What Causes Dizziness, Nausea And Dark Lips After Being Exposed To Sun?

Posted on Tue, 16 Aug 2016

Question: My daughter is 14 years old. she plays tennis sport at national level. so atleast 3-4 hours/ day coaching. yesterday she had a torunemnet so was in the sun from 10 am to 3 pm and played for 2 hours, did not eat / drink much during that time. when we got back she was complainign of dizziness, said everyhting in front fo her was moving roudn and round. when she lies down she was better. today mornign she is not feeling dizzy but feeling nauseous and uneasy. her cheeks since yesterday afternnon have turned dark pink..no fever or any other sore throat/ gastro symptoms. she is 56 kgs and 5ft 7 inch tall.

Answered by Dr. Diptanshu Das (24 minutes later)

Brief Answer:
Low blood sugar or fluid depletion could have lead to the problems.

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query and understand your concerns. Your child did not have food for long. This could have lead to hypoglycemia or a drop in blood sugar levels which could have manifested with such a presentation. Another complicating factor which might have been present in association or independently is dehydration. During prolonged sun exposure, water and salts are lost from the body in form of sweat. As a result, the total fluid content of the body can fall leading to electrolyte imbalance and dehydration.

The low sugar levels should have already corrected by now but she still needs to be given plenty of fluids to drink. ORS (oral rehydration solution) can be given.

For safety reasons it might be worthwhile to subsequently get a echocardiogram done in order to evaluate the cardiac function.

Feel free to write back in case of further queries.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (4 minutes later)

but continous guidiness as in things moving moment you stand...sounded more like a vertigo problem? or a migraine?

Answered by Dr. Diptanshu Das (7 minutes later)

Brief Answer:
The likelihood of what I said is more.

Detailed Answer:
With risk factors already present, the likelihood of what I said is much more. Vertigo cannot be ruled out but why would it occur all of a sudden without any definite triggers.

Migraine is characterized by pain involving one half of the head. Usually it is associated with an aura i.e. a sense that such a thing might start. If that is the case, I would remove all other probabilities. If not, I would not consider this probability.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (24 hours later)

today after going for school seh went to her clinic now and shes unwell again. says evrything is moving round in front of her eyes.she says heart beat is high and she felt as if everything was very conjusted. nurse says no fever..BP normal..is it fine to still have guidiness due to dehydration?

Answered by Dr. Diptanshu Das (1 hour later)

Brief Answer:
Could you please get a few blood tests done. Share the reports with me.

Detailed Answer:
Giddiness can occur due to dehydration but why would dehydration last so long. Her blood levels of electrolytes (sodium, potassium) need to be checked. Her thyroid profile needs to be checked as well.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar