Persistent Dizziness and Health Concerns
Hello, I’m a 21-year-old woman, standing at 149 cm and weighing only 31 kg. Recently, I've been experiencing dizziness accompanied by vomiting whenever I try to stand. The first instance of this vertigo prompted me to visit a clinic, where the doctor prescribed medication for headaches and nausea. However, after a week, the dizziness returned, leading me to seek further medical attention at the hospital. They conducted comprehensive tests, including urine and blood analysis as well as a CT scan, all of which appeared normal. Following this, I was referred to an ENT specialist who determined that I have a minor hearing loss issue. The diagnosis included the presence of crystals in my ear that had shifted to improper locations. Consequently, the recommended treatment involved tapping behind my ear to try and reposition these crystals, while also monitoring the involuntary shaking of my eyes. Two months later, I continue attending physiotherapy sessions where I'm learning exercises aimed at restoring my body’s balance and addressing the tremors in my eyes. My main concern is whether my weight, which falls below a healthy range, could be the root cause of my symptoms since medical evaluations haven't pinpointed anything wrong. Additionally, I've suffered from daily headaches since childhood; they seem to fluctuate in intensity but seldom completely disappear. I've noticed that these headaches can lessen with a massage or a short rest. The dizziness intensifies when I skip meals or spend too much time in the heat. I often experience dizziness localized to the right side of my head, with stiffness in my neck; this sensation typically alleviates after resting or receiving a massage. I’ve also come to realize that rapidly standing up or moving after sitting can trigger this dizziness. Another point of concern is my increased heart rate following simple activities, like climbing stairs. I’m feeling quite anxious these days, often crying and overthinking my situation. I also underwent a thyroid function test which yielded normal results. I find it particularly challenging to gain weight due to my fast metabolism. Lastly, I apologize for my English, as it is not my primary language. If anyone has advice or insights to share, I would greatly appreciate it!
Answers (1)
8/24/2025, 11:30:54 AM
OpenHealth AI
It sounds like you’re dealing with a complex and distressing set of symptoms, including persistent dizziness, headaches, and difficulties with weight gain. These experiences can be overwhelming, especially when you’re not getting clear answers or relief. Let's break this down and focus on what you can do next.
Key Points:
- Dizziness and Weight Concerns: Your low weight may be contributing to your symptoms, given its potential impact on overall health and energy levels.
- Headaches and Triggers: Frequent headaches, especially when worsened by conditions such as skipping meals, suggest that managing your diet and hydration might help.
- Emotional Well-Being: Feeling anxious about your health is completely understandable. Taking care of your mental health is as important as your physical health.
Explanation:
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Weight and Dizziness: At a height of 149 cm and a weight of 31 kg, you are significantly below the healthy weight range for your height. Low body weight can lead to various issues, including nutrient deficiencies, which might exacerbate dizziness and fatigue.
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Headaches: If your headaches fluctuate in intensity and are relieved by rest or massages, they could be tension-type headaches, which are common when you're under stress or have poor posture.
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Dizziness Triggers: You mentioned dizziness getting worse with heat, skipping meals, and sudden movements. These triggers indicate a possible link between your lifestyle habits and your symptoms, suggesting that maintaining consistent meal timings and staying hydrated can help.
Next Steps:
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Focus on Nutrition:
- Aim to increase your caloric intake with nutrient-dense foods, such as nuts, seeds, avocados, whole grains, and lean proteins. Small, frequent meals throughout the day may be easier.
- Consider adding smoothies or shakes with protein and healthy fats if solid food feels overwhelming. This can help with weight gain while providing essential nutrients.
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Stay Hydrated: Drink ample fluids throughout the day. Dehydration can contribute to dizziness, especially if you're active or in hot weather.
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Monitor Your Symptoms: Keep a journal of your dizziness and headache episodes, noting what you did before they occurred, your diet, energy levels, and how you felt emotionally. This could help identify patterns and triggers.
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Continue Physiotherapy: Stay committed to your physiotherapy sessions, as they are crucial in addressing your balance and eye tremors.
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Manage Stress and Anxiety:
- Consider relaxation techniques like deep breathing, yoga, or meditation to help manage your anxiety.
- Talking to a trusted friend or professional about how you’re feeling might also provide some relief.
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Gradual Movements: When changing positions (like standing up), do so slowly to minimize dizziness. Give yourself a moment to adjust before moving.
Lastly, continue following up with your healthcare providers, especially regarding your weight management and overall health, as they can offer specific guidance tailored to your needs. You’re doing your best to keep track of a challenging situation, and that’s commendable. If any new symptoms arise, or if your current symptoms worsen, please reach out promptly.
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