Dizziness, Headaches, and Nausea: Possible Causes and Solutions

Dizziness, headache, nausea, and eye discomfort?

Recently, I've been experiencing pain around my eye sockets, dizziness, nausea after eating, and occasional headaches.
I researched online and found that it might be acute glaucoma, so I visited an ophthalmologist.
However, the doctor said my eyes are normal and it might be due to eye strain.
Despite getting plenty of sleep, I still feel uncomfortable and I'm unclear about what these symptoms might indicate.
Thank you for your response.

Jiang Xiaojie, 10~19 year old female. Ask Date: 2020/04/19

Dr. Jiang Junyi reply Neurology

Hello, based on your description, in addition to the eye issues, it may be necessary to consider factors such as migraines.
Common symptoms of migraine with aura include visual disturbances.
These may manifest as bright lights resembling stars or lightning, as well as blurred or distorted vision, which are all precursors to a migraine.
A few minutes after the aura appears, you may experience tingling, weakness, or numbness in the face, hands, or legs.
During the attack, symptoms such as nausea, vomiting, photophobia, phonophobia, and pallor may accompany the headache.
Once the aura subsides, there is often a severe, unilateral throbbing headache that can last for several hours, or even up to 2-3 days.
The aforementioned aura symptoms may last from 5 minutes to 1 hour.
The headache typically occurs after the aura symptoms have ended, but it can also occur simultaneously with the aura.
I recommend consulting a neurologist for evaluation and treatment.
Wishing you good health and peace.
However, due to the recent COVID-19 pandemic, it is advisable to wait until the situation stabilizes before going to the hospital for examination.
Additionally, please ensure self-protection and cleanliness before and after seeking medical care.

Reply Date: 2020/04/19

More Info

Dizziness, headaches, and nausea can be symptoms of various underlying conditions, and it's essential to consider multiple factors when trying to understand their causes. Based on your description, it seems you are experiencing a combination of symptoms that could be linked to several potential issues.

Firstly, the symptoms of eye socket pain, dizziness, nausea after eating, and headaches can indeed be indicative of several conditions. While you mentioned that an eye doctor ruled out acute glaucoma, which is a serious condition, it’s good to note that other eye-related issues, such as eye strain or fatigue, can also lead to discomfort and headaches. Prolonged screen time, especially without proper breaks, can cause digital eye strain, leading to symptoms like eye discomfort, headaches, and even nausea.

Moreover, the dizziness you are experiencing could be related to vestibular issues, which affect your balance and spatial orientation. Conditions such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis can cause dizziness and may accompany headaches. It’s also worth considering whether you have been experiencing any stress or anxiety, as these can contribute to tension headaches and feelings of dizziness.

Nausea, particularly after eating, could suggest gastrointestinal issues. Conditions such as gastritis, acid reflux, or even food intolerances can lead to nausea and discomfort after meals. If your nausea is persistent, it might be worthwhile to consult a gastroenterologist for further evaluation.

In addition, migraines can present with a variety of symptoms, including nausea, dizziness, and sensitivity to light or sound. If your headaches are recurrent and severe, it may be beneficial to keep a headache diary to track the frequency, duration, and triggers of your headaches. This information can be invaluable for your healthcare provider in diagnosing the type of headache you are experiencing.

Given the complexity of your symptoms, it may be beneficial to consult a neurologist. They can perform a thorough evaluation, which may include imaging studies like an MRI or CT scan, to rule out any neurological conditions. They may also assess for other headache disorders, such as tension-type headaches or migraines, and provide appropriate treatment options.

In the meantime, consider implementing some lifestyle changes that may help alleviate your symptoms. Ensure you are taking regular breaks from screens, practicing good posture, staying hydrated, and managing stress through relaxation techniques such as yoga or meditation. Additionally, maintaining a consistent sleep schedule can help improve overall well-being.

In summary, while your symptoms may initially seem related to eye strain, they could also be indicative of other underlying conditions. A comprehensive evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment. Don’t hesitate to seek further medical advice if your symptoms persist or worsen.

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