Dizziness, Nausea, and Pale Skin: When to Seek Neurology Care - Neurology

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Dizziness, nausea, and pale complexion?


A few months ago, I frequently experienced dizziness, nausea, abdominal pain, and had a pale complexion.
Recently, I was in a car accident; although I only sustained minor injuries, I have been feeling dizzy and nauseous again without realizing it.
I initially thought it was due to staying up late or lack of sleep, but since the accident, the dizziness has become more frequent.
My teachers and classmates have advised me to go to the hospital for an examination, but I'm not sure which department I should visit for a check-up.

Jamie, 10~19 year old female. Ask Date: 2017/01/06

Dr. Jiang Junyi reply Neurology


Hello, based on your description, there are many factors that can cause symptoms of dizziness, such as anemia, autonomic dysfunction, and inner ear imbalance.
As you are a female patient, it is important to first rule out anemia or fluid deficiency that may lead to insufficient cerebral circulation.
You can improve symptoms by replenishing fluids and electrolytes.
I recommend discussing examination and treatment options with a neurologist.
Wishing you good health and peace.
Best regards, Taoyuan Medical Center.

Reply Date: 2017/01/06

More Info


Experiencing dizziness, nausea, and pale skin can be concerning, especially after a recent car accident. These symptoms can arise from various underlying conditions, and it is essential to understand when to seek medical attention, particularly from a neurologist.

Dizziness can manifest in several forms, including lightheadedness, vertigo (a spinning sensation), or a general feeling of unsteadiness. Nausea often accompanies dizziness, and pale skin can indicate a range of issues, from dehydration to more severe conditions like anemia or shock. Given your recent car accident, it is crucial to consider the possibility of a concussion or other head injury, which could explain your persistent symptoms.

When to Seek Neurology Care:
1. Persistent Symptoms: If your dizziness and nausea persist despite rest and hydration, it is essential to seek medical evaluation. Symptoms that last for more than a few days or worsen over time warrant a professional assessment.

2. Neurological Signs: Look for additional neurological symptoms such as severe headache, confusion, difficulty speaking, weakness in limbs, or changes in vision. These could indicate a more serious condition, such as a concussion or intracranial injury.

3. Post-Trauma Symptoms: Since you mentioned experiencing these symptoms after a car accident, it is crucial to get evaluated for any potential head injuries. Even minor accidents can lead to concussions, which may not present immediate symptoms but can develop over time.

4. Accompanying Symptoms: If you experience other concerning symptoms such as chest pain, shortness of breath, or severe abdominal pain, seek emergency care immediately. These could indicate more severe conditions that require urgent attention.

5. Impact on Daily Life: If your symptoms interfere with your ability to perform daily activities, such as attending school or work, it is a sign that you should seek medical help.

What to Expect During a Neurological Evaluation:
When you visit a neurologist, they will likely perform a thorough assessment, which may include:
- Medical History: Discuss your symptoms, their onset, duration, and any relevant medical history, including the details of your car accident.


- Physical Examination: A neurological exam will assess your reflexes, muscle strength, coordination, and sensory responses.

- Diagnostic Tests: Depending on your symptoms, the doctor may order imaging tests such as a CT scan or MRI to rule out any structural issues in the brain or neck.

- Blood Tests: These may be conducted to check for anemia, electrolyte imbalances, or other underlying conditions that could contribute to your symptoms.

Self-Care and Management:
While waiting for your appointment, consider the following self-care strategies:
- Stay Hydrated: Dehydration can exacerbate dizziness and nausea. Drink plenty of fluids, especially water.

- Rest: Ensure you are getting adequate rest and sleep, as fatigue can worsen symptoms.

- Avoid Triggers: Identify and avoid any activities or situations that worsen your dizziness, such as sudden movements or bright lights.

- Monitor Symptoms: Keep a journal of your symptoms, noting when they occur and any potential triggers. This information can be helpful for your healthcare provider.

In conclusion, while dizziness, nausea, and pale skin can sometimes be attributed to benign causes like fatigue or dehydration, your recent car accident and the persistence of these symptoms necessitate a thorough evaluation. Seeking care from a neurologist is a prudent step to ensure that any underlying conditions are identified and managed appropriately. Remember, it is always better to err on the side of caution when it comes to your health.

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