[33F] Experiencing a range of symptoms including nausea, headaches, and muscle aches

Patient Description

A 33-year-old female presents with a variety of symptoms that have been occurring over the past week. The patient reports nausea rated 4/10 in severity, persisting for 2-3 days, which feels worse after meals but is somewhat alleviated by ginger. She also experiences headaches that fluctuate in location and are rated 7/10 in severity, along with intermittent blurry vision that started today. Muscle aches described as dull and sore, rated 5/10, have been present in the shoulders and back for 2 days, potentially related to increased workout intensity. The patient also reports fatigue, cold extremities, and bloating. She has a history of PMDD and is currently taking Vyvanse. No fever, neck stiffness, speech changes, unilateral weakness, confusion, or severe headache with fever, stiff neck, or rash is reported.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Viral Infection: Common viral infections can cause a variety of symptoms including fatigue, muscle aches, and headaches. The cold feeling in your extremities could be due to the body's response to the infection.

    • Treatment usually involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Side Effects of Vyvanse: Vyvanse is a medication used to treat attention deficit hyperactivity disorder (ADHD). Some of its common side effects include nausea, headache, and blurred vision.

    • If you suspect your symptoms are due to Vyvanse, it's important to discuss this with your doctor. Do not stop taking the medication without consulting your doctor.
  • Premenstrual Dysphoric Disorder (PMDD): As someone diagnosed with PMDD, you may experience a variety of physical and emotional symptoms in the week or two before your period starts. These can include fatigue, bloating, and headaches.

    • Treatment options for PMDD include lifestyle changes, cognitive-behavioral therapy, and medication.
  • Overexertion from Exercise: The muscle aches and fatigue could be due to overexertion from your increased workout intensity.

    • Rest and recovery, along with gentle stretching, can help alleviate these symptoms.

What you can do

  1. Rest and hydrate: If you have a viral infection, rest and hydration are key. Over-the-counter remedies can also help manage symptoms.
  2. Consult your doctor: If you suspect your symptoms are due to Vyvanse or PMDD, it's important to discuss this with your doctor. They can adjust your medication or suggest other treatment options.
  3. Gentle exercise: If your muscle aches are due to overexertion, try some gentle stretching exercises and ensure you're getting enough rest and recovery.

What you should look out for

  • If your symptoms persist or worsen, seek medical attention.
  • If you develop new symptoms such as a high fever, severe abdominal pain, or a severe headache, seek immediate medical attention.

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 professional.

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11 mo ago

People Also Ask


Can Vyvanse cause nausea and headaches?

Yes, Vyvanse can cause side effects such as nausea and headaches. If you suspect these symptoms are due to Vyvanse, consult your doctor for advice.


What are common symptoms of a viral infection?

Common symptoms of a viral infection include fatigue, muscle aches, headaches, and sometimes cold extremities. Rest and hydration are important for recovery.


How can PMDD affect physical health?

PMDD can cause a variety of physical symptoms such as fatigue, bloating, and headaches, typically occurring in the week or two before menstruation.


What should I do if I experience muscle aches after exercising?

If you experience muscle aches after exercising, it may be due to overexertion. Rest, gentle stretching, and ensuring adequate recovery time can help alleviate these symptoms.


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