone. She has not identified any alleviating factors or specific triggers for her symptoms. No recent weight changes, chest pain, shortness of breath, severe headaches, or confusion have been reported. The patient denies any known drug allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, possible diagnoses include:

  • Chronic Fatigue Syndrome: This condition is characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue tends to worsen with physical or mental activity, but doesn't improve with rest. The exact cause of chronic fatigue syndrome is still unknown.

    • There is no specific test for chronic fatigue syndrome. Your doctor will have to rule out other potential causes of your fatigue in order to diagnose this condition.
  • Side Effects of Medication: Some of the medications you are taking, such as Diamox and Celexa, can cause side effects including dizziness, fatigue, and nausea.

    • If your symptoms are due to medication side effects, your doctor may be able to adjust your dosage or switch you to a different medication.
  • Pseudotumor Cerebri: This condition, which you have been previously diagnosed with, can cause headaches, dizziness, and nausea. It's possible that your symptoms could be related to this condition.

    • If your pseudotumor cerebri is causing your symptoms, your doctor may need to adjust your treatment plan.

Please note that this is not a comprehensive list of all possible diagnoses. There are many potential causes of your symptoms, and it's important to consult with a healthcare provider for a complete evaluation.

What you can do

  1. Schedule an appointment with your healthcare provider. They can evaluate your symptoms, review your current medications, and determine if any further testing is needed.

  2. Keep a symptom diary. Note when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your healthcare provider.

  3. Try to maintain a healthy lifestyle. Eat a balanced diet, get regular exercise, and ensure you are getting enough sleep. These steps can help improve your overall health and may help alleviate some of your symptoms.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Severe headache or headache that is different from your usual headaches
  • Sudden worsening of your symptoms
  • Difficulty walking or loss of balance
  • Difficulty speaking or slurred speech
  • Sudden vision changes

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.

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11 mo ago

People Also Ask


What are the common side effects of Diamox and Celexa?

Common side effects of Diamox include dizziness, fatigue, and nausea. Celexa can also cause dizziness, fatigue, and nausea, among other side effects. It's important to discuss any side effects with your doctor, as they may adjust your medication.


How can chronic fatigue syndrome be diagnosed?

Chronic fatigue syndrome is diagnosed by ruling out other potential causes of fatigue. There is no specific test for it, so doctors rely on a thorough medical history, physical examination, and sometimes lab tests to exclude other conditions.


What are the symptoms of pseudotumor cerebri?

Pseudotumor cerebri symptoms can include headaches, dizziness, nausea, and vision problems. It occurs when there is increased pressure in the skull without a tumor being present.


What lifestyle changes can help manage fatigue and dizziness?

Maintaining a healthy lifestyle can help manage symptoms. This includes eating a balanced diet, getting regular exercise, and ensuring adequate sleep. Keeping a symptom diary can also help identify potential triggers and patterns.


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