Persistent Dizziness and Upper Abdominal Pain: Possible Causes and Concerns

Dizziness, vomiting, and persistent upper abdominal pain?

Hello, doctor.
A few days ago, I visited the clinic due to dizziness, chills, and general weakness.
The doctor mentioned that I was showing symptoms of an impending cold and prescribed medication for cold and fever.
After taking the medication, the dizziness persisted for several days, but the chills and shivering have subsided.
However, for the past two to three days, I have been experiencing continuous dull pain in my upper abdomen, without any diarrhea symptoms, but I have been somewhat constipated, and my stools are not formed.
Occasionally, I also feel a vague sense of dizziness.
Today, I suddenly experienced severe dizziness and nausea; after vomiting, the dizziness improved slightly, but I still feel somewhat weak, and there is a swollen sensation around my eyes, along with a mild headache.
I have never experienced these symptoms before, and I would like to ask the doctor what this condition might indicate.
Thank you!

Ba Bu, 20~29 year old female. Ask Date: 2024/07/15

Dr. Chen Bozhang reply Family Medicine

If you have not recovered after medication treatment or have developed new symptoms, it is recommended to return for a follow-up appointment for the physician's evaluation.
Thank you.

Reply Date: 2024/07/15

More Info

Persistent dizziness and upper abdominal pain can be concerning symptoms that may indicate a variety of underlying medical issues. Given your description, it is essential to consider several potential causes and the appropriate steps to take.

Firstly, the combination of dizziness, abdominal pain, and gastrointestinal symptoms such as difficulty with bowel movements can suggest a few possibilities. One common cause could be related to gastrointestinal issues, such as gastritis or peptic ulcers, which can lead to upper abdominal discomfort and may also cause nausea and dizziness due to pain or discomfort. If the pain is severe or associated with vomiting, it could indicate a more serious condition, such as an ulcer perforation or gastrointestinal bleeding, which would require immediate medical attention.

Another possibility is that your symptoms could be related to a gallbladder issue, especially if you have a history of gallstones or gallbladder disease. Gallbladder problems can cause upper abdominal pain, particularly after eating fatty meals, and can sometimes lead to nausea and vomiting. If you have had previous episodes of gallbladder issues, it would be prudent to discuss this with your healthcare provider.

Additionally, the persistent dizziness you are experiencing could be linked to dehydration or electrolyte imbalances, especially if you have been experiencing gastrointestinal symptoms like nausea and vomiting. When the body loses fluids, it can lead to dizziness and weakness. It’s important to stay hydrated and consider electrolyte replenishment if you have been unable to maintain adequate fluid intake.

Your symptoms could also be indicative of an infection, such as a viral gastroenteritis, which can cause systemic symptoms like dizziness, fatigue, and abdominal pain. Infections can lead to inflammation and discomfort in the abdomen, and if they are severe, they can cause systemic symptoms like dizziness and weakness.

Given that you mentioned having a sudden episode of severe dizziness and vomiting, it is crucial to seek medical attention promptly. This could be a sign of a more serious condition, such as vestibular disorders, migraines, or even neurological issues that may require further evaluation. Your healthcare provider may recommend imaging studies, blood tests, or other diagnostic procedures to determine the underlying cause of your symptoms.

In summary, your persistent dizziness and upper abdominal pain could stem from various causes, including gastrointestinal issues, gallbladder disease, dehydration, or infections. It is essential to consult with a healthcare professional for a thorough evaluation and appropriate management. They may recommend tests such as blood work, abdominal ultrasound, or endoscopy to identify the root cause of your symptoms. Early diagnosis and treatment are key to addressing any potential health issues effectively.

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