[34M] Experiencing nausea, tremors, and headache

Patient Description

A 34-year-old male presents with a variety of symptoms including nausea, a fine tremor, feelings of hot and cold, lethargy, and a throbbing headache in the temples. The nausea is persistent throughout the day, irrespective of food intake, but worsens after eating pizza. The tremor and headache started today, with the tremor lasting for about 20 minutes and the headache described as low-grade and throbbing. The patient also reports a pins and needles sensation across the skin. There is no high fever, rash, visual disturbances, or sensitivity to light and sound associated with the headache. The patient has a history of narcolepsy and cataplexy and is currently on medications including Xywave, Modafinil, and Bupropion. No recent injuries, accidents, or use of recreational drugs were reported. There is a family history of migraines or neurological conditions.

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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: You're currently taking several medications (Xywave, Modafinil, Bupropion, and Sunosi) that can potentially cause side effects such as nausea, tremors, and feeling hot and cold. Bupropion, for example, is known to cause nausea and tremors in some people.

    • If your symptoms are due to medication side effects, your doctor may adjust your dosage or switch you to a different medication.
  • Migraine: Migraines can cause symptoms such as nausea, sensitivity to light and sound, and a throbbing headache. Some people also experience a pins and needles sensation before or during a migraine attack.

    • Treatment for migraines typically involves taking medication to stop the symptoms and prevent future attacks. Lifestyle changes, such as avoiding triggers and managing stress, can also help.
  • Anxiety: Anxiety can cause a variety of physical symptoms, including nausea, shaking, feeling hot and cold, and feeling lethargic or "out of it". The pins and needles sensation you're experiencing could be due to hyperventilation, which is common during periods of anxiety.

    • Treatment for anxiety typically involves a combination of medication and therapy. Relaxation techniques, such as deep breathing and progressive muscle relaxation, can also help manage symptoms.

Please note that these are just possibilities based on the information you've provided. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your doctor.

  2. Stay hydrated and eat a balanced diet: This can help manage your nausea and ensure your body is getting the nutrients it needs.

  3. Practice relaxation techniques: If your symptoms are due to anxiety, techniques such as deep breathing and progressive muscle relaxation can help.

  4. Consult with your doctor: It's important to discuss your symptoms with your doctor, especially since they could be side effects of your medication. Your doctor can provide an accurate diagnosis and appropriate treatment.

What you should look out for

Seek immediate medical attention if:

  • Your symptoms become severe or you're unable to manage them at home.
  • You experience new or worsening symptoms.
  • You have difficulty breathing or experience chest pain.
  • You have a high fever or stiff neck.

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for an accurate diagnosis and treatment.

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1 yr ago

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People Also Ask


Can medications like Xywave, Modