Q. I have vertigo, abdominal pain, headache, and feel nauseous. What can be the cause?

Answered by
Dr. K Shanmuganandan
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on May 05, 2020

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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Dr. K Shanmuganandan

General Medicine Internal Medicine Rheumatology
#

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

Investigations to be done:

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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