Why does nausea often accompany dizziness?

Dizziness and vertigo can be caused by a wide range of diseases. Diseases affecting the inner ear and central nervous system are more common causes of vertigo, but it can also be caused by systemic diseases or as a side effect of some medicines. The dizziness is often accompanied by nausea. Nausea is a sensation of uneasiness in the abdomen with an inclination to vomit. Vomiting may or may not follow the nauseating feeling.

During dizziness, the person feels a sensation of movement or unsteadiness when , in fact, there is no movement. This causes a sensory mismatch within the brain. The contrasting signals received by the brain cause stimulation of an area within the brain called the chemoreceptor trigger zone (CTZ). Stimulation of the CTZ sends signals for the abdominal muscles to tighten, the contents of the stomach are pushed towards the mouth, causing nausea and and, in some cases, vomiting.

Check out some of the conditions or disorders where nausea and dizziness occur together.

Conditions Or Disorders

  • Vestibular problems ( BPPV, Meniere’s disease, Labyrinthitis, Vestibular neuritis)
  • Central nervous system problem ( Migraine, Multiple sclerosis, Stroke)
  • Middle ear infection
  • Motion sickness
  • Medicinal side-effects
  • Anxiety
  • Orthostatic Hypotension
  • Hypoglycemia
  • Panic attacks
  • Pregnancy
  • Cardiovascular problems
  • Internal bleeding
  • Excessive alcohol consumption
  • Following head injury

Treatment

The treatment for these symptoms (nausea and dizziness) will depend on the underlying condition. Baseline blood tests, vestibular tests to evaluate for inner ear disorders, MRI of the brain, etc. help evaluate the malady causing vomiting sensation and dizziness. Tests for vertigo like Video Video Nystagmography help in identifying the exact cause of some of these diseases.

Medication

Common medicines used to reduce the feeling of nausea include Procloperazine (Stemetil-MD), Domperidone (Domstal) , Ondansteron(Ondem) etc. However if symptoms persist, medical advice is essential.

Ginger is an effective home remedy for controlling nausea. However, it should be avoided in large quantities for diabetic and hypertension patients.

When to seek emergency medical assistance

Even if the symptoms are mild, it is better to consult a physician. If the symptoms get worse causing any of the following situations seek immediate medical assistance.

  • Falling unconscious
  • Chest pain
  • Intense headache
  • Irregular heartbeat
  • Continuous feeling of unsteadiness
  • Blood in the stools
  • Vomiting blood
  • Blurry vision
  • Loss or reduced hearing ability
  • High fever
  • Paralysis or tingling sensation in any part of the body
  • Double Vision
  • Altered consciousness or excessive drowsiness

If you experience any other severe uneasiness, consult the doctor instantly.

Dr. Anita Bhandari

Dr.Anita Bhandari is MS(ENT) and a consultant Neurotologist practising in Jaipur, India. She has done a fellowship in Otology and Neurotology from Singapore. She has set up a state-of-art Vertigo and Ear Clinic in Jaipur (www.vertigoandearclinic.com) which is amongst the most advanced vertigo clinics in India. Dr. Bhandari is actively involved in the development of diagnostic equipment in the field of diagnosis and rehabilitation of vertigo and balance disorders. She has contributed to the development of Computerised Dynamic Visual Acuity, Cranio-Corpography, Subjective Visual Vertical, Video Nystagmography and Posturography diagnostic equipment and has two in this field. She has also been involved in the development of Virtual reality for vestibular rehabilitation. She is Scientific advisor to NeuroEquilibrium™, a unique project to set up 500 super-specialised vertigo and dizziness clinics in India, Asia & Africa leveraging cloud technology. She has authored chapters on ‘Vestibular Physiology’, ‘Dynamic Visual Acuity’, ‘Surgical treatment of vertigo’, ‘Difficult cases in vertigo’ in various Neurotology textbooks. She is an invited speaker in various Vertigo & Neurotology conferences across the world. Dr.Anita Bhandari is MS(ENT) and a consultant Neurotologist practising in Jaipur, India. She has done a fellowship in Otology and Neurotology from Singapore. She has set up a state-of-art Vertigo and Ear Clinic in Jaipur (www.vertigoandearclinic.com) which is amongst the most advanced vertigo clinics in India. Dr. Bhandari is actively involved in the development of diagnostic equipment in the field of diagnosis and rehabilitation of vertigo and balance disorders. She has contributed to the development of Computerised Dynamic Visual Acuity, Cranio-Corpography, Subjective Visual Vertical, Video Nystagmography and Posturography diagnostic equipment and has two in this field. She has also been involved in the development of Virtual reality for vestibular rehabilitation. She is Scientific advisor to NeuroEquilibrium™, a unique project to set up 500 super-specialised vertigo and dizziness clinics in India, Asia & Africa leveraging cloud technology. She has authored chapters on ‘Vestibular Physiology’, ‘Dynamic Visual Acuity’, ‘Surgical treatment of vertigo’, ‘Difficult cases in vertigo’ in various Neurotology textbooks. She is an invited speaker in various Vertigo & Neurotology conferences across the world.

Make An Appointment

You need not suffer in silence now. You need not accept vertigo as ‘something you have to live with’. There is a way to cure vertigo, dizziness and any other balancing issues you are facing. Live a stable and vibrant life.

A Vertigo Free Life!