cronic nausia followed by light headness

[thudwig]

Male age 44 weight 178, Ht 71" active,good health. For two months I've had cronic nausia followed by occasional moderate to severe light headness(no spinning). E.R did blood work and EKG, all normal,kidney function normal, no dehydration noted. ENT performed dizzy test, by squirting water on ear drums. I tested normal. He recomended a brain MRI using dye, with special attention paid to the right ear because I have a slight loss of hearing on that side due to occupational noise, nothing abnormal noted. I have noticed that benedryl or sudaphed seem to help a bit. I still lift weights and run/walk when the symptoms are at bay. My second trip to the E.R. has netted me the same result--Nothing abnormal noted. What kind of docter should I see now? A GI? Throw me a bone here...mike

[Kevin Pho, MD]

The question is what is coming first.  Is the nausea causing the dizziness or the dizziness causing the nausea.  You have had an ENT referral with a workup for the dizziness.  It would seem reasonable at this time for a GI referral to evaluate if there is any cause for the nausea.

Tests such as an upper GI series or upper endoscopy can be comprehensive in finding GI sources for nausea - including ulcers, GERD, or inflammation of the esophagus or stomach.  I would also suggest a blood test to look for H Pylori, a bacteria that is associated with inflammation.

If the GI tests are negative, then the brain MRI can be performed to further look for neurological causes of dizziness.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Thanks,
Kevin, M.D.