Dizziness and Blurred Vision: When to Seek Medical Help - Family Medicine

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Sudden dizziness and blurred vision?


Hello, doctor.
Since elementary school (I am now in high school), I have experienced sudden dizziness, numbness in my hands and feet, and increasingly blurred vision whenever I get an injection, have blood drawn, exercise, or stand in the sun for a while.
Eventually, I can’t see, break out in a cold sweat, and sometimes feel like vomiting.
If I don’t sit or lie down to rest immediately, I will faint.
I would like to ask which specialty I should consult for these symptoms.
Thank you! P.S.
I also often experience chest tightness and hand tremors.

Hsuan, 10~19 year old female. Ask Date: 2016/04/06

Dr. Liao Yaopan reply Family Medicine


Hello, based on your description, it is recommended to seek assistance from a cardiologist and a neurologist for evaluation.
Of course, if there are no specific physiological abnormalities or limitations, it is advisable to develop a regular exercise routine to enhance cardiovascular function and build muscle endurance, while also paying attention to balanced nutrition.
Changhua Hospital cares about you.

Reply Date: 2016/04/06

More Info


It sounds like you are experiencing a range of concerning symptoms that can be quite distressing. The symptoms you describe—dizziness, tingling in your limbs, blurred vision, sweating, nausea, and even fainting—are significant and warrant a thorough medical evaluation.
Given your symptoms, it would be advisable to start by consulting a primary care physician or a family doctor. They can perform an initial assessment and determine if you need to see a specialist. Your symptoms could be related to several potential causes, including but not limited to:
1. Vasovagal Syncope: This is a common cause of fainting, often triggered by stress, pain, or prolonged standing. It occurs when your body overreacts to certain triggers, leading to a sudden drop in heart rate and blood pressure, which can cause fainting.

2. Orthostatic Hypotension: This condition occurs when you stand up too quickly, causing a drop in blood pressure that can lead to dizziness and fainting. It can be more pronounced in hot weather or after prolonged standing.

3. Anxiety or Panic Disorders: Anxiety can manifest physically, leading to symptoms such as dizziness, tingling, and chest discomfort. If you feel anxious in certain situations (like getting a shot or being in the sun), this could be a contributing factor.

4. Neurological Issues: Although less common, neurological conditions can cause similar symptoms. If your doctor suspects this, they may refer you to a neurologist for further evaluation.

5. Cardiovascular Concerns: Given your symptoms of chest tightness and hand tremors, it’s important to rule out any heart-related issues. A cardiologist may be involved in your care if your primary doctor finds any concerning signs.

6. Blood Sugar Levels: Low blood sugar (hypoglycemia) can cause dizziness, sweating, and fainting. If you have not eaten for a while or have irregular eating habits, this could be a factor.

7. Dehydration or Heat Exhaustion: Spending time in the sun without adequate hydration can lead to dizziness and fainting. Make sure you are drinking enough fluids, especially in hot weather.

When you visit your doctor, be prepared to discuss your symptoms in detail, including when they occur, their frequency, and any potential triggers. It may also be helpful to keep a symptom diary leading up to your appointment. This can provide valuable information for your healthcare provider.

In terms of immediate steps, if you experience these symptoms again, try to sit or lie down as soon as possible to prevent injury from fainting. Staying hydrated and avoiding prolonged exposure to heat can also help manage your symptoms.

In conclusion, your symptoms are significant and should not be ignored. Seeking medical attention is the right step, and starting with a primary care physician will help guide you to the appropriate specialists if needed. Remember, your health is important, and getting to the bottom of these symptoms is crucial for your well-being.

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