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What causes dizziness, nausea and vomiting?

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Posted on Thu, 19 May 2016
Question: Hi.....about a month ago, I was feeling very dizzy and had vomited and went to our Urgent Care Center nearby. They gave me some medicine for Vertigo and nausea. It passed after a couple more days.
Then, three days ago, it started again. I still had some of the Vertigo meds, and restarted taking them. I did not need the nausea meds.
I'm feeling better, now, but wonder if I should go see my doctor....


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Answered by Dr. Michelle Gibson James (1 hour later)
Brief Answer:
most commonly due to inner ear causes

Detailed Answer:
HI, thanks for using healthcare magic

Though you are feeling better then you should go to see your doctor for an assessment to see if the cause can be found.

Vertigo is most common due to conditions of the inner ear such as BPPV, meniere's disease and vestibular neuronitis though there are also other causes.

Menieres's is not likely because it is generally associated with tinnitus (abnormal noises in the ear) and hearing loss.

Vestibular neuronitis tends to cause vertigo that lasts for hours at a time.

It may be BPPV which stands for benign paroxysmal positional vertigo. There are certain examination techniques that can be done to determine if this is present and Epley maneuver can be done as a form of treatment.

If none of these are not thought to be possible based on symptoms and examination then you may need imaging to take a look at the brain.

I hope this helps, feel free to ask any other questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Michelle Gibson James (26 hours later)

Thanks. It appears to be worse first think in the morning. By early afternoon, I feel fairly normal. How long does it last?
doctor
Answered by Dr. Michelle Gibson James (5 hours later)
Brief Answer:
depends on cause

Detailed Answer:
HI

The time frame can vary from days to weeks or longer depending on the cause.

One of my patients had a few episodes every few weeks, this occurred for years. He had recurrent episodes of the BPPV.
Others may get only one episode and nerve again

Meniere's can be lifelong

Vestibular neurontitis may last days to weeks then regress

Your ENT doctor or neurologist would be able to determine which is present

Please feel free to ask anything else


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Michelle Gibson James

General & Family Physician

Practicing since :2001

Answered : 16811 Questions

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What causes dizziness, nausea and vomiting?

Brief Answer: most commonly due to inner ear causes Detailed Answer: HI, thanks for using healthcare magic Though you are feeling better then you should go to see your doctor for an assessment to see if the cause can be found. Vertigo is most common due to conditions of the inner ear such as BPPV, meniere's disease and vestibular neuronitis though there are also other causes. Menieres's is not likely because it is generally associated with tinnitus (abnormal noises in the ear) and hearing loss. Vestibular neuronitis tends to cause vertigo that lasts for hours at a time. It may be BPPV which stands for benign paroxysmal positional vertigo. There are certain examination techniques that can be done to determine if this is present and Epley maneuver can be done as a form of treatment. If none of these are not thought to be possible based on symptoms and examination then you may need imaging to take a look at the brain. I hope this helps, feel free to ask any other questions