[27F] Experiencing dizziness, nausea, headache, and muscle soreness

Patient Description

A 27-year-old female reports feeling lightheaded and nauseous for approximately one hour, with these symptoms occurring consistently every few minutes regardless of her position or movement. She also describes a severe headache and muscle soreness in her neck and upper back, rating the soreness as a 3 out of 10 in severity. Additionally, she mentions a mild, non-debilitating anxiety, characterized by a constant feeling of butterflies in her stomach. The patient has recently started taking Phentermine 37.5 mg once daily for about a month and Bactrim 50 mg twice daily for a urinary tract infection. She has no known drug allergies, no pre-existing conditions, and does not use recreational drugs, alcohol, or tobacco. There is no recent history of injury, overexertion, or changes in other medications that could account for her symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible explanations for your symptoms include:

  • Side effects of medication: Both Phentermine and Bactrim can cause side effects such as dizziness, nausea, and headaches. Phentermine can also cause anxiety and muscle pain.

    • Treatment would involve discussing these side effects with your doctor. They may adjust the dosage or switch you to a different medication.
  • Anxiety or Panic Disorder: Anxiety can cause physical symptoms such as dizziness, nausea, headaches, and muscle tension. It can also make you more aware of your heartbeat.

    • Treatment typically involves cognitive-behavioral therapy and/or medication.
  • Vestibular migraine: This is a type of migraine that can cause dizziness and imbalance without a headache. It can also cause nausea and sensitivity to movement.

    • Treatment typically involves medications to prevent or treat migraines, and lifestyle changes to avoid triggers.
  • Dehydration: Dehydration can cause dizziness, nausea, and muscle cramps. It can also make you more aware of your heartbeat.

    • Treatment involves drinking more fluids, especially water.

What you can do

  1. Contact your doctor to discuss your symptoms and the possibility that they may be side effects of your medication.
  2. Try to stay hydrated by drinking plenty of water.
  3. Try to manage your anxiety by practicing relaxation techniques such as deep breathing, meditation, or yoga.
  4. Avoid triggers that may cause migraines, such as certain foods, alcohol, and stress.

What you should look out for

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

  • Severe headache or headache that is different from your usual headaches
  • Sudden, severe abdominal pain
  • Difficulty breathing or shortness of breath
  • Fainting or loss of consciousness
  • Severe anxiety or panic attacks

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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8 mo ago


People Also Ask


Can Phentermine cause dizziness and nausea?

Yes, Phentermine can cause dizziness and nausea as side effects. It is important to discuss these symptoms with your doctor if they persist.


What are common side effects of Bactrim?

Common side effects of Bactrim include nausea, vomiting, loss of appetite, and dizziness. If you experience severe side effects, you should contact your healthcare provider.


How can anxiety manifest physically?

Anxiety can manifest physically through symptoms such as dizziness, nausea, headaches, muscle tension, and a feeling of butterflies in the stomach.


What are the symptoms of a vestibular migraine?

Symptoms of a vestibular migraine can include dizziness, imbalance, nausea, and sensitivity to movement, often without the presence of a headache.

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