Your Symptoms: Dizziness, Vision Changes, and Unusual Bleeding

I don't know what problem my body is experiencing?

Hello Dr.
Wang: In the past few days, while hiking, I experienced discomfort.
The symptoms included seeing many small stars gradually spreading from the periphery of my vision to my entire field of vision, until everything I looked at was just small stars and I couldn't see anything else.
My hearing also gradually diminished, and the next day I experienced abnormal vaginal bleeding, although I'm unsure if it's related.
The blood was bright red, but I did not have any abdominal pain.
I would like to ask what might be wrong with my body.

ling, 20~29 year old female. Ask Date: 2005/08/11

Dr. Wang Fangli reply Internal Medicine

Non-menstrual vaginal bleeding should be promptly evaluated by a gynecologist.
If there are other bleeding tendencies, such as nosebleeds or skin bruising, a visit to an internist is necessary.

Reply Date: 2005/08/11

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding the symptoms you have been experiencing. Based on your description, it seems that you are facing a combination of visual disturbances, auditory changes, and unusual vaginal bleeding. Each of these symptoms can be indicative of various underlying medical conditions, and it is crucial to approach them with careful consideration.

The visual phenomenon you described, where you see "little stars" or flashes of light, is often referred to as "photopsia." This can occur due to several reasons, including but not limited to, retinal issues, migraines, or even changes in blood pressure. When combined with auditory changes, such as a loss of hearing, it raises the possibility of a more systemic issue. For instance, these symptoms could be related to a transient ischemic attack (TIA) or even a migraine aura, especially if you have a history of migraines. However, it is essential to rule out more serious conditions, such as a stroke, particularly if these symptoms are sudden and severe.

The unusual vaginal bleeding you mentioned, particularly if it is not associated with pain, can also have various causes. It could be related to hormonal imbalances, especially if you are of reproductive age and have had changes in your menstrual cycle. Other potential causes could include cervical or uterine issues, such as polyps or fibroids, or even more serious conditions like endometrial hyperplasia or malignancy, depending on your age and risk factors.

Given the combination of these symptoms—visual disturbances, hearing loss, and abnormal bleeding—it is crucial to seek medical attention promptly. A thorough evaluation by a healthcare professional is necessary to determine the underlying cause. This may include a physical examination, blood tests, imaging studies (such as an MRI or CT scan), and possibly a gynecological examination.

In the meantime, here are a few recommendations:
1. Stay Hydrated: Ensure you are drinking enough fluids, especially if you have been physically active like hiking.

2. Monitor Symptoms: Keep a detailed record of your symptoms, including when they occur, their duration, and any other associated factors (like diet, stress, or physical activity).

3. Avoid Strenuous Activities: Until you have been evaluated, it may be wise to avoid strenuous activities that could exacerbate your symptoms.

4. Seek Immediate Care if Symptoms Worsen: If you experience worsening symptoms, such as severe headaches, persistent visual changes, or significant bleeding, do not hesitate to seek emergency medical care.

In summary, while your symptoms may not necessarily indicate a severe condition, the combination of visual and auditory disturbances along with abnormal bleeding warrants a comprehensive evaluation. Please consult with a healthcare provider as soon as possible to ensure that any potential issues are addressed promptly.

Take care, and I hope you find relief soon.

Best regards.

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