Unexplained Dizziness, Chills, and Nausea: What to Know

Unexplained dizziness, chills, and nausea?

I apologize for the inconvenience, but I would like to ask about recent symptoms of unexplained dizziness, chills, and nausea without vomiting.
I went to the emergency room because I wasn't sure which department to consult.
However, after blood tests, the doctor said everything was within normal ranges.
I'm not clear on what detailed examinations were done, but he mentioned that both liver and kidney functions were normal.
I received two injections, which I assume were for dizziness, and then I was sent home.
When I asked about follow-up care, he suggested I could see a neurologist.
Therefore, I would like to ask the doctor what these symptoms might indicate and what potential conditions I should be aware of.
Thank you!

Jia, 20~29 year old female. Ask Date: 2009/10/25

Dr. Ye Boshou reply Neurology

Dizziness, chills, and nausea are symptoms that resemble a cold.
Dizziness can refer to either lightheadedness or true vertigo.
If it is true vertigo, it may be related to issues with the inner ear or cerebellum.
If accompanied by double vision or ataxia, a neurological examination is necessary to identify the affected areas.
However, if dizziness is accompanied by tinnitus or hearing problems, it is advisable to consult an otolaryngologist first.
Since there are many potential causes of dizziness, if symptoms do not improve, seeking medical evaluation is essential.

Reply Date: 2009/10/25

More Info

Unexplained dizziness, chills, and nausea can be quite distressing symptoms, and it's understandable that you're seeking clarity on what might be causing them. These symptoms can arise from a variety of underlying conditions, and while your initial tests came back normal, it's important to consider several possibilities.

Dizziness can be categorized into several types: vertigo (a spinning sensation), lightheadedness (feeling faint), and disequilibrium (a loss of balance). Each type can have different causes. For instance, vertigo is often linked to inner ear issues, such as benign paroxysmal positional vertigo (BPPV) or vestibular neuritis. Lightheadedness might be related to dehydration, low blood pressure, or even anxiety. Disequilibrium can be associated with neurological conditions or musculoskeletal issues.

Chills and nausea can also be indicative of various conditions. Chills often accompany infections, but they can also occur in response to anxiety or panic attacks. Nausea, on the other hand, can stem from gastrointestinal issues, such as gastritis or gastroenteritis, but it can also be a symptom of more systemic problems, including migraines or even certain neurological conditions.

Given that your blood tests returned normal results, it’s a good sign that there are no immediate concerns regarding your liver or kidney function, but it does not rule out other potential causes. Here are some conditions that could be considered:
1. Vestibular Disorders: As mentioned earlier, conditions affecting the inner ear can lead to dizziness and nausea. A thorough evaluation by an ear, nose, and throat (ENT) specialist or a neurologist might be warranted.

2. Anxiety Disorders: Anxiety can manifest physically, leading to symptoms like dizziness, chills, and nausea. If you have been experiencing stress or anxiety, this could be a contributing factor.

3. Migraines: Some individuals experience vestibular migraines, which can cause dizziness and nausea without the typical headache. This condition can be challenging to diagnose.

4. Cardiovascular Issues: Although your initial tests were normal, conditions like orthostatic hypotension (a drop in blood pressure when standing) can cause dizziness and might not always be detected in routine blood tests.

5. Infections: While your tests may not have indicated an infection, some infections can present with nonspecific symptoms like chills and nausea without clear laboratory findings.

6. Metabolic or Endocrine Disorders: Conditions such as thyroid dysfunction or adrenal insufficiency can lead to nonspecific symptoms, including dizziness and nausea.

Since your doctor suggested following up with a neurologist, this is a prudent step. Neurologists can conduct more specialized tests, such as imaging studies (like an MRI) or vestibular function tests, to rule out any central nervous system issues.

In the meantime, it may be helpful to keep a symptom diary. Note when the symptoms occur, their duration, any potential triggers, and any other associated symptoms. This information can be invaluable for your healthcare provider in determining the underlying cause.

Lastly, if your symptoms worsen or if you experience additional concerning symptoms (such as severe headache, vision changes, or difficulty speaking), seek medical attention promptly. Your health is paramount, and persistent or worsening symptoms warrant further investigation.

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