Dizziness and Nausea: A Holistic Approach to Your Symptoms

Q: Dizziness and Nausea: A Holistic Approach to Your Symptoms

Dear netizens： Dizziness and vomiting can indeed be very uncomfortable. <br>My suggestions are as follows： First, temporarily stop taking multivitamins to see if there is any improvement (multivitamins may not be suitable for everyone's gastrointestinal system). <br>Second, pleas

Dizziness and vomiting?

Hello Doctor, I have been feeling unwell since the end of August, experiencing chest tightness and nausea.
I consulted a gastroenterologist who diagnosed me with acute gastroenteritis, but the medication did not help.
Since then, I have seen a pulmonologist and a traditional Chinese medicine practitioner.
The Chinese medicine doctor said I do not have any gastrointestinal diseases, but that my body is relatively weak.
In July and August, I was very anxious about a potential recurrence of my previous pneumothorax, but after examinations, the doctors assured me that everything was fine.
They mentioned that I exhibit some symptoms of anxiety.
My condition has been fluctuating; in September, I sometimes experienced dry heaving.
Now in October, I am unsure if it is related to the multivitamins I started taking about a week ago, but my symptoms have worsened.
At certain times of the day, I feel very dizzy, sometimes in the afternoon and other times in the evening.
During other times, I only feel slightly dizzy, which is not the kind of dizziness that makes me sleepy, but more like motion sickness.
Because of this, I often vomit a lot after getting off the bus.
This evening, I have felt very dizzy again and have vomited twice.
I am having trouble sleeping at night; I either wake up shortly after falling asleep or cannot fall asleep at all.
Could this be a healing reaction? I have heard that the vitamins can have such effects.
Previously, I also visited a massage therapy center where they said my stomach and liver are not functioning well, and that my lungs are very dry, causing difficulty in breathing.
Doctor, what exactly is wrong with me? I have seen many doctors and still do not feel better.
I feel dizzy all day, and when it gets worse, I vomit.
I really do not know when I will recover.

Niming, 10~19 year old female. Ask Date: 2015/10/24

Dr. Yan Sumei reply Traditional Chinese Medicine

Dear netizens: Dizziness and vomiting can indeed be very uncomfortable.
My suggestions are as follows: First, temporarily stop taking multivitamins to see if there is any improvement (multivitamins may not be suitable for everyone's gastrointestinal system).
Second, please consult an otolaryngologist to diagnose whether it is Meniere's disease, which can cause episodic vertigo and nausea.
Third, relax and get plenty of rest; try not to think negatively, as this can help you recover more quickly.
Fourth, avoid cold fruits and beverages for the time being, as cold foods can further deplete your body.
Wishing you health and peace! Sincerely, Yen Su-Mei, Department of Traditional Chinese Medicine, Nantou Hospital.

Reply Date: 2015/10/24

More Info

Dizziness and nausea can be distressing symptoms that significantly impact your daily life. Based on your description, it seems you have been experiencing these symptoms for an extended period, starting from late August, and have sought help from various medical professionals, including gastroenterologists, pulmonologists, and traditional Chinese medicine practitioners. It is understandable to feel frustrated and anxious, especially when your symptoms persist despite multiple consultations.

From a medical perspective, dizziness can arise from various causes, including vestibular disorders, cardiovascular issues, neurological conditions, and even psychological factors such as anxiety and stress. Nausea, on the other hand, can be linked to gastrointestinal disturbances, metabolic issues, or even side effects from medications or supplements. In your case, the combination of dizziness and nausea, particularly with the onset of symptoms after taking multivitamins, raises a few considerations.

Firstly, it is essential to evaluate the multivitamins you are taking. Some vitamins and minerals, particularly iron, can cause gastrointestinal upset, including nausea and vomiting, especially if taken on an empty stomach. If you suspect that the multivitamins might be contributing to your symptoms, consider discontinuing them for a short period to see if your condition improves. Additionally, consult with a healthcare provider about the specific formulation you are using to ensure it is appropriate for your needs.

Your symptoms of chest tightness and the feeling of vomiting may also be related to anxiety, especially if you have a history of panic attacks or anxiety disorders. Anxiety can manifest physically, leading to symptoms such as dizziness, nausea, and even gastrointestinal disturbances. The fear of a previous medical condition, such as a pneumothorax, can exacerbate anxiety, creating a cycle of symptoms that can be challenging to break. Cognitive-behavioral therapy (CBT) or other forms of psychological support may be beneficial in addressing the anxiety component of your symptoms.

Furthermore, the mention of "qi" stagnation and dryness in your lungs from traditional Chinese medicine practitioners suggests that there may be a holistic approach to consider. While traditional medicine can provide valuable insights, it is crucial to integrate these perspectives with conventional medical evaluations. If you feel comfortable, you might explore acupuncture or herbal remedies under the guidance of a qualified practitioner, as these can sometimes help alleviate symptoms related to stress and digestive issues.

Given your ongoing symptoms, it would be prudent to undergo a comprehensive evaluation, including blood tests to check for metabolic or electrolyte imbalances, and possibly imaging studies if deemed necessary by your healthcare provider. A referral to a neurologist may also be warranted if dizziness persists, to rule out any central causes.

In summary, your symptoms of dizziness and nausea may stem from a combination of factors, including potential side effects from supplements, anxiety, and gastrointestinal issues. It is essential to communicate openly with your healthcare providers about all your symptoms and any treatments you are undergoing. A multidisciplinary approach, considering both conventional and alternative therapies, may offer the best chance for relief. Remember to prioritize self-care, including adequate hydration, nutrition, and stress management techniques, as these can significantly impact your overall well-being.

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