Neurological Symptoms: Dizziness, Numbness, and Nausea - Neurology

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Dizziness, numbness on the top of the head, nausea, and numbness in the legs?


Recently, I've been experiencing tingling on the top of my head, dizziness, nausea, tingling in my feet and calves, blurred vision, and a feeling of wanting to sleep after eating.
What could be the issue?

Gao Xiaojie, 40~49 year old female. Ask Date: 2015/11/14

Dr. Gao Chunde reply Neurology


The symptoms are not specific enough to pinpoint certain neurological disorders.
It may be related to poor peripheral circulation, high stress, or lack of sleep.
Other possibilities may require the physician to conduct a thorough evaluation, including taking a detailed medical history and performing examinations, to potentially uncover new clues.

Reply Date: 2015/11/14

More Info


The symptoms you are experiencing, including dizziness, numbness, nausea, and a feeling of fatigue after eating, can be indicative of several underlying conditions. It’s important to approach these symptoms holistically, considering both neurological and physiological factors.

Firstly, dizziness and numbness can be associated with a variety of neurological issues. Conditions such as migraines, vestibular disorders, or even anxiety-related disorders can manifest with these symptoms. Migraines, for instance, can cause not only severe headaches but also dizziness, visual disturbances (like seeing spots or experiencing blurred vision), and nausea. Vestibular disorders affect the inner ear and balance, leading to dizziness and a sensation of spinning (vertigo).

The numbness in your legs and feet could be related to peripheral neuropathy, which is often caused by diabetes, vitamin deficiencies (especially B vitamins), or other systemic conditions. It’s also worth noting that anxiety can lead to hyperventilation, which can cause tingling or numbness in the extremities, dizziness, and a feeling of lightheadedness.

Nausea, particularly after eating, can be linked to gastrointestinal issues such as gastroparesis (delayed stomach emptying), which can occur in individuals with diabetes or other metabolic disorders. It can also be a symptom of anxiety, where the body reacts to stress by causing gastrointestinal discomfort.

The feeling of fatigue after eating could be due to postprandial hypotension, where blood pressure drops significantly after meals, leading to dizziness and fatigue. This can be exacerbated by certain dietary choices, such as high carbohydrate meals, which can lead to a rapid increase in blood sugar followed by a crash.

Given the complexity of your symptoms, it is crucial to consult with a healthcare professional who can conduct a thorough evaluation. This may include blood tests to check for vitamin deficiencies, blood sugar levels, and thyroid function, as well as neurological examinations to assess for any underlying neurological conditions.

In the meantime, consider keeping a symptom diary to track when these symptoms occur, their duration, and any potential triggers (such as specific foods or stressors). This information can be invaluable for your healthcare provider in diagnosing your condition.

To manage your symptoms, focus on maintaining a balanced diet, staying hydrated, and practicing stress-reduction techniques such as mindfulness or yoga. If anxiety is a significant factor, cognitive-behavioral therapy (CBT) can be beneficial in addressing the underlying anxiety and its physical manifestations.

In summary, while your symptoms can be attributed to various conditions, a comprehensive evaluation by a healthcare professional is essential for accurate diagnosis and effective treatment. Don’t hesitate to seek medical advice, as early intervention can significantly improve your quality of life.

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