Sudden Dizziness: Emotional Triggers and Health Concerns - Family Medicine

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Sudden dizziness


Hello, Doctor! I've noticed over the past two months that when my emotions fluctuate significantly, especially when I'm angry or under a lot of stress, I suddenly feel dizzy and have a sensation of almost fainting, along with difficulty seeing clearly in front of me.
However, this only lasts for a short while, and it improves if I sit down and close my eyes to rest.
I never experienced this before, even when I was very angry.
Is this something that happens as one gets older, or could there be an issue with my body? Additionally, I frequently feel nauseous without any apparent reason, and it worsens when I see food.
This has been happening for about two years.
I previously took antidepressants for about a year.
Could this be a sign that my depression is not fully resolved, or could it be a side effect of the medication?

Pinggu, 20~29 year old female. Ask Date: 2018/05/16

Dr. Liao Yaopan reply Family Medicine


Hello, regarding the issue of dizziness, it is recommended to consult a specialist in neurology for evaluation.
As for treatment in the field of psychosomatic medicine, it is essential to follow the physician's instructions and avoid discontinuing treatment arbitrarily.
Please note: online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2018/05/16

More Info


It sounds like you are experiencing a combination of emotional distress and physical symptoms that are impacting your daily life. The sudden dizziness and feelings of near-fainting, especially during times of heightened emotions like anger or stress, can indeed be linked to emotional triggers. This phenomenon is often associated with anxiety and stress responses, which can manifest physically in various ways, including dizziness, nausea, and even gastrointestinal discomfort.

When we experience strong emotions, our body can react in a fight-or-flight manner, releasing stress hormones like adrenaline. This can lead to a variety of symptoms, including increased heart rate, rapid breathing, and changes in blood flow, which may explain the dizziness you are feeling. The fact that sitting down and resting helps alleviate these symptoms suggests that they are likely related to your body's response to stress rather than a direct medical issue.

As for the persistent nausea and vomiting sensations, especially when seeing food, this could be a manifestation of anxiety or a side effect of the antidepressant medication you were taking. Some antidepressants can cause gastrointestinal side effects, including nausea. It's also possible that your ongoing emotional distress is contributing to these feelings, as anxiety can often lead to a heightened sensitivity to bodily sensations, making you more aware of discomfort that you might otherwise overlook.

Regarding your question about whether these symptoms are a normal part of aging, it is true that as we age, our bodies can respond differently to stress and emotional stimuli. However, experiencing significant dizziness and nausea is not something that should be dismissed as a normal part of aging. It is essential to consider these symptoms seriously, especially since they have been persistent and are affecting your quality of life.

Given your history of depression and the use of antidepressants, it would be wise to consult with a healthcare professional. A mental health specialist can help assess whether your current symptoms are related to unresolved depression, anxiety, or medication side effects. They may recommend adjusting your medication or exploring other therapeutic options, such as cognitive-behavioral therapy (CBT), which can be effective for managing anxiety and emotional distress.

In the meantime, consider implementing some self-care strategies to help manage your stress and emotional responses. Techniques such as mindfulness, deep breathing exercises, and regular physical activity can be beneficial in reducing anxiety and improving your overall emotional well-being. Additionally, maintaining a balanced diet and ensuring you are well-hydrated can also help mitigate some of the physical symptoms you are experiencing.

In summary, while your symptoms may be linked to emotional triggers and possibly the effects of medication, it is crucial to seek professional guidance to address these concerns comprehensively. Taking proactive steps to manage your emotional health and physical symptoms can lead to significant improvements in your quality of life.

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