Morning Dizziness and Nausea: Neurological Symptoms

Q: Morning Dizziness and Nausea: Neurological Symptoms

Hello： Your condition is referred to as vertigo, which can be classified into central and peripheral types. <br>Based on your description, it appears to be peripheral vertigo, with possible causes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Men

Upon waking up in the morning, experiencing dizziness and vomiting?

Hello Dr.
Hong: This incident occurred on January 19, 2017.
When I woke up in the morning and opened my eyes around 8:00 AM, everything in front of me was spinning violently.
After taking a Difendin, I waited for about an hour but felt no improvement, so I took another one.
However, within 20 minutes, I vomited it out.
I couldn't eat anything and could only drink water, but after drinking, I would vomit that out as well.
I could only feel somewhat better while sitting; as soon as I lay down or leaned my head back, I would feel dizzy again.
Last night, I went out with wet hair and was exposed to the wind; I’m not sure if that caused a cold, leading to my current condition.
Around 11 AM, I took another pill, and this time I did not vomit.
The symptoms improved, but I still have a sensation of almost fainting (while sitting).
I'm not sure if lying down will cause the dizziness to return...
What should I do? Is there something wrong with me?

Guo Tongxue, 10~19 year old female. Ask Date: 2017/01/19

Dr. Hong Weibin reply Neurology

Hello: Your condition is referred to as vertigo, which can be classified into central and peripheral types.
Based on your description, it appears to be peripheral vertigo, with possible causes including benign paroxysmal positional vertigo (BPPV), vestibular neuritis, and Meniere's disease, among others.
It is possible that you are experiencing severe vertigo due to vestibular neuritis caused by a viral infection, such as a cold.
This type of vertigo often worsens with head movements or when the head is held at certain angles.
I recommend that you stay hydrated and rest.
If the symptoms become too severe, intravenous fluids or medication may be necessary to manage the symptoms.
The duration of the condition is typically around one week, after which it should resolve on its own.

Reply Date: 2017/01/19

More Info

Morning dizziness and nausea can be distressing symptoms that may indicate underlying neurological or vestibular issues. Based on your description, it seems that you experienced a sudden onset of severe dizziness upon waking, accompanied by nausea and vomiting. This situation can be quite alarming, and it's essential to understand the potential causes and appropriate responses.

Dizziness upon waking can stem from various factors, including vestibular disorders, dehydration, or even changes in blood pressure. The vestibular system, which is responsible for maintaining balance, can be affected by inner ear issues, such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or labyrinthitis. These conditions can cause episodes of vertigo, which is the sensation of spinning or movement, often triggered by changes in head position.

In your case, the fact that you felt better while sitting but experienced worsening symptoms when lying down or tilting your head backward suggests a possible vestibular issue. Additionally, the nausea and vomiting you experienced could be a response to the dizziness, as the body often reacts to vertiginous sensations by inducing nausea.

It's also important to consider other factors that may contribute to your symptoms. For instance, if you were feeling unwell the night before and had been exposed to cold air, it could indicate a viral infection, which might lead to symptoms like dizziness and nausea. Dehydration, especially if you were unable to keep food or fluids down, can exacerbate dizziness and lead to further complications.

Given that you took medication (Difendin) to alleviate your symptoms, it's crucial to monitor how you respond to it. If you continue to experience dizziness, nausea, or any worsening symptoms, it is advisable to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include a physical examination, blood tests, and possibly imaging studies, to determine the underlying cause of your symptoms.

In the meantime, here are some general recommendations to help manage your symptoms:
1. Stay Hydrated: Since you mentioned vomiting, it's essential to stay hydrated. Sip on clear fluids like water or electrolyte solutions to replenish lost fluids.

2. Rest: Avoid sudden movements and try to rest in a comfortable position. If lying down exacerbates your symptoms, consider propping yourself up with pillows.

3. Avoid Triggers: If certain movements or positions worsen your dizziness, try to avoid them until you feel better.

4. Monitor Symptoms: Keep track of when your symptoms occur, their severity, and any associated factors (like food intake or activity level). This information can be helpful for your healthcare provider.

5. Consult a Doctor: If your symptoms persist or worsen, seek medical attention promptly. A healthcare professional can provide a more accurate diagnosis and appropriate treatment.

In conclusion, while morning dizziness and nausea can be concerning, understanding the potential causes and taking appropriate steps can help manage your symptoms. It's essential to listen to your body and seek medical advice if needed, as early intervention can lead to better outcomes.

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