Persistent Dizziness and Nausea: When to See a Doctor?

Dizziness and nausea?

Hello doctor, I often feel dizzy and nauseous, which has been ongoing for about two years.
I had a minor concussion from a car accident last November.
This morning when I woke up, the dizziness worsened, and I still felt dizzy while lying in bed.
It feels somewhat like being in an earthquake; even with my eyes closed, I still feel very dizzy and nauseous.
Throughout the day, I also experienced tinnitus.
Should I see a doctor? If so, which specialty should I consult?

Sunny, 10~19 year old female. Ask Date: 2015/07/10

Dr. Lan Shengxing reply Neurology

Dear Sunny, this symptom should be evaluated by a physician.
You can consult either an otolaryngologist or a neurologist, but I recommend seeing an otolaryngologist first.
Wishing you a speedy recovery! Best, Lan Shengxing.

Reply Date: 2015/07/10

More Info

Persistent dizziness and nausea can be concerning symptoms, especially when they have been ongoing for two years and have recently worsened. Given your history of a mild concussion from a car accident, it is crucial to take these symptoms seriously. Dizziness can stem from various causes, including vestibular disorders, neurological issues, or even complications from a previous head injury.
In your case, the combination of dizziness, nausea, and tinnitus (ear ringing) suggests that it could be related to inner ear problems, such as vestibular neuritis or Meniere's disease, or it may be a sign of a more serious condition that requires immediate attention. The sensation of feeling like you are experiencing an earthquake while lying down could indicate a vestibular issue, which affects balance and spatial orientation.

You should definitely see a doctor, especially since your symptoms have worsened. It is advisable to visit a healthcare professional as soon as possible. When seeking medical attention, you should consider seeing a specialist in either neurology or otolaryngology (ear, nose, and throat specialist). Neurologists can evaluate for any potential neurological causes of your symptoms, while otolaryngologists can assess for inner ear disorders that might be contributing to your dizziness and nausea.

When you visit the doctor, it is essential to provide a detailed account of your symptoms. Describe the nature of your dizziness (e.g., is it spinning, lightheadedness, or a sense of imbalance?), how long it lasts, any triggers you have noticed, and the severity of your nausea. Mentioning your history of a concussion is also critical, as it may influence the diagnostic process.
In addition, if you experience any other concerning symptoms, such as severe headaches, vision changes, weakness, or difficulty speaking, you should seek emergency medical care immediately, as these could indicate a more serious condition, such as a stroke or other neurological emergencies.

In summary, persistent dizziness and nausea, particularly following a head injury, warrant a thorough medical evaluation. Make an appointment with a neurologist or an otolaryngologist to discuss your symptoms and receive appropriate care. Early intervention can lead to better outcomes and help alleviate your symptoms.

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