Which Specialist Should I See for My Dizziness and Nausea?

Which specialty should I see?

I experience dizziness and nausea when I see things moving, such as: 1) When walking or riding a bike, the motion causes me to perceive everything as shaking intensely, similar to being in an earthquake; 2) Watching television with special effects or shaky camera work also makes everything else appear to shake; 3) I often feel as if the distance to what I see suddenly becomes very far away, as if the space in front of me is infinitely extending, or as if I am being pushed backward while the scenery in front seems to rush forward.
When I feel dizzy, my head feels swollen and warm.
Which specialist should I see, doctor? Thank you!

Niming, 20~29 year old female. Ask Date: 2018/06/01

Dr. Xiao Yongxun reply Family Medicine

Neurology.

Reply Date: 2018/06/01

More Info

If you are experiencing dizziness and nausea triggered by visual stimuli, it is essential to seek the appropriate medical attention to address your symptoms effectively. Given the nature of your symptoms, the best specialist to consult would be an otolaryngologist, also known as an ear, nose, and throat (ENT) doctor. This specialist can evaluate issues related to the inner ear, which plays a crucial role in balance and spatial orientation.
Dizziness can stem from various causes, including vestibular disorders, which affect the inner ear's ability to maintain balance. Conditions such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease could be potential culprits. An ENT specialist can perform specific tests, such as the Dix-Hallpike maneuver, to diagnose BPPV or other vestibular disorders. They may also conduct hearing tests to check for any associated auditory issues.

In addition to an ENT, you might also consider consulting a neurologist. Neurologists specialize in disorders of the nervous system, including those that affect balance and coordination. They can evaluate whether your symptoms might be related to a neurological condition, such as migraines or other central nervous system disorders. A thorough neurological examination may include imaging studies like MRI or CT scans to rule out any structural issues in the brain that could be contributing to your symptoms.

Furthermore, if your dizziness and nausea are accompanied by anxiety or panic attacks, a psychiatrist or psychologist may also be beneficial. Mental health professionals can help address any psychological factors that may exacerbate your physical symptoms.

When you visit the specialist, be prepared to provide a detailed history of your symptoms. Describe when they occur, their duration, and any specific triggers you have noticed, such as the visual stimuli you mentioned. This information will be crucial for the doctor to make an accurate diagnosis.

In summary, for your dizziness and nausea, start with an otolaryngologist for an evaluation of potential vestibular issues. If necessary, they may refer you to a neurologist for further assessment. Addressing these symptoms early is vital, as they can significantly impact your quality of life. Don't hesitate to seek help, as effective treatments are available for many underlying conditions that cause dizziness and nausea.

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