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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Dizziness, Nausea And Hot Sweats In An Elderly?

Hello. I am a 63 year old female and I have suffered from motion sickness my whole life. Recently when ever I would go into store like Walmart with their fluorescent lighting I would within 5 minutes break out in hot sweats and then dizziness and nausea would set in. Similar to motion sickness. That happened 3 times a few weeks apart with no incidents in between. Starting about 2-3 weeks ago I now can not even drive short distances or go into any kind of store without having a full blown motion sickness attack. It can even happen if I m home and I turn to quickly. It usually stays with me for hours or until I go to sleep and wake the next morning it s gone. I tried ear wax removal. Thought it helped a little but I m still very bad. Can you help
Thu, 22 Mar 2018
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Neurologist 's  Response
Hello,

You will need to be fully examined by a physician such as a neurologist or neuro-otologist. However, there are a couple of possibilities.
1. Your blood pressure may be dropping precipitously while standing or walking (Vasovagal Reaction).
2. You may have orthostatic hypotension due to medications, dehydration, hypoglycemia, or infection (check for Bladder infection, Occult Pulmonary process).
3. You may have some type of cardiac rhythms such as atrial fibrillation or ventricular flutter or tachycardia
4. You have Meniere's disease versus benign paroxysmal positional vertigo although your reported duration of episodes is much more likely to be an attack of Meniere's rather than BPPV which only lasts moments and usually gets better when the body maintains its position for a moment.

Bottom line is you need to provide a bit more information if a firm diagnosis is to be reached, and get some labs and diagnostics performed or you need to go to a doctor for an examination and history such as I mentioned at first.


Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Dariush Saghafi
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What Causes Sudden Dizziness, Nausea And Hot Sweats In An Elderly?

Hello, You will need to be fully examined by a physician such as a neurologist or neuro-otologist. However, there are a couple of possibilities. 1. Your blood pressure may be dropping precipitously while standing or walking (Vasovagal Reaction). 2. You may have orthostatic hypotension due to medications, dehydration, hypoglycemia, or infection (check for Bladder infection, Occult Pulmonary process). 3. You may have some type of cardiac rhythms such as atrial fibrillation or ventricular flutter or tachycardia 4. You have Meniere s disease versus benign paroxysmal positional vertigo although your reported duration of episodes is much more likely to be an attack of Meniere s rather than BPPV which only lasts moments and usually gets better when the body maintains its position for a moment. Bottom line is you need to provide a bit more information if a firm diagnosis is to be reached, and get some labs and diagnostics performed or you need to go to a doctor for an examination and history such as I mentioned at first. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi