Dizziness: Causes and Concerns After Stomach Issues

Hello doctor, I would like to ask you about the symptoms of dizziness?

Hello Doctor, I have been experiencing severe stomach inflammation and bloating recently, which has just improved.
However, I started feeling dizzy with a sensation of sinking downwards.
While at work, I often find myself distracted and feeling like I'm falling.
I don't know the cause, but I haven't taken any pain medication for my stomach for two days now, and I still have this sensation.
When I look at things, my eyes feel dizzy, and I feel like I'm descending in everything I do.
Additionally, when I got up to urinate in the early hours of yesterday, I was extremely out of breath and felt very dizzy, sweating profusely and feeling uncomfortable, which is unusual for me.
Could you please tell me what might be wrong with me? Thank you!

Mr. Zhang, 20~29 year old female. Ask Date: 2016/03/28

Dr. Gao Chunde reply Neurology

Feeling faint and sweating, along with shortness of breath, can be concerning.
Although it may be difficult to understand the situation, it is advisable to seek medical evaluation.
Some cases of gastroenteritis can trigger autonomic neuropathy, which is very rare, but it should not be taken lightly.

Reply Date: 2016/03/28

More Info

Dizziness can be a concerning symptom, especially when it follows gastrointestinal issues such as gastritis and bloating. Your description of feeling dizzy, along with sensations of heaviness or a sinking feeling, suggests that there may be several underlying factors contributing to your current state.

Firstly, it’s important to recognize that gastrointestinal problems can lead to dizziness in a few ways. One common cause is dehydration, which can occur if you have been experiencing vomiting, diarrhea, or even just reduced oral intake due to discomfort. When the body is dehydrated, it can lead to a decrease in blood volume, resulting in lower blood pressure and, consequently, dizziness.
Additionally, if you have been experiencing significant bloating and discomfort, it may affect your appetite and food intake. A lack of proper nutrition can lead to low blood sugar levels, which can also cause dizziness. It’s crucial to maintain a balanced diet, especially when recovering from gastrointestinal issues.

Another potential cause of your dizziness could be related to the medications you were taking for your stomach issues. Some medications can have side effects that include dizziness or lightheadedness. If you recently stopped taking these medications, your body may still be adjusting, which could contribute to your symptoms. It’s advisable to discuss any medication changes with your healthcare provider to ensure that you are not experiencing withdrawal effects or other complications.

Moreover, the sensation of your eyes moving or feeling dizzy while focusing could indicate a vestibular issue. The vestibular system, which helps control balance, can be affected by various factors, including inner ear problems or even anxiety, which can sometimes accompany gastrointestinal distress. If you are feeling anxious about your health, this could exacerbate feelings of dizziness.

The episode of feeling extremely dizzy and sweating while getting up at night could suggest a more acute issue, such as orthostatic hypotension, which occurs when blood pressure drops significantly upon standing. This can happen if you have been lying down for a long time and then suddenly stand up, leading to dizziness and faintness.

Given your symptoms, it is essential to monitor your hydration status, ensure you are eating adequately, and consider the possibility of anxiety or medication side effects. If your dizziness persists or worsens, or if you experience additional symptoms such as fainting, severe headaches, or changes in vision, it is crucial to seek medical attention promptly.
In summary, dizziness following gastrointestinal issues can stem from dehydration, low blood sugar, medication side effects, or vestibular disturbances. Maintaining hydration, a balanced diet, and discussing your symptoms with a healthcare provider will be key in addressing your concerns. If symptoms persist, further evaluation may be necessary to rule out any underlying conditions.

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