Dizziness and nausea with vomiting & diarrhea
Typically, dizziness, nausea and vomiting or even diarrhea occur together in the so-called travel diseases, which are called kinetoses. They occur mainly during air, car, ship or train journeys. The various optical and vestibular sensory impressions cannot be reconciled with the acceleration movements.
The result is dizziness, accompanied by nausea and vomiting. In addition, dizziness and trembling with sweating are also frequently observed. If travel sickness is known to occur, a prophylactic preparation containing the active ingredient dimenhydrinate (e.g. contained in travel tablets or vomex) can be taken to prevent the occurrence of kinetosis.
There are also certain plasters with the active ingredient scopolamine that can be stuck on and then gradually release their active ingredient. The disadvantage of the travel tablets and patches is the severe fatigue they can cause. Depending on the form of dizziness that occurs, the following causes of the symptom complex dizziness, nausea and vomiting can also be distinguished: In cases of sudden and persistent rotational vertigo, the most common cause is inflammation of the vestibulochlear nerve, which supplies the inner ear and also the organ of equilibrium (= vestibular neuritis).
The inflammation usually resolves itself within one or two weeks, but symptomatic treatment for nausea can be useful. If, on the other hand, positional vertigo occurs, in which short attacks of dizziness occur when the head is repositioned, the cause is often a detachment of a so-called otolith (small “ear stone”) in the inner ear. When the head is moved, the otolith moves freely in the semicircular canal of the inner ear and thus causes the vertigo attacks.
Benign paroxysmal positioning vertigo is the most common cause of dizziness symptoms. In addition to the dizziness attacks, which last only a few seconds, nausea, vomiting and sweating occur. Diagnostically and therapeutically, certain positioning maneuvers can be performed.
Furthermore, Meniere’s disease can also be the cause: a functional disorder in the inner ear leads to sudden attacks of vertigo, ringing in the ears and hearing loss in the affected ear. This typical triad is usually accompanied by nausea, vomiting and sweating as well as a slow pulse (bradycardia). If, in addition to dizziness and nausea, diarrhea is also present, food poisoning or poisoning with certain plants or chemicals is also conceivable. This symptom complex can also occur in the context of food or drug allergies.Especially in older patients with many drugs or when new drugs are administered, poisoning by the drug must be considered. Frequently, poisoning of any kind also causes sweating, trembling or skin reactions.
