OpenHealth Q&A

Constant Dizziness and Unexplained Fainting Episodes

I’m a 22-year-old woman, weighing 64 kg and standing at 180 cm. The only medication I currently take is iron supplements due to a previous deficiency, and I do vape occasionally. Apologies for my English, as I'm not a native speaker, but I will do my best to communicate what’s going on. Approximately a week ago, I experienced a fall where I hit my head and found myself lying upside down for a few moments. Ever since that incident, I have been plagued by relentless dizziness. Despite this, I managed to continue commuting to work, although the journey has become increasingly challenging. I've found that I cannot last more than ten minutes without needing to pull over due to the spinning sensation. It often feels as if I’m inebriated—completely disconnected from my surroundings. Additionally, there are times when I struggle to catch my breath, leading to palpitations and an elevated heart rate, accompanied by tingling and numbness in my limbs. I consulted with a doctor who suggested some exercises, suspecting an issue with my vestibular system (though I’m unsure if that’s the correct terminology). Unfortunately, the prescribed exercises haven’t alleviated my symptoms. On Sunday, while en route to meet a friend, driving became overwhelmingly difficult once more. I had to stop and take a brief break when I sensed myself losing consciousness. Using my remaining strength, I managed to contact my boyfriend, who promptly called for an ambulance, and I was taken to the hospital. The medical staff did not identify any alarming issues—blood tests and ECG results were normal, with only slightly low blood pressure, and my thyroid function was within limits as well. They ruled out pregnancy and confirmed that my iron levels were sufficient. However, the treatment they provided for dizziness only seemed to worsen my condition, leaving the doctors puzzled. I had never felt so unwell. Just today, I underwent an MRI scan of my head and brain, but once again, nothing abnormal was detected. I can share the images if they're necessary for further evaluation. This sensation is challenging to describe; it’s akin to being perpetually intoxicated without having consumed any alcohol. I have refrained from vaping for a few days, suspecting it could be a contributing factor, yet the dizzy spells persist. I am terrified at the prospect of driving and even feel uneasy being alone. In the past week, I’ve lost consciousness on two occasions, and I am at a loss about what steps to take next. Any advice would be greatly valued and appreciated.

Answers (1)

3/25/2025, 7:01:20 PM

OpenHealth AI

I'm sorry to hear that you're experiencing such challenging symptoms. Constant dizziness and fainting episodes can be distressing, especially after a head injury. Here's a breakdown of the situation and practical steps you can take.

Summary of Main Points:

• Your dizziness and fainting spells may be linked to aftereffects from the fall, despite normal test results.
• It's crucial to manage your symptoms and ensure your safety, especially while driving.

Explanation:

After a head injury, it's common for the vestibular system (which helps control balance) to be affected. Symptoms like dizziness, feeling disconnected, and even palpitations can arise from various causes, including changes in blood pressure, the effects of stress or anxiety, and potential vestibular dysfunction. While your tests have come back normal, that doesn’t alleviate the need to ensure your safety and comfort moving forward.

Next Steps:

1. Prioritize Safety: Avoid driving or doing tasks that require full attention until these episodes are under control.
2. Monitor Symptoms: Keep a daily log of your symptoms, noting the severity, duration, and any triggers. This can help identify patterns and what may be causing the dizziness.
3. Limit Stress and Relaxation Techniques: Practice deep breathing exercises, progressive muscle relaxation, or mindfulness techniques to help manage anxiety, which can sometimes worsen dizziness.
4. Hydrate and Eat Regularly: Ensure you are drinking enough water and eating balanced meals to maintain stable blood sugar and blood pressure levels, as low blood pressure can contribute to dizziness and fainting.
5. Consult a Specialist: Since you have already consulted with a doctor, consider seeing a neurologist or an ear, nose, and throat (ENT) specialist who can further evaluate your vestibular system. It may be necessary to undergo vestibular rehabilitation therapy for targeted exercises.
6. Consider a Support System: If you feel uneasy being alone, discuss this with someone close to you who can check in on you, especially during the day.
7. Follow-Up With Your Doctor: Share your ongoing symptoms and feelings about the treatment not working. This can help them consider alternative treatments or further tests to determine the underlying cause.

Your feelings of fear and anxiety are completely valid given your symptoms, and it's important to ensure you feel supported through this process. If your symptoms worsen or new symptoms arise (such as severe headaches, vision changes, or continuous loss of consciousness), seek medical attention immediately.