Nausea and Dizziness: When to Seek Gastrointestinal Care - Gastroenterology and Hepatology

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Nausea and dizziness?


Hello Doctor, I have been experiencing intermittent nausea originating from my stomach recently.
Sometimes it is accompanied by dizziness, and occasionally I notice this phenomenon after consuming dairy products.
I usually do not drink much water.
Could this lead to any symptoms, or do I need to undergo an endoscopy for further evaluation? I have previously had symptoms of anxiety.
Thank you for taking the time to respond.

Lala, 20~29 year old female. Ask Date: 2018/01/03

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: You may want to first examine your diet for any irritant foods, check if there have been any changes in your lifestyle, and consider any psychological stress you may be experiencing.
If there is still no improvement, you can consult a gastroenterologist to see if an endoscopy is necessary.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2018/01/03

More Info


Nausea and dizziness can be distressing symptoms that may arise from various gastrointestinal issues, and understanding their potential causes is crucial for determining when to seek medical care. Based on your description, it seems that you are experiencing nausea that may be linked to your gastrointestinal health, particularly after consuming dairy products. Additionally, you mentioned a history of anxiety symptoms, which can also contribute to gastrointestinal discomfort.

Firstly, it’s important to recognize that nausea can stem from numerous sources, including dietary choices, gastrointestinal disorders, and even psychological factors. In your case, the association of nausea with dairy consumption suggests a possible lactose intolerance or sensitivity. Lactose intolerance occurs when the body lacks sufficient lactase, the enzyme needed to digest lactose, the sugar found in milk and dairy products. This can lead to symptoms such as bloating, gas, diarrhea, and nausea after consuming dairy.

Dizziness, on the other hand, can be multifactorial. It may arise from dehydration, especially if you are not drinking enough water, which can lead to electrolyte imbalances and affect your overall well-being. Additionally, dizziness can be a symptom of gastrointestinal issues, such as low blood pressure due to dehydration or even from the body’s response to nausea.

Given your symptoms, here are some recommendations:
1. Hydration: Ensure you are drinking enough fluids throughout the day. Dehydration can exacerbate feelings of dizziness and nausea. Aim for at least 8 cups of water daily, adjusting based on your activity level and climate.

2. Dietary Adjustments: If you suspect lactose intolerance, consider reducing or eliminating dairy products from your diet to see if your symptoms improve. You might also want to keep a food diary to track what you eat and any symptoms that follow, which can help identify triggers.

3. Monitor Symptoms: Keep an eye on the frequency and severity of your nausea and dizziness. If these symptoms persist, worsen, or are accompanied by other concerning signs such as severe abdominal pain, vomiting, or changes in bowel habits, it is essential to seek medical attention.

4. Consult a Healthcare Provider: If your symptoms continue despite dietary changes and improved hydration, it may be prudent to consult a healthcare provider. They may recommend further evaluation, including blood tests or imaging studies, to rule out any underlying gastrointestinal conditions. A gastroenterologist may suggest an upper endoscopy (gastroscopy) if they suspect conditions such as gastritis, ulcers, or other abnormalities in the upper gastrointestinal tract.

5. Consider Psychological Factors: Since you mentioned a history of anxiety symptoms, it’s worth considering that anxiety can manifest physically, including gastrointestinal symptoms. If you feel that anxiety is contributing to your nausea or dizziness, discussing this with a mental health professional may be beneficial.

In summary, while nausea and dizziness can be linked to gastrointestinal issues, they can also arise from other factors, including dietary habits and psychological conditions. Monitoring your symptoms, making dietary adjustments, staying hydrated, and seeking medical advice when necessary are essential steps in managing your health. If symptoms persist or worsen, do not hesitate to reach out to a healthcare provider for a thorough evaluation and tailored treatment plan.

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