Which Specialist to See for Nausea and Dizziness During Activities? - Family Medicine

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Which department should I see?


Hello Doctor: Occasionally, while participating in activities during outings, I feel nauseous, and shortly after, I experience the urge to vomit, dizziness, blurred vision, and weakness in my limbs, which leads to fainting.
However, after resting for about 10 minutes, I return to normal.
My sister (16 years old) and I both have this condition, but other family members do not.
I'm unsure which specialty to consult for examination.
Thank you.

Jiajia, 20~29 year old female. Ask Date: 2023/01/29

Dr. Lin Zhebin reply Family Medicine


Hello: Your discomfort may be due to syncope, which is often caused by neurological or cardiovascular issues.
It is recommended that you consult a neurologist or a cardiologist.

Reply Date: 2023/01/29

More Info


When experiencing symptoms such as nausea, dizziness, and fainting during activities, it is essential to consult the right medical specialist to ensure a thorough evaluation and appropriate treatment. Given the nature of your symptoms, you may want to consider seeing a neurologist or an internist first.

A neurologist specializes in disorders of the nervous system, which includes the brain, spinal cord, and nerves. Since your symptoms involve dizziness and fainting, which can be related to neurological issues, a neurologist can help rule out conditions such as vestibular disorders, migraines, or other neurological conditions that could be causing your symptoms. They may perform tests such as a neurological examination, imaging studies like an MRI or CT scan, and balance tests to assess your vestibular function.

On the other hand, an internist, or a primary care physician, can also be a good starting point. They can conduct a comprehensive evaluation of your overall health, including checking for any underlying medical conditions that might contribute to your symptoms, such as dehydration, anemia, or cardiovascular issues. They may also perform blood tests, check your blood pressure, and assess your heart rate to rule out any systemic causes of your symptoms.

In addition to these specialists, if your symptoms are related to physical activity, you might also consider consulting a sports medicine physician. They can evaluate your physical fitness, hydration status, and any potential overexertion issues that could lead to nausea and dizziness during activities.

It is also worth noting that your symptoms could be related to anxiety or panic attacks, especially if they occur during stressful situations or activities. In such cases, a psychologist or psychiatrist may be beneficial to help address any underlying anxiety issues.

While waiting for your appointment, it is essential to keep track of your symptoms, including when they occur, their duration, and any associated factors (such as what you ate before the activity, how much water you drank, and the intensity of the activity). This information can be valuable for your healthcare provider in diagnosing the issue.

In summary, start with either a neurologist or an internist to evaluate your symptoms of nausea and dizziness during activities. Depending on the findings, you may be referred to other specialists, such as a sports medicine physician or a mental health professional, for further evaluation and management. Remember, early intervention is key to addressing any underlying issues and improving your quality of life.

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