[66M] Experiencing stomach issues and dizziness

Patient Description

A 66-year-old male reports feeling dizzy, describing the sensation as if the room is spinning around him. This symptom has been occurring intermittently over the past week. He also mentions concurrent stomach discomfort, characterized by a dull, aching pain that seems to be present throughout the day and does not improve with over-the-counter antacids. The patient has a history of hypertension, for which he is on medication, and type 2 diabetes, managed with diet and oral hypoglycemics. He denies any recent changes in medication, alcohol use, or head injury. The patient also notes that the dizziness sometimes worsens when he moves his head suddenly or changes position. He has not experienced any recent falls, loss of consciousness, or changes in hearing or vision. No prior episodes of vertigo or similar symptoms were reported.

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Arora's Assessment

What might be happening

Based on your brief description, there are several possibilities that could be causing your symptoms:

  • Gastroenteritis: This is an inflammation of the stomach and intestines, usually due to a viral or bacterial infection. It can cause stomach discomfort and dizziness, especially if you're dehydrated.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Vertigo: This is a sensation of feeling off balance and can be associated with a feeling of a spinning sensation. It's often caused by issues in the brain or inner ear.

    • Treatment can range from physical therapy maneuvers, medications to suppress symptoms, to surgery in severe cases.
  • Low Blood Pressure (Hypotension): This can cause dizziness and fainting. It could be related to dehydration, certain medications, or underlying health conditions.

    • Treatment involves addressing the underlying cause, and in some cases, medications.
  • Heart conditions: Certain heart conditions, such as arrhythmias or heart valve issues, can cause dizziness and stomach discomfort.

    • Treatment depends on the specific heart condition and may involve medications, lifestyle changes, or surgical procedures.

What you can do

Given your age and the symptoms you're experiencing, it's important to seek immediate medical attention. While waiting for medical help, try to stay calm and avoid any sudden movements that might worsen your dizziness.

What you should look out for

If you experience any of the following symptoms, seek immediate medical attention:

  • Chest pain or discomfort
  • Difficulty breathing or shortness of breath
  • Fainting
  • Rapid or irregular heartbeat
  • Severe stomach pain

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, testing, and care recommendations.

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1 yr ago

People Also Ask


What could be causing my dizziness and spinning sensation?

Your dizziness and spinning sensation could be caused by vertigo, which is often related to issues in the inner ear or brain. Other possibilities include low blood pressure or heart conditions. It's important to consult a healthcare provider for a proper diagnosis.


Why might I be experiencing stomach discomfort that doesn't improve with antacids?

Stomach discomfort that doesn't improve with antacids could be due to gastroenteritis, which is an inflammation of the stomach and intestines. It could also be related to other gastrointestinal issues or even heart conditions. A medical evaluation is necessary to determine the cause.


How can my hypertension and diabetes affect my current symptoms?

Hypertension and diabetes can contribute to your symptoms by affecting blood flow and nerve function. Poorly managed blood pressure or blood sugar levels can lead to dizziness and gastrointestinal issues. It's crucial to manage these conditions effectively with the help of your healthcare provider.


What should I do if my dizziness worsens or I experience additional symptoms?

If your dizziness worsens or you experience symptoms like chest pain, difficulty breathing, fainting, or a rapid heartbeat, seek immediate medical attention. Avoid sudden movements and try to stay calm while waiting for medical help.


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