Dizziness, Nausea, and Breathing Difficulties: ENT Insights - Otolaryngology

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Dizziness, nausea, and difficulty breathing?


Hello doctor, this morning when I woke up, I felt extremely fatigued.
After that, I went to the bathroom to brush my teeth and wash my face.
While washing my face, I suddenly felt unable to focus my vision and experienced weakness throughout my body.
I immediately left the bathroom and returned to my room, but my legs gave out, and my vision started to go black.
I had great difficulty breathing (at that moment, it really felt like I was about to die), and I felt nauseous, gagging several times without being able to vomit.
Eventually, I just lay down on the floor, and after resting for about five minutes, I started to feel better...
the symptoms came on quickly and went away just as fast.
This is not the first time it has happened; it occurs about once every few months! I have seen a doctor, but they said everything was fine and couldn't find anything wrong.
I would like to ask if these symptoms are normal and not something to worry about? Sometimes, I also experience this situation while showering.

milly, 20~29 year old female. Ask Date: 2017/04/10

Dr. Zheng Jueyi reply Otolaryngology


Hello: There are many causes of dizziness.
If it occurs frequently, it is recommended to visit the ENT department, neurology department, and cardiology department at a hospital for evaluation.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the ENT Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2017/04/10

More Info


Dizziness, nausea, and breathing difficulties can be alarming symptoms, especially when they occur suddenly and lead to feelings of weakness or fainting. Based on your description, it sounds like you experienced a significant episode of dizziness accompanied by nausea and difficulty breathing, which can be quite distressing.
From an ENT (Ear, Nose, and Throat) perspective, dizziness can often be linked to issues within the vestibular system, which is responsible for balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease can cause episodes of dizziness. However, your symptoms also suggest a possible vasovagal response, which is a common cause of fainting or near-fainting episodes. This occurs when the body overreacts to certain triggers, such as stress, pain, or even standing up too quickly, leading to a sudden drop in heart rate and blood pressure.

The nausea and difficulty breathing you experienced could also be related to anxiety or panic attacks, which can manifest with physical symptoms that mimic other medical conditions. It's important to consider the context in which these symptoms occur. For instance, if they happen during activities that require physical exertion, such as showering or brushing your teeth, it may indicate that your body is reacting to the stress of those activities.

Given that these episodes have occurred multiple times over several months, it would be prudent to seek further evaluation. While your previous doctor may not have found anything concerning, it might be beneficial to consult with a specialist, such as a neurologist or a cardiologist, to rule out any underlying conditions that could be contributing to your symptoms. Tests such as an electrocardiogram (ECG), echocardiogram, or even a tilt table test might provide more insights into your cardiovascular health and how your body responds to changes in position.

In addition, keeping a symptom diary could be helpful. Documenting when these episodes occur, their duration, any associated activities, and how you feel before and after can provide valuable information to your healthcare provider. This data can help identify patterns or triggers that may not be immediately apparent.

It's also essential to consider lifestyle factors that could be contributing to your symptoms. Ensure you are staying hydrated, eating regular meals, and managing stress effectively. Sometimes, simple changes in lifestyle can significantly impact how your body responds to daily activities.

In summary, while your symptoms may not indicate a severe underlying condition, they warrant further investigation to ensure your safety and well-being. Don't hesitate to advocate for yourself in seeking additional medical opinions or tests if you feel your concerns are not being adequately addressed. Your health is paramount, and understanding the root cause of your symptoms is crucial for effective management.

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