[30F] Experiencing dizziness and nausea after medication lapse
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, there are a few potential explanations:
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Vestibular Neuritis or Labyrinthitis: These conditions involve inflammation of the inner ear, which can cause sudden dizziness (vertigo), nausea, and imbalance. They are often viral in origin and can occur without prior ear infections.
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Medication Withdrawal: Since you've stopped taking levothyroxine and Lexapro, it's possible that withdrawal or the absence of these medications is contributing to your symptoms. Lexapro, in particular, can cause withdrawal symptoms like dizziness, nausea, and headaches if stopped abruptly.
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Migraine-Associated Vertigo: This condition can cause dizziness, headaches, and nausea, even without a typical migraine headache. The jaw pain could be related to muscle tension associated with migraines.
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Thyroid Dysfunction: Running out of levothyroxine could lead to symptoms of hypothyroidism, such as fatigue, weakness, and dizziness, although these typically develop more gradually.
What you can do
Dizziness and Nausea:
- Try to minimize sudden movements and rest in a comfortable position.
- Stay hydrated by drinking clear fluids like water or ginger tea, which can also help with nausea.
- Over-the-counter medications like meclizine (for dizziness) or anti-nausea medications may provide some relief, but consult a healthcare provider before use.
Medication Management:
- Contact your healthcare provider or pharmacy to refill your prescriptions for levothyroxine and Lexapro as soon as possible. Restarting these medications under medical guidance may help alleviate some of your symptoms.
General Well-being:
- Keep a journal of your symptoms using MDandMe to track any changes or patterns. This can be helpful for your healthcare provider to understand your condition better.
- Ensure you are eating regular, balanced meals to maintain energy levels.
What you should look out for
Seek medical attention if you experience any of the following:
- Severe or worsening symptoms, such as increased dizziness, vomiting, or headaches.
- New symptoms like chest pain, shortness of breath, or fainting.
- Any signs of dehydration, such as reduced urination, dry mouth, or extreme thirst.
Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment.
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1 mo ago