OpenHealth Q&A

Get answered by medical professionals

Should You Consult a Specialist for Chronic Motion Sickness and Intermittent Vertigo?

7/7/2025, 10:20:22 PMMale25-34

At 29 years old, I'm a white individual standing 5'4" and weighing approximately 190 pounds. Currently, I’m on a regimen that includes sertraline, Wellbutrin, dicyclomine, Lo Loestrin, cetirizine, and Klonopin, which I only use on an as-needed basis. My health background includes autism, general anxiety disorder (GAD), depression, panic disorder, intermittent anemia that I manage with supplements and dietary modifications, and irritable bowel syndrome (IBS). From a young age, I've struggled with motion sickness, and I began experiencing sporadic bouts of vertigo in my twenties. Recently, however, the intensity of my motion sickness has escalated, occurring even when I’m behind the wheel. This has caused me to pull over on several occasions to regain my composure before continuing to drive. It seems that this condition is becoming increasingly frequent. I have consulted an optometrist and wear glasses, if that is relevant. The episodes of vertigo I experience are usually mild but can be distressing. On one occasion, I was unable to work because it felt as though the entire world was spinning, which was quite frightening. I’ve also begun to notice episodes of ringing in my ears, though I don’t frequent concerts, dislike loud environments, and avoid high-volume music, so I believe my hearing is intact with no signs of damage. I have never broached this issue with a healthcare professional, as I attributed my symptoms to a genetic predisposition; both my mother and grandmother face similar challenges. Is consulting with an ENT or another specialist advisable in this situation? For now, I've been managing by reducing my driving and resting whenever I encounter vertigo. I am unable to see my primary care physician for several months and am concerned about being dismissed as merely exaggerating my symptoms. Neither my mother nor grandmother has received a formal diagnosis, nor have they sought treatment for these problems. I appreciate your insights on this matter.

Multiple SclerosisCrohn's DiseaseCOPD

Answers (1)

Cony

7/7/2025, 10:20:40 PM

OpenHealth AI

It's understandable to feel concerned about your escalating motion sickness and intermittent vertigo, especially given how they affect your daily life, including driving and working. Consulting with a specialist, particularly an Ear, Nose, and Throat (ENT) doctor, can indeed be beneficial for these symptoms. Here’s why and what steps you can take next.

Explanation

Motion sickness and vertigo can stem from various underlying conditions involving the vestibular system, which controls balance. The ringing in your ears, known as tinnitus, could also be linked to these vestibular issues. Since your symptoms have worsened and impacted your driving and overall daily function, it’s rational to seek further evaluation to rule out any serious conditions and explore effective treatment options.

Next Steps

  1. Consider an ENT Specialist: Since you may not have immediate access to your primary care physician, reaching out to an ENT can be a great next step. They specialize in issues related to balance, hearing, and dizziness. Prepare for the appointment by noting down your symptoms, how often they occur, and any triggers you've identified (like stress, movement, etc.).

  2. Keep a Symptom Diary: Track your episodes of vertigo and motion sickness, including when they happen, the intensity, and any other accompanying symptoms (like tinnitus). This information can help the specialist understand your condition better.

  3. Implement Self-Care Strategies: While waiting for your appointment, continue managing your symptoms by:

    • Avoiding Triggering Situations: Reduce activities that exacerbate your symptoms, such as driving long distances or being in environments where you know you might feel dizzy.
    • Practice Relaxation Techniques: Given your history with anxiety, techniques like deep breathing or mindfulness can help you manage anxiety that might accompany episodes.
  4. Evaluate Medications: Be mindful of your current medications, as some (like Klonopin) can have effects on balance or dizziness. However, do not adjust or stop any medication without consulting a healthcare professional.

  5. Explore Vestibular Rehabilitation: If you get diagnosed with a vestibular disorder, rehabilitation exercises may help improve symptoms through balance training and conditioning therapies.

Your family history of similar symptoms may also indicate a hereditary component, but it’s still vital to receive a personalized assessment to understand your situation better. Remember, seeking help is not an exaggeration; it’s an important step for your health. If you need further clarification or resources, don’t hesitate to reach out again.

