Dealing with Nausea and Dizziness: When to Seek Medical Help - Family Medicine

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Nausea and dizziness?


Hello, doctor: I would like to ask what I should do if I am experiencing nausea (but not vomiting, just a persistent feeling of wanting to vomit), combined with dizziness (a spinning sensation) and dry eyes.
Which specialty should I consult? I suspect it might be heat exhaustion, but the weather has been cool lately, and I don't feel hot.
I have a history of gastrointestinal issues, often experiencing constipation or diarrhea, but I have never had dizziness symptoms at the same time.
Since I woke up this morning, I have had a constant feeling of nausea and dizziness.
When I try to rest in bed, closing my eyes makes me feel even more dizzy, as if I am about to fall into a bottomless pit.

Tang Tang, 10~19 year old female. Ask Date: 2005/11/06

Dr. Lin Mingxing reply Family Medicine


Dear Tang Tang,
I recommend that you first consult an otolaryngologist to rule out the causes of dizziness, such as issues with the inner ear semicircular canals or any circulatory problems.
Additionally, it is important to determine whether allergic reactions may be contributing to dry eyes.
Wishing you good health and all the best from the Family Medicine Department of Tainan Hospital, Department of Health, Executive Yuan.

Reply Date: 2005/11/06

More Info


When dealing with symptoms such as nausea, dizziness, and dry eyes, it is essential to approach the situation with caution, especially if these symptoms are persistent or worsening. Based on your description, it sounds like you are experiencing a combination of gastrointestinal discomfort and possible vestibular (balance-related) issues. Here’s a breakdown of your symptoms and recommendations on when to seek medical help.


Understanding Your Symptoms
1. Nausea and Vomiting: Nausea can be caused by various factors, including gastrointestinal issues, medication side effects, anxiety, or even vestibular disorders. Since you mentioned a history of gastrointestinal problems, it could be related to that. However, if the nausea persists without vomiting, it may indicate a more complex issue.

2. Dizziness: The sensation of dizziness, especially if described as feeling like the room is spinning (vertigo), can be linked to inner ear problems, dehydration, or even anxiety. Given that you also experience nausea, this could suggest a vestibular issue or a reaction to gastrointestinal distress.

3. Dry Eyes: This symptom can be associated with dehydration, prolonged screen time, or environmental factors. It’s less likely to be directly related to your nausea and dizziness but could indicate that your body is not adequately hydrated.


When to Seek Medical Help
You should consider seeking medical attention if you experience any of the following:
- Persistent Symptoms: If your nausea and dizziness last more than a few hours or worsen over time, it’s essential to consult a healthcare provider.

- Severe Symptoms: If you experience severe dizziness that makes it difficult to stand or walk, or if you have difficulty focusing your vision, these could be signs of a more serious condition.

- Accompanying Symptoms: If you develop additional symptoms such as severe headache, confusion, fainting, chest pain, or shortness of breath, seek immediate medical attention.

- Dehydration Signs: If you notice signs of dehydration (e.g., dry mouth, decreased urination, extreme thirst), it’s crucial to get evaluated.


Which Specialist to See
Given your symptoms, you might consider the following specialists:
- Primary Care Physician: They can perform an initial evaluation and determine if you need to see a specialist.

- Gastroenterologist: Since you have a history of gastrointestinal issues, a gastroenterologist can help assess any underlying digestive problems that may be contributing to your symptoms.

- Neurologist: If your dizziness persists, a neurologist can evaluate for any neurological conditions that might be causing your symptoms.

- Ophthalmologist: If your dry eyes are bothersome or if you suspect they are contributing to your dizziness, an eye specialist can provide insights and treatment options.


Self-Care Measures
While waiting for your appointment or if your symptoms are mild, consider the following self-care strategies:
- Stay Hydrated: Drink plenty of fluids, especially water, to help alleviate dizziness and dry eyes.

- Rest: Ensure you get enough rest and avoid sudden movements that could exacerbate dizziness.

- Ginger or Peppermint: These natural remedies can help soothe nausea. Ginger tea or peppermint candies may provide some relief.

- Avoid Triggers: If you notice certain foods or activities worsen your symptoms, try to avoid them.


Conclusion
In summary, while nausea and dizziness can stem from various causes, it’s crucial to monitor your symptoms closely. If they persist or worsen, do not hesitate to seek medical attention. Early intervention can often lead to better outcomes, especially if there is an underlying condition that needs to be addressed. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to unexplained symptoms.

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