nausea, near syncope, burning, shaking, neck pain, dry mouth

[keshazel1]

47 year-old female

Symptoms - dizziness, nausea, severe neck pain, burning all over body, shaking, sudden onset of dry mouth

medications: actos, glipizide, insulin, nexium, simvistatin, seroquel, lamictil, prozac.

cannot correlate with any particular food intake, change in blood sugar level, or other variables.

occurs periodically; symptoms are transient. almost fainted on occasion

symptoms occurring more often now. neck pain becoming more frequent. do have a very long history of chronic anemia. some of these symptoms have woken me up from sleep at different times in the night.

aggravated by straining, coughing or a change in position - no,
relieved on standing - no
worse when lying down - yes

this morning - neck pain on right side this time and down into rib area on back side of body, while burning was in just left arm with pain in arm. nausea and shaking are continuous now.

[keshazel1]

Doc, Thank you. I had extensive blood work and nothing remarkable on enzymes. The neck pain comes on just after the nausea and resolves at the same time. This is a mystery. I had an MRI of my neck and head and will get results Tuesday. But I am considering your suggestions because it's not looking neurological, skeletal, muscular or vascular. Thanks again. kelly

[Kevin Pho, MD]

Chronic nausea can be caused by a variety of upper GI disorders, including GERD, an ulcer or inflammation of the esophagus or stomach.  

An upper endoscopy should be considered to comprehensively evaluate for these conditions.  

Regarding the neck pain, I'm not sure this is due to a GI etiology.  A referral to an orthopedist can be considered for further evaluation, including imaging the neck with an MRI.  

If the nausea continues, imaging the abdomen can be considered to look at the gallbladder and liver.  An ultrasound or CT scan are reasonable options.

These options can be discussed with your personal physician.

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.

Kevin Pho, M.D.
www.kevinmd.com
www.twitter.com/kevinmd