Dizziness, shortness of breath, diarrhea?
Hello Doctor, about one or two weeks ago, I suddenly experienced dizziness and instability when I got out of bed one day.
After a while, it improved, so I didn't pay much attention to it.
However, starting the next day, I began to have occasional dizziness.
Although it isn't severe, I feel a sense of imbalance and dizziness that has persisted without improvement.
After a few days, I also experienced shortness of breath, requiring me to take deep breaths frequently.
Additionally, sometimes when I eat, I have a noticeable sensation of something stuck in my stomach, which I need to burp to relieve.
In the past few days, I've also had abdominal pain and diarrhea.
Could you please advise what tests I should undergo and which department I should visit? Thank you!
A-Rong, 20~29 year old female. Ask Date: 2016/10/31
Dr. Yang Wenda reply Pulmonology
Hello: It is recommended to see an otolaryngologist and a gastroenterologist for the relevant examinations arranged by the physicians from these two specialties!
Reply Date: 2016/10/31
More Info
It sounds like you are experiencing a complex set of symptoms that include dizziness, breathing difficulties, and gastrointestinal issues such as abdominal pain and diarrhea. These symptoms can be quite distressing and may have various underlying causes. Let's break down your symptoms and discuss potential next steps.
Understanding Your Symptoms
1. Dizziness and Balance Issues: The dizziness you are experiencing, especially if it started suddenly upon waking, could be related to several factors. It might be due to a vestibular issue (inner ear problems), low blood pressure, dehydration, or even anxiety. If the dizziness is persistent and accompanied by a feeling of imbalance, it is essential to consider a thorough evaluation by a healthcare professional.
2. Breathing Difficulties: The sensation of needing to take deep breaths or feeling like you can't get enough air can be linked to anxiety, panic attacks, or even respiratory conditions. In some cases, it may also be related to gastrointestinal issues, such as acid reflux, which can cause discomfort that feels like it affects your breathing.
3. Gastrointestinal Symptoms: The feeling of something being stuck in your throat or chest, along with abdominal pain and diarrhea, could suggest a few possibilities. Gastroesophageal reflux disease (GERD) can cause a sensation of fullness or discomfort in the chest, especially after eating. Additionally, if you are experiencing diarrhea, it could indicate an infection, food intolerance, or other gastrointestinal conditions.
Recommended Actions
Given the complexity of your symptoms, it is advisable to take the following steps:
1. Consult a Primary Care Physician: Start by visiting your primary care physician (PCP). They can perform a comprehensive evaluation, including a physical examination and a review of your medical history. Your PCP can also help determine if you need to see a specialist.
2. Consider Seeing a Specialist: Depending on your PCP's findings, they may refer you to a specialist. For dizziness and balance issues, an ear, nose, and throat (ENT) specialist or a neurologist may be appropriate. If your symptoms are more related to gastrointestinal issues, a gastroenterologist would be the right choice.
3. Diagnostic Tests: Your doctor may recommend various tests to pinpoint the cause of your symptoms. These could include:
- Blood tests to check for anemia, infection, or electrolyte imbalances.
- Imaging studies, such as an MRI or CT scan, if neurological issues are suspected.
- An endoscopy or other gastrointestinal evaluations if reflux or other digestive issues are a concern.
4. Lifestyle Modifications: While waiting for your appointment, consider keeping a symptom diary. Note when your symptoms occur, their severity, and any potential triggers (such as certain foods or activities). Staying hydrated, eating smaller meals, and avoiding known irritants (like caffeine or spicy foods) may help alleviate some gastrointestinal symptoms.
5. Mental Health Considerations: Given the interplay between physical symptoms and anxiety, it may be beneficial to explore stress management techniques. Practices such as mindfulness, yoga, or cognitive-behavioral therapy (CBT) can be effective in managing anxiety and its physical manifestations.
Conclusion
Your symptoms are multifaceted and could stem from various underlying conditions. It is crucial to seek medical attention to ensure a proper diagnosis and treatment plan. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out to a healthcare provider. Take care of yourself, and I hope you find relief soon.
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