Related Questions

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
4 minutes ago

28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment

I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
2 hours ago

Battling Chronic Nausea and Vomiting for Over Two Years

For the past two years, I (age 26, female) have been enduring an incredibly challenging health situation. I experience intense nausea daily and find myself vomiting numerous times, with almost nothing providing relief. To provide some background, I’m from West Texas and I currently weigh around 190 pounds, standing at 5’7”. Initially, my weight was about 211 pounds when these symptoms began, and it fluctuates frequently between 190 and 225 pounds. I engage in vaping and consume THC. Previously diagnosed with hypothyroidism, my condition seemingly resolved, according to my healthcare providers. Additionally, I have polycystic ovarian syndrome (PCOS). I have consistently faced irregular bowel movements, with stools that are loose and sometimes appear to have mucus. Compounding my struggles, I've also suffered from migraines. I have had an IUD for over five years, experiencing two insertions of the Kyleena device. In December 2022, my battle with health took a severe turn when I was diagnosed with stage 4 Hodgkin’s Lymphoma, requiring chemotherapy treatment, specifically AVBD (Apologies for not recalling the exact medication names). By July 2023, I had fortunately achieved remission. However, after reaching remission, my vomiting worsened, transforming from primarily white foam to a mixture of 80% bile, any food I attempt to consume, and still white foam. This intense vomiting, accompanied by significant pain in my upper back, escalated to more than eight episodes daily by November 2023. At that time, THC seemed to be the only avenue for me to retain any food. During this tumultuous period, I consulted various doctors who, after confirming I wasn’t pregnant, attributed my symptoms to Cannabinoid Hyperemesis Syndrome (CHS). Immediately, I ceased THC consumption for over six months, yet the vomiting continued unabated. Each time, doctors would prescribe ondansetron, regardless of my claims that it provided no relief. I experimented with various diets recommended by medical professionals, but there were no improvements in my condition. Eventually, I obtained a referral to a gastroenterologist who intended to perform an endoscopy. However, the procedure was prohibitively expensive even with insurance, and thus was never conducted. This doctor also ordered blood tests to rule out several gastrointestinal disorders, such as Crohn's disease, Irritable Bowel Syndrome (IBS), and gluten sensitivity, but all results came back normal. Afterward, I had another appointment with a different gastroenterologist, but the doctor failed to meet with me. Instead, a nurse informed me that the doctor had merely recommended promethazine without conducting any tests or scheduling further visits. When I mentioned the possibility of gallbladder issues, the doctor laughed dismissively at my suggestion. Discussing my situation with my oncologist, he suggested that my heightened sensitivity to food odors stemmed from my chemotherapy experiences while I was working in fast food. While food smells indeed affect me, I'm primarily triggered by medical scents such as rubbing alcohol and cleaning agents. This ongoing ordeal has been overwhelmingly distressing. I now experience episodes of vomiting accompanied by bright red blood, presumably due to a throat tear. When I first encountered this troubling symptom, I consulted a doctor who appeared unfazed and prescribed a promethazine suppository, which does help but makes me extremely drowsy. My nausea persists nearly around the clock, often feeling as if there’s a heaviness in the upper part of my abdomen. I frequent urgent care facilities when my symptoms intensify, only to be met with minimal assistance since this is a chronic issue. Currently, I lack a primary care physician. Whenever I sought one, I encountered skepticism regarding my condition, with some healthcare professionals implying that I was exaggerating my symptoms. Though many physicians who do take my situation seriously seem baffled, I've lost count of the diverse medical experts I've consulted about these ongoing issues. If anyone has insight or suggestions, I would genuinely appreciate it. I can share my latest bloodwork results if that would be helpful—just let me know!

LupusCrohn's DiseaseThyroid Disorders
Male25-34
4 hours ago

Strange Stomach Sensation Leading to Waking Up

Greetings. I'm a 36-year-old male, standing at 172 centimeters and weighing 90 kilograms. I don't take any medications, nor do I smoke. I've been living with diastasis recti for several years now, and I may also have irritable bowel syndrome (IBS). Additionally, I deal with fatty liver and kidney stones, though I assume these last two conditions are not related to my current concern. Occasionally, I experience a peculiar sensation that jolts me awake; it feels like a quick pulsing in my stomach. I’ve noticed it tends to affect the left side when I’m lying on my left side and the right side when on my right. Remarkably, it can occur even when I’m on my back. This strange feeling often escalates into a surge that fully rouses me. Alongside this, I sometimes feel prickling sensations throughout my body and fleeting lightheadedness. When this sensation disturbs my sleep while I’m turned to my side, shifting onto my back or the opposite side might alleviate it, but not always. In instances where I awaken while lying on my back, I discovered that gently pressing my hands on either side of my stomach can help, as can rising to a sitting or standing position. However, during my last two episodes—one a couple of weeks ago and another tonight—those techniques weren’t effective right away, which made me feel a bit anxious, prompting me to seek advice. Does anyone have insight into what might be going on? By the way, I’ve undergone routine ultrasound examinations of my abdomen by two different physicians during check-ups, both of whom assured me that everything appears normal, including my abdominal aorta and internal organs. They didn’t identify any issues at that time.

LupusCrohn's DiseaseRheumatology
Male25-34
5 hours ago

Understanding Tuberculosis Exposure Risk

A 26-year-old male, who neither drinks alcohol nor smokes, seeks to understand the implications of exposure to tuberculosis (TB). As an anesthesia technician, I became concerned after I encountered a TB-positive patient about a month ago. I had to enter the patient’s room several times to perform blood gas tests. On my first entry, I mistakenly wore my N95 mask incorrectly due to the hectic nature of attending to multiple rooms. From my research, it appears that TB is quite transmissible; direct exposure can pose a serious risk of infection. Transmission usually requires prolonged contact with an infected individual, particularly in a close or face-to-face setting. In this case, the patient was lying face down and appeared to be sleeping when I entered. I have already undergone testing for TB, but I am eager to deepen my understanding of the risks involved in these situations.

COPDInternal MedicineEndocrinology
Male25-34
5 hours ago