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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Cardiac Patient Having Constant Dizziness, Nausea, Vomiting. Botox Injection Taken For Fibromyalgia. Relief?

Hello, my husband (55, 6 3, 300+) is on his second night of unrelenting dizziness , nausea, and vomiting. We went through all this last night, but after some sleep appeared to be better this morning, Come mid day it started up all over, dizziness, nausea, profuse cold sweating, and difficulty walking, almost rubbery legs. He has taken a bucket to bed, and is going into vomiting fits every 10 min or so. His primary complaint is the spinning dizziness. He is a cardiac patient, and recently received his 4 time a yr botox injections in his upper cervical and neck area for fibromyalgia . I can t get anything into him (such as ginger) to quell the vomiting, but it s just a violent reflex action as he has nothing more to vomit with. He doesn t want to go to an ER. Needless to say, I am quite worried and feeling a bit helpless at this point. Thanks for any insights.
Tue, 12 Feb 2013
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Nephrologist 's  Response
Thank you for using Healthcare Magic

The symptoms you are describing may be related to vertigo such as positional vertigo. Given his cardiac history and medical comorbidities, other causes such as a cardiac arrhythmia or neurologic event would need to be considered.

I would recommend seeking medication attention from his primary care doctor or local emergency room to delineate the cause more precisely. In the interim, prior to a physician seeing him, you can try using over meclizine for symptomatic relief of vertigo. In the United States this medication is available over the counter. The use of meclizine should not be a substitute for formal medical evaluation and he would still need to see a physician

Take care and be well
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Cardiac Patient Having Constant Dizziness, Nausea, Vomiting. Botox Injection Taken For Fibromyalgia. Relief?

Thank you for using Healthcare Magic The symptoms you are describing may be related to vertigo such as positional vertigo. Given his cardiac history and medical comorbidities, other causes such as a cardiac arrhythmia or neurologic event would need to be considered. I would recommend seeking medication attention from his primary care doctor or local emergency room to delineate the cause more precisely. In the interim, prior to a physician seeing him, you can try using over meclizine for symptomatic relief of vertigo. In the United States this medication is available over the counter. The use of meclizine should not be a substitute for formal medical evaluation and he would still need to see a physician Take care and be well