HomeAnswersInternal Medicineabdomen painWhat can cause vertigo, abdominal pain, headache, and nausea?

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

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Sneha Kannan

Published At May 5, 2020
Reviewed AtMarch 31, 2021

Patient's Query

Hi doctor,

I have constant lightheadedness for the past 20 hours. Today, I started to have a feeling of nausea during day time. I also have abdominal pain, headache, and neck stiffness for a week. It comes and goes on for a week. I have pain and soreness in my neck and shoulders. I am taking Dexamphetamine 20 mg for ADHD. I have fibromyalgia, chronic fatigue syndrome, and IBS. I am trying to drink water and eat food. But nausea and abdominal pain make me difficult to do it. I do not have a fever but I have chills with sweating.

Hi,

Welcome to icliniq.com.

Your temporal profile suggests that you have mild ongoing inflammation. These symptoms can occur due to sub-clinical inflammation or stomach bug or drug intolerance. In addition, a phenomenon of fibromyalgia (FM) or chronic fatigue syndrome (CFS) can be superimposed with a generalized anxiety disorder (GAD).

The Probable causes

You can have a flare of inflammation, subclinical infection, CFS (chronic fatigue syndrome) flare, FM (fibromyalgia) flare, and drug interaction.

Investigations to be done

You need to do CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), vitamin D, TSH (thyroid-stimulating hormone), and creatinine.

Differential diagnosis

As mentioned above.

Probable diagnosis

You can have a medication effect.

Treatment plan

You can treat this condition by taking SSRI (selective serotonin reuptake inhibitor) or Duloxetine.

Preventive measures

Avoid taking anti-inflammatory foods.

Regarding follow up

Have a follow-up at any time.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. K. Shanmuganandan
Dr. K. Shanmuganandan

Rheumatology

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