Dizziness and Nausea During Exercise: Causes and Solutions - Neurology

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Dizziness during exercise?


Hello Doctor: For the past few days, I have been feeling dizzy and nauseous.
Since I am scheduled to enlist in the military on December 27, I have been running every day to train my stamina.
However, I start feeling very dizzy and nauseous shortly after I begin running, which is quite distressing.
Could this be caused by anemia? My health check-up results were normal, though.
Additionally, I have been feeling dizzy throughout the day, and my eyes feel unsteady.
At night, I wake up feeling dizzy and unable to sleep, accompanied by nausea.
I visited a neurologist today, but the doctor couldn't provide a clear explanation and prescribed me some medication.
I only took one dose today and didn't feel any different.
By 4 PM, I went for another run, but I felt extremely dizzy and nauseous again, which was really upsetting! During meals, I often feel nauseous and want to vomit even before I finish eating.
I hope the doctor sees this message and replies quickly, as I am anxious about my upcoming enlistment and unsure of the cause of my symptoms.

po, 20~29 year old female. Ask Date: 2001/12/24

Dr. Ye Boshou reply Neurology


Experiencing dizziness during exercise, despite having seen a neurologist with no abnormal findings, could potentially be related to anxiety.
It is advisable to continue follow-up with the neurology department.

Reply Date: 2001/12/24

More Info


Dizziness and nausea during exercise can be concerning symptoms, especially when you're preparing for a physically demanding situation like military service. It's essential to understand the potential causes and solutions to help you manage these symptoms effectively.


Possible Causes of Dizziness and Nausea During Exercise
1. Dehydration: One of the most common causes of dizziness and nausea during physical activity is dehydration. When you exercise, your body loses fluids through sweat, and if you don't replenish those fluids, it can lead to dizziness and feelings of nausea. Make sure you are drinking enough water before, during, and after your workouts.

2. Low Blood Sugar: Exercising on an empty stomach or not consuming enough carbohydrates can lead to low blood sugar levels (hypoglycemia), which can cause dizziness and nausea. It's crucial to have a balanced meal or snack before exercising to maintain your energy levels.

3. Overexertion: Pushing yourself too hard, especially if you're not accustomed to the intensity of your workouts, can lead to dizziness and nausea. Gradually increasing the intensity and duration of your exercise can help your body adapt better.

4. Anemia: Although you mentioned that your health check-up was normal, it's worth noting that anemia can cause dizziness and fatigue. If you suspect this might be an issue, consider discussing it with your healthcare provider for further evaluation.

5. Vestibular Issues: Sometimes, dizziness can stem from inner ear problems that affect balance. If you have a history of ear infections or balance issues, this could be a contributing factor.

6. Anxiety or Stress: The anticipation of joining the military and the physical training involved can lead to anxiety, which may manifest as dizziness or nausea. Practicing relaxation techniques or mindfulness may help alleviate these symptoms.


Solutions and Recommendations
1. Hydration: Ensure you are well-hydrated before and during your workouts. Drink water or electrolyte-replenishing drinks, especially if you're exercising in hot weather.

2. Nutrition: Eat a balanced diet that includes carbohydrates, proteins, and healthy fats. Consider having a light snack, such as a banana or a granola bar, before your workouts to maintain your blood sugar levels.

3. Pace Yourself: Start with moderate exercise and gradually increase the intensity. Listen to your body and take breaks as needed. If you feel dizzy or nauseous, stop exercising and rest.

4. Consult a Specialist: Since you've already seen a neurologist, consider following up with a sports medicine specialist or a physical therapist who can assess your exercise routine and provide tailored advice.

5. Mindfulness and Relaxation: Incorporate relaxation techniques such as deep breathing, meditation, or yoga into your routine to help manage anxiety and stress.

6. Monitor Symptoms: Keep a journal of your symptoms, including when they occur and any associated activities. This information can be valuable for healthcare providers in diagnosing the issue.


Conclusion
While dizziness and nausea during exercise can be alarming, understanding the potential causes and implementing preventive measures can help you manage these symptoms effectively. It's essential to listen to your body and seek medical advice if symptoms persist or worsen. As you prepare for military service, focus on maintaining a balanced diet, staying hydrated, and gradually building your physical endurance. If you continue to experience these symptoms, further evaluation may be necessary to rule out any underlying conditions.

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