Dizziness: Symptoms, Causes, and When to Seek Help

Dizziness

Hello, doctor.
I have caught a cold twice in the past month, and now I often feel dizzy, weak, and nauseous.
I also experience shoulder and neck pain, easy fatigue, dull pain in the lower abdomen two days ago, and soreness in the lower back.
The dizziness tends to improve after eating, but it returns shortly after.
What could be the issue? What tests should I undergo?

febby, 20~29 year old female. Ask Date: 2006/11/30

Dr. Yan Sumei reply Traditional Chinese Medicine

After a secondary cold, physical strength may be diminished and energy may not have fully recovered, leading to symptoms such as weakness, dizziness, and easy fatigue.
With proper rest and care over time, these symptoms will naturally improve.
However, if there are symptoms like nausea, lower abdominal discomfort, and persistent pain in the shoulders, neck, and lower back that do not improve after a while, it is advisable to consult a professional Traditional Chinese Medicine practitioner for pulse diagnosis and treatment adjustments.
During a cold, if anti-inflammatory and analgesic medications were taken, it is likely that the cold nature of the medication may have impaired gastrointestinal function, resulting in nausea or even diarrhea.
As for the lower abdominal bloating and lower back pain, it may be related to the onset of menstruation.
Dizziness after meals should improve as eating replenishes energy, leading to some relief.

Reply Date: 2006/11/30

More Info

Hello! It sounds like you are experiencing a range of concerning symptoms, including dizziness, weakness, nausea, neck and shoulder pain, fatigue, and abdominal discomfort. Given that you have had two colds in the past month, it is possible that your body is still recovering from those illnesses, but it is also important to consider other potential underlying causes.

Dizziness can be caused by a variety of factors, including but not limited to:
1. Vestibular Disorders: Conditions affecting the inner ear, such as benign paroxysmal positional vertigo (BPPV), vestibular neuritis, or Meniere's disease, can lead to dizziness and balance issues.

2. Neurological Issues: Migraines, transient ischemic attacks (TIAs), or other neurological conditions can manifest as dizziness or lightheadedness.

3. Cardiovascular Problems: Issues such as orthostatic hypotension (a drop in blood pressure when standing up), arrhythmias, or other heart-related conditions can cause dizziness and fatigue.

4. Anemia: Low red blood cell counts can lead to fatigue, weakness, and dizziness. This can be due to various reasons, including nutritional deficiencies (like iron, vitamin B12, or folate) or chronic diseases.

5. Infections: Post-viral syndromes can occur after respiratory infections, leading to lingering symptoms like fatigue and dizziness.

6. Anxiety and Stress: Psychological factors can also contribute to physical symptoms, including dizziness and gastrointestinal discomfort.

Given your symptoms, it would be wise to seek medical attention. Here are some steps you can take:
1. Consult a Healthcare Provider: Schedule an appointment with your primary care physician or a specialist, such as a neurologist or an ear, nose, and throat (ENT) doctor. They can perform a thorough evaluation and determine the appropriate tests.

2. Diagnostic Tests: Your doctor may recommend several tests, including:
- Blood tests to check for anemia, electrolyte imbalances, or signs of infection.

- Imaging studies, such as a CT scan or MRI, to rule out any structural issues in the brain or neck.

- Balance tests or hearing tests if a vestibular disorder is suspected.

3. Symptom Diary: Keep a record of your symptoms, noting when they occur, their duration, and any potential triggers (such as certain movements, stress, or dietary factors). This information can be helpful for your healthcare provider.

4. Lifestyle Modifications: In the meantime, consider lifestyle changes that may help alleviate some symptoms:
- Stay hydrated and maintain a balanced diet.

- Avoid sudden movements that could exacerbate dizziness.

- Practice stress-reduction techniques, such as deep breathing, meditation, or gentle yoga.

5. Follow-Up: If your symptoms persist or worsen, ensure you follow up with your healthcare provider. They may need to adjust your treatment plan based on your evolving symptoms.

In summary, while your symptoms may be related to recent illnesses, they could also indicate other underlying conditions that require further investigation. Seeking medical advice is crucial to identify the cause and receive appropriate treatment. Remember, early intervention can often lead to better outcomes, so don't hesitate to reach out for help.

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