Q. I have vertigo, abdominal pain, headache, and feel nauseous. What can be the cause?
over the past 20 hours ive had constant lightheadedness/vertigo, and during the day today ive gradually started feeling nauseous (no vomiting), abdominal pain/cramping, headache, neck stiffness. in the past week ive had some abdominal pain on/off and acid reflux, as well as headaches and general soreness in my neck and shoulders. i am only 20mg of dexamfetamine (10mg in the morning and 10mg at midday) for adhd. i have fibromyalgia and chronic fatigue syndrome, and ibs but these symptoms don’t feel similar to what i usually experience. no other medications.
ive been trying to drink water and eat crackers but the nausea and abdominal pain makes it difficult. i havent noticed any fever, but i did have chills come and go with some sweating - but didnt feel feverish.
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hi, thanks for your query
the temporal profile suggests mild ongoing inflammation, that is causing the problem.
it could be subclinical inflammation and or infection like a stomach bug. also a possibility of drug intolerance. to amphe along with a drug interaction may be suspected. in addition ofc on phenomenon of FM OR CFS along with GAD superimposed may result in this condition. in the subsequent sentences and para I would reflect on some measures to mitigate after performing certain investigations.
The Probable causes:
flare of inflammation
subclinical infection
CFS FLARE
FM FLARE
DRUG INTERACTION
CBC ESR CRP VITAMIN D TSH CREATININE
Differential diagnosis:as above
Probable diagnosis:medication effect
Treatment plan:SSRI OR DULOXETINE
Preventive measures:anti inflammatory foods
Regarding follow up:PLEASE CONSULT BY CONTACTING ME THROUGH I CLINIQ FOR EAPID ASSESSMENT AND EVUATION TO PREVENT FLARE OR CO MIRBID MEDICAL CONDITION EMERGENCE
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