Dizziness, Nausea, and Red Spots: Neurological Symptoms - Neurology

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Dizziness, nausea, and the appearance of red spots on the skin?


I've been feeling dizzy and nauseous for two to three days, and I have developed three to four red spots on my hands and feet.
What could these symptoms indicate?

Rong, 20~29 year old female. Ask Date: 2016/05/02

Dr. Lan Shengxing reply Neurology


Dear Rong, such a description does not provide enough information to identify the disease.
Please see a dermatologist for diagnosis and treatment as soon as possible.

Reply Date: 2016/05/02

More Info


Dizziness, nausea, and the appearance of red spots on the hands and feet can be concerning symptoms that may indicate a variety of underlying health issues. It is essential to approach these symptoms with a comprehensive understanding of potential causes and the necessary steps for evaluation and treatment.

Firstly, dizziness can arise from numerous factors, including vestibular disorders, dehydration, low blood pressure, or even anxiety. In some cases, dizziness may be associated with neurological conditions such as migraines or transient ischemic attacks (TIAs). Nausea, on the other hand, can be linked to gastrointestinal issues, infections, or even side effects from medications. When combined with dizziness, it may suggest a more systemic issue or a specific neurological condition.

The presence of red spots on the skin, particularly on the hands and feet, can be indicative of several conditions. These spots could be petechiae, which are small red or purple spots caused by bleeding under the skin. Petechiae can result from various causes, including infections, blood disorders, or even certain medications. Alternatively, they could be a manifestation of an allergic reaction or a viral exanthem, especially if accompanied by other symptoms such as fever or malaise.

Given the combination of dizziness, nausea, and red spots, it is crucial to consider the possibility of an infectious process. Conditions such as viral infections (like dengue fever or other viral exanthems) can present with these symptoms. Additionally, autoimmune conditions, such as vasculitis, could also lead to similar presentations.

It is important to seek medical attention promptly, especially since these symptoms have persisted for two to three days. A healthcare professional will likely conduct a thorough history and physical examination, focusing on the onset and progression of symptoms, any associated symptoms (such as fever, fatigue, or changes in vision), and any recent exposures or illnesses. Diagnostic tests may include blood tests to check for infections, clotting disorders, or autoimmune markers, as well as imaging studies if a neurological cause is suspected.

In the meantime, it is advisable to stay hydrated and avoid any activities that could exacerbate dizziness, such as sudden movements or standing up quickly. If nausea is severe, small sips of clear fluids or ginger tea may help alleviate symptoms. However, it is crucial to avoid self-diagnosing or treating without professional guidance, as the underlying cause of these symptoms needs to be accurately identified and managed.

In summary, dizziness, nausea, and red spots can indicate a range of conditions, from benign to serious. Prompt evaluation by a healthcare provider is essential to determine the cause and initiate appropriate treatment. If you or someone you know is experiencing these symptoms, do not hesitate to seek medical care.

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