Recent Symptoms: Dizziness, Nausea, and Breathing Issues

Recent symptoms of physical discomfort have occurred?

Hello, Dr.
Jiang.
Recently, I have been experiencing dizziness, similar to the sensation of an earthquake.
It is accompanied by shortness of breath; even though I am trying hard to inhale and exhale, I feel like I am not getting enough oxygen.
I also have a feeling of nausea, an urge to have a bowel movement, a sensation of a foreign body in my throat, and intermittent throbbing pain in the right posterior part of my head.

Su Kaili, 20~29 year old female. Ask Date: 2016/01/29

Dr. Jiang Junyi reply Neurology

Based on your description, the causes of dizziness should consider several factors such as anemia, inner ear imbalance, or cervical issues.
Accompanying symptoms may include hyperventilation, which can lead to a sensation of suffocation and affect blood flow to organs.
When blood flow to the nervous system decreases, symptoms like headaches and blurred vision may occur; peripheral vasoconstriction can cause cold extremities and muscle stiffness; coronary artery constriction may result in atypical chest pain.
Shortness of breath can lead to dry mouth and numbness around the lips, potentially causing symptoms like bloating and belching.
It is recommended to maintain a regular daily routine and avoid staying up late.
Reduce the intake of stimulating beverages such as coffee and tea, and try to avoid stressful environments.
Moderate exercise can help relieve stress, and practicing diaphragmatic breathing is beneficial.
It is advisable to consult a neurologist or an otolaryngologist for the diagnosis and treatment of dizziness.
Wishing you health, safety, and happiness.

Reply Date: 2016/01/29

More Info

Hello, thank you for reaching out with your concerns regarding your recent symptoms. Based on your description, it seems you are experiencing a combination of dizziness, difficulty breathing, nausea, and a sensation of an obstruction in your throat, along with intermittent headaches. These symptoms can be quite distressing and may stem from various underlying issues.

Firstly, let's address the dizziness you are experiencing. The sensation of dizziness, particularly one that feels like the ground is shaking (similar to an earthquake), can be attributed to several factors. It could be related to vestibular disorders, anxiety, or even issues with blood pressure. If this dizziness is accompanied by nausea, it may suggest a vestibular problem or even a migraine-associated dizziness. Migraines can sometimes present with dizziness and nausea, even without the typical headache.

The breathing difficulties you mentioned, where you feel like you are not getting enough air despite making a conscious effort to breathe deeply, can be linked to anxiety or panic attacks. This sensation is often described as "air hunger" and can be quite alarming. It is essential to recognize that anxiety can manifest physically, leading to hyperventilation, which can exacerbate feelings of dizziness and nausea.
The sensation of an obstruction in your throat, often referred to as "globus sensation," can also be related to anxiety or gastroesophageal reflux disease (GERD). When anxiety levels rise, it can lead to muscle tension in the throat, creating a feeling of tightness or obstruction. Additionally, if you have a history of gastrointestinal issues, such as GERD, this could contribute to the sensation of something being stuck in your throat.

The headaches you are experiencing, particularly the "throbbing" pain in the right back of your head, could be tension-type headaches or migraines. Tension headaches are often associated with stress and muscle tension, while migraines can present with various symptoms, including dizziness and nausea.

Given the complexity of your symptoms, it is crucial to approach this situation holistically. Here are some steps you can take:
1. Consult a Healthcare Professional: It is essential to seek a thorough evaluation from a healthcare provider. They may recommend tests to rule out any underlying medical conditions, such as blood pressure issues, vestibular disorders, or gastrointestinal problems.

2. Monitor Your Symptoms: Keep a diary of your symptoms, noting when they occur, their duration, and any potential triggers. This information can be invaluable for your healthcare provider in diagnosing your condition.

3. Manage Anxiety: If anxiety is a contributing factor, consider exploring relaxation techniques such as deep breathing exercises, mindfulness, or yoga. Cognitive-behavioral therapy (CBT) can also be beneficial in managing anxiety symptoms.

4. Lifestyle Modifications: Ensure you are maintaining a balanced diet, staying hydrated, and getting regular exercise. These factors can significantly impact your overall well-being and may help alleviate some of your symptoms.

5. Medication Review: If you are currently taking any medications, discuss them with your healthcare provider to ensure they are not contributing to your symptoms.

In conclusion, while your symptoms can be concerning, they are often manageable with the right approach. It is crucial to seek professional guidance to determine the underlying cause of your symptoms and develop an appropriate treatment plan. Remember, you are not alone in this, and help is available.

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