[20F] Experiencing headache, weakness, nausea, and lightheadedness

Patient Description

A 20-year-old female reports significant generalized weakness that has been worsening since waking up this morning, making it difficult to move and perform daily activities. She describes the weakness as a feeling of floating while still. Additionally, she has a throbbing headache that started about an hour ago, rated at 7.5 in intensity, which worsens with movement and loud noises. The headache is located from the center to the sides of her head. She also experiences occasional brief blurriness in her vision and sensitivity to sound. The patient has a decreased appetite and has only managed a few small bites of food today due to nausea. She has a history of mental illness diagnosed in December and has recently started two new medications, including Geodon, but did not take them today due to inability to eat. She has experienced similar symptoms in the past, possibly related to medication, including an allergic reaction that affected her vision and locked her jaw, but the specific medication causing the allergy was not identified.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Side effects of new medication: The symptoms you're experiencing may be side effects of the new medications you've started taking. Geodon, for instance, can cause dizziness, lightheadedness, nausea, and headaches in some people.

  • Viral illness: Your symptoms may be due to a viral illness, which can cause generalized weakness, headaches, and a decreased appetite.

  • Dehydration: If you haven't been eating or drinking enough, you may be dehydrated, which can cause headaches, weakness, and lightheadedness.

  • Anxiety: Anxiety can cause a variety of physical symptoms, including headaches, nausea, and a feeling of weakness or lightheadedness.

What you can do

  1. Contact your healthcare provider: Given the timing of your symptoms and the recent change in your medication, it's important to let your healthcare provider know what you're experiencing. They can provide guidance on whether you should continue taking your medication or if a change is needed.

  2. Stay hydrated: Make sure you're drinking enough fluids, even if you're not feeling hungry. Dehydration can worsen many of the symptoms you're experiencing.

  3. Rest: Try to get plenty of rest. If you're feeling weak and lightheaded, avoid activities that could be dangerous, such as driving or operating heavy machinery.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe headache or a headache that is different from your usual headaches
  • Difficulty speaking or understanding speech
  • Weakness or numbness on one side of your body
  • Sudden, severe dizziness or difficulty walking
  • Any other symptoms that are severe or concerning to you

Please remember that while I strive to provide accurate information, I am not a doctor. Always seek the advice of your healthcare provider with any questions you may have regarding your medical condition.

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10 mo ago

People Also Ask


Can Geodon cause headaches and nausea as side effects?

Yes, Geodon can cause side effects such as headaches, nausea, dizziness, and lightheadedness. It's important to discuss any side effects with your healthcare provider.


How can dehydration contribute to symptoms like headaches and weakness?

Dehydration can lead to symptoms such as headaches, weakness, dizziness, and lightheadedness because the body lacks sufficient fluids to function properly. Ensuring adequate hydration is crucial.


What are some common symptoms of a viral illness that might cause generalized weakness?

Common symptoms of a viral illness include generalized weakness, headaches, fever, body aches, and a decreased appetite. These symptoms can vary depending on the specific virus.


How can anxiety manifest physically in terms of symptoms like headaches and nausea?

Anxiety can cause a range of physical symptoms, including headaches, nausea, dizziness, and a feeling of weakness or lightheadedness. These symptoms occur due to the body's stress response.


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