[20F] Experiencing lightheadedness and upset stomach

What might be happening

Based on the information you've provided, here are a few possibilities:

• Hypoglycemia: This is a condition characterized by low blood sugar levels. Symptoms can include lightheadedness, palpitations, and feeling better after eating. However, it's typically associated with diabetes, and you haven't mentioned having this condition.

  • Treatment usually involves consuming 15-20 grams of glucose or simple carbohydrates, rechecking your blood glucose after 15 minutes, and repeating until your blood glucose is at a safe level.

• Orthostatic Hypotension: This is a form of low blood pressure that happens when you stand up from sitting or lying down. It could explain why you feel lightheaded when standing for long periods and why you feel better when sitting or lying down.

  • Treatment can involve lifestyle changes, such as drinking plenty of fluids and avoiding alcohol, and in some cases, medication.

• Anxiety or Panic Disorder: These conditions can cause a variety of physical symptoms, including lightheadedness, palpitations, shortness of breath, and gastrointestinal issues. Given your history of depression, it's possible that you could also be dealing with an anxiety disorder.

  • Treatment can involve a combination of psychotherapy, medication, and self-care strategies.

• Withdrawal from Pristiq: Stopping an antidepressant abruptly can cause withdrawal symptoms, which can include lightheadedness, nausea, and changes in heart rate. This could be a possibility given that you recently stopped taking Pristiq.

  • Treatment usually involves gradually reducing the dose of the medication under the supervision of a healthcare provider.

The change in stool color to light brown is typically not a cause for concern as stool color can vary depending on the foods you eat and the amount of bile — a yellow-green fluid that helps digest fats — in your stool. However, if you notice that your stool is consistently light brown, it could be a sign of a more serious condition, such as a liver or gallbladder problem, and you should consult a healthcare provider.

What you can do

1. Try to identify any triggers for your lightheadedness and avoid them if possible.
2. Stay hydrated and maintain a balanced diet.
3. Practice good posture and try to move slowly when changing positions.
4. Consider seeking help from a mental health professional if you think your symptoms could be related to anxiety.
5. Consult a healthcare provider about your symptoms, especially if they persist or worsen.

What you should look out for

Seek immediate medical attention if you experience:

• Severe lightheadedness or fainting
• Chest pain or pressure
• Trouble breathing
• Confusion or changes in mental function
• Blood in your stool

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare provider.