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Suggest Treatment For Nausea, Dizziness And Blurred Vision
Question: My son is 28 and today he experienced the following, seeing stars, nausea, sweating profusely, dizziness, weakness, blurred vision, momentary hearing loss and then he passed out for 2 minutes. He was a passenger in a car and when he woke up he was wringing wet, able to hear and had a horrible headache which lasted the remainder of the day, but has now subsided to a dull ache. He was weak and confused. The confusion passed after about an hour. He still has a slight headache. He's vomited a couple times since this happened. His pupils are really small right now. His girlfriend drove him to her friend, an RN and she said his pupils were at first bigger than normal, but they were responsive to light. She thought dehydration, but he has been drinking okay - a lot of mountain dew the last few days. She checked his sugar and it was 260. This all happened about 8 hours ago. Periodically, he is hiccupping. I told him to go to hospital er earlier, but he didn't and he is sitting here with me.
Brief Answer:
Kindly view the details
Detailed Answer:
Dear XXXX,
Thanks for your query.
In your post, you have not mentioned about any recent illness, injury to head or ear, history of systemic illness (Diabetes, Hypertension, etc.), intake of alcohol, smoking, medications or drugs in your son.
Under such circumstances, the symptoms as mentioned in your post can be attributed to:
1. Raised blood sugar level (Hyperglycemia). Seems to be the most probable cause as the blood sugar value is 260.
An estimation of fasting & postprandial blood glucose level as well as HbA1c needs to be done to confirm this and rule out Diabetes and prevent any organ damage.
2. Pathology in Vestibular apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthitis or Benign Paroxysmal Positional Vertigo. Investigations like vestibular function tests will be helpful in clinching the diagnosis.
Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Cinnarizine preparations (to be taken only under the guidance of a Physician)
3. Dehydration and loss of body electrolytes: Mountain dew being a carbonated drink, rich in caffeine further adds to the dehydration and raised blood sugar levels.
Clinical examination is important for diagnosis, so I will advise you to consult your Doctor or visit ER for a proper clinical examination.
In addition to the investigations mentioned earlier,estimation of blood pressure, complete blood count and serum electrolytes will be required to rule out any pathological cause for the symptoms.
There is no need to worry, your son will be fine.
Till then, he should maintain adequate hydration & proper nutrition status and avoid stress.
And also take precautions of getting up from bed slowly & avoid sudden head movements.
Wishing him a Good Health.
Take care.
Kindly view the details
Detailed Answer:
Dear XXXX,
Thanks for your query.
In your post, you have not mentioned about any recent illness, injury to head or ear, history of systemic illness (Diabetes, Hypertension, etc.), intake of alcohol, smoking, medications or drugs in your son.
Under such circumstances, the symptoms as mentioned in your post can be attributed to:
1. Raised blood sugar level (Hyperglycemia). Seems to be the most probable cause as the blood sugar value is 260.
An estimation of fasting & postprandial blood glucose level as well as HbA1c needs to be done to confirm this and rule out Diabetes and prevent any organ damage.
2. Pathology in Vestibular apparatus in inner ear (it is associated with maintenance of body posture & balance) most probably Labyrinthitis or Benign Paroxysmal Positional Vertigo. Investigations like vestibular function tests will be helpful in clinching the diagnosis.
Symptomatic relief can be obtained with intake of Vestibular sedatives like Betahistine or Cinnarizine preparations (to be taken only under the guidance of a Physician)
3. Dehydration and loss of body electrolytes: Mountain dew being a carbonated drink, rich in caffeine further adds to the dehydration and raised blood sugar levels.
Clinical examination is important for diagnosis, so I will advise you to consult your Doctor or visit ER for a proper clinical examination.
In addition to the investigations mentioned earlier,estimation of blood pressure, complete blood count and serum electrolytes will be required to rule out any pathological cause for the symptoms.
There is no need to worry, your son will be fine.
Till then, he should maintain adequate hydration & proper nutrition status and avoid stress.
And also take precautions of getting up from bed slowly & avoid sudden head movements.
Wishing him a Good Health.
Take care.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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