Dizziness, Skin Itching, and Unusual Appetite Issues

Dizziness, skin itching, and unusual appetite?

Hello, doctor.
I have some questions regarding my dizziness issue that has persisted for many years.
Since my student days, I have experienced unexplained dizziness, sometimes to the point of pain, and my heart races significantly.
Occasionally, I also experience brief chest pain, but it lasts only a few seconds and does not occur frequently.
The main concern is that the dizziness affects my work and daily life, which is quite troubling.

Recently, my appetite has been unusual; sometimes I feel an intense hunger but then feel nauseous when I eat, even if it's only been two or three hours since my last meal.
Other times, I don't feel hungry at all, yet I can still eat a full meal, like a bento or a bowl of noodles, without feeling overly full or bloated afterward.
I usually don't drink beverages, only occasionally, but lately, I've been craving drinks every day.
However, I can’t finish a 700cc cup because I feel full after just a few sips.
My father has diabetes, so I am somewhat concerned about this.
Additionally, I experienced itching around my navel with some discharge, which has been intermittent.
Recently, this has stabilized, but now I have itching on the skin from my neck down to my shoulders, extending to both sides of my ears.
I applied a dermatological cream that helped alleviate the itching, but it keeps recurring, suggesting that the issue isn't fully resolved and only the symptoms are being suppressed.

I work in an air-conditioned environment for seven out of eight hours a day, so I don't think the heat is a factor.
I'm unsure if these symptoms are related, and I would appreciate your advice on how to improve my situation or which specialty I should seek assistance from.
Thank you.
Also, I often choke when drinking and bite my tongue while eating; I wonder if this indicates any underlying issues.

Ka Fei, 20~29 year old female. Ask Date: 2019/09/30

Dr. Cai Dongqi reply Family Medicine

Hello, regarding your dizziness, I recommend that you consult a neurologist for further examination.
Additionally, your appetite changes and itching may be related not only to physiological symptoms but also to psychological states.
It is advisable to relax and, if necessary, seek consultation with a psychiatrist.

Reply Date: 2019/09/30

More Info

Dizziness, skin itching, and unusual appetite issues can be interconnected symptoms that may indicate underlying health concerns. Given your description, it’s essential to approach this holistically, considering both physical and psychological factors.

Dizziness
Dizziness can stem from various causes, including vestibular disorders, cardiovascular issues, anxiety, or even dehydration. Since you’ve experienced dizziness since your student years, it might be worth exploring if there are any patterns or triggers associated with it. For instance, does it occur during stressful situations, or is it related to specific activities? The sensation of your heart racing during dizziness could indicate a panic response or an underlying cardiovascular issue that warrants further investigation. It’s advisable to consult a healthcare professional who can perform a thorough evaluation, including blood pressure monitoring, heart rate assessment, and possibly imaging studies if necessary.

Appetite Changes
Your fluctuating appetite, characterized by intense hunger followed by nausea, can be perplexing. This could be linked to several factors, including hormonal imbalances, stress, or even gastrointestinal issues. Conditions like gastritis or functional dyspepsia can lead to feelings of hunger without the ability to eat comfortably. Additionally, your mention of a family history of diabetes raises the importance of monitoring your blood sugar levels. Sudden changes in appetite can sometimes be a sign of metabolic issues, so discussing this with a healthcare provider is crucial.

Skin Itching
The skin itching you described, particularly around the neck and ears, could be due to several reasons, including allergic reactions, eczema, or even stress-related skin conditions. The fact that you find temporary relief with topical medications suggests that there may be an inflammatory component to your symptoms. It’s also worth considering environmental factors, such as the air conditioning in your workplace, which can dry out the skin and exacerbate itching. A dermatologist can help identify the specific cause of your skin issues and recommend appropriate treatments, which may include moisturizers, antihistamines, or prescription medications.

Interconnected Symptoms
The combination of dizziness, appetite changes, and skin issues could indicate a broader systemic problem. For instance, anxiety and stress can manifest in physical symptoms, including dizziness and skin reactions. If you find that your symptoms worsen during stressful periods, it may be beneficial to explore stress management techniques, such as mindfulness, yoga, or cognitive-behavioral therapy.

Recommendations
1. Consult a Primary Care Physician: Start with a comprehensive evaluation by a primary care physician who can assess your symptoms in context and refer you to specialists as needed.

2. Neurological Evaluation: If dizziness persists, a referral to a neurologist may be warranted to rule out any neurological conditions.

3. Gastroenterology Consultation: Given your appetite issues, a gastroenterologist can evaluate for any gastrointestinal disorders that might be contributing to your symptoms.

4. Dermatology Appointment: A dermatologist can provide targeted treatment for your skin issues, especially if they are recurrent.

5. Monitor Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be invaluable for your healthcare providers.

6. Hydration and Nutrition: Ensure you are adequately hydrated and consider a balanced diet to support your overall health. If you have concerns about diabetes, regular monitoring of your blood sugar levels is advisable.

7. Mental Health Support: If stress or anxiety is a factor, consider speaking with a mental health professional who can provide coping strategies and support.

In conclusion, while your symptoms may seem disparate, they could be interrelated. A thorough evaluation by healthcare professionals can help identify the root causes and guide you toward effective treatment and management strategies.

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