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What Causes Dizziness, Nausea And Stomach Pain When Diagnosed With Vertigo And Gastritis?

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Posted on Fri, 9 Dec 2016
Question: I've had repeated episodes of dizziness and nausea with occasional severe stomach pain. I've been to several different doctors and had an endoscopy, colonoscopy, and endless bloodwork. I've been diagnosed with vertigo and gastritis. It's been getting more frequent - and now the dizziness and stomach pain are happening together. I've missed a lot of work due to this and I'm pretty desperate to get it under control. Any advice??
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Answered by Dr. Dariush Saghafi (4 hours later)
Brief Answer:
Consider Atypical Migraine

Detailed Answer:
Good evening. Sorry you're not feeling well. I am a headache specialist/adult neurologist and this is not an uncommon picture in my practice. There is an entity called ATYPICAL MIGRAINE headaches which are actually a recognized form of migraines (most of the time) which come in episodes or waves of symptoms that commonly (and at times not so commonly) accompany migraine headaches such as nausea, vomiting, bizarre sensations, dizziness, difficulty concentrating, inability to pay attention to work, abdominal pains BUT never any real headache that most people would complain of if they were suffering from classical or common migraines.

These episodes are known as ATYPICAL MIGRAINE types of episodes....I hesitate to call them headaches because there's really no head pain but they are a bona fide classification of headache; ATYPICAL migraine.

Treatment is on the basis of the symptoms as well as the same as migraine headaches with head pain so drugs such as Imitrex, Maxalt, or Zomig are commonly used along with anything to calm down nausea and vomiting. Unfortunately, not much in the magic bag when it comes to dizziness or vertigo.

And BTW, there's another type of headache known as vertiginous migraines where there can be a significant amount of vertigo on one day and then, at a later time such as 1-2 days later or before the patient could have a very bad headache.

There could be other abnormalities causing these symptoms as well, however, in order to rule these out it would be most efficient to obtain an MRI of the brain although without any direct complaint of HEADACHE I think anything in this class of abnormality is very small.

My suggestion is that you seek out at least a neurologist who is knowledgeable in headaches of this type or even a HEADACHE SPECIALIST who will entirely understand these symptoms for what they likely represent.

My disclaimer to the above discussion is simply the fact that not all clinical pictures that APPEAR to be something turn out to be THAT THING.....make sense? Therefore, when you speak to a neurologist such as myself and present these symptoms in a setting where I cannot examine or even SEE you personally then, I am operating a bit blindly, wouldn't you agree? Therefore, it would not be unreasonable for your doctor to have at least another idea of what could be going on outside the GI tract which could cause vertigo and stomach problems.

If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out.

Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.

This query has utilized a total of 25 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dariush Saghafi

Neurologist

Practicing since :1988

Answered : 2472 Questions

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What Causes Dizziness, Nausea And Stomach Pain When Diagnosed With Vertigo And Gastritis?

Brief Answer: Consider Atypical Migraine Detailed Answer: Good evening. Sorry you're not feeling well. I am a headache specialist/adult neurologist and this is not an uncommon picture in my practice. There is an entity called ATYPICAL MIGRAINE headaches which are actually a recognized form of migraines (most of the time) which come in episodes or waves of symptoms that commonly (and at times not so commonly) accompany migraine headaches such as nausea, vomiting, bizarre sensations, dizziness, difficulty concentrating, inability to pay attention to work, abdominal pains BUT never any real headache that most people would complain of if they were suffering from classical or common migraines. These episodes are known as ATYPICAL MIGRAINE types of episodes....I hesitate to call them headaches because there's really no head pain but they are a bona fide classification of headache; ATYPICAL migraine. Treatment is on the basis of the symptoms as well as the same as migraine headaches with head pain so drugs such as Imitrex, Maxalt, or Zomig are commonly used along with anything to calm down nausea and vomiting. Unfortunately, not much in the magic bag when it comes to dizziness or vertigo. And BTW, there's another type of headache known as vertiginous migraines where there can be a significant amount of vertigo on one day and then, at a later time such as 1-2 days later or before the patient could have a very bad headache. There could be other abnormalities causing these symptoms as well, however, in order to rule these out it would be most efficient to obtain an MRI of the brain although without any direct complaint of HEADACHE I think anything in this class of abnormality is very small. My suggestion is that you seek out at least a neurologist who is knowledgeable in headaches of this type or even a HEADACHE SPECIALIST who will entirely understand these symptoms for what they likely represent. My disclaimer to the above discussion is simply the fact that not all clinical pictures that APPEAR to be something turn out to be THAT THING.....make sense? Therefore, when you speak to a neurologist such as myself and present these symptoms in a setting where I cannot examine or even SEE you personally then, I am operating a bit blindly, wouldn't you agree? Therefore, it would not be unreasonable for your doctor to have at least another idea of what could be going on outside the GI tract which could cause vertigo and stomach problems. If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out. Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others. This query has utilized a total of 25 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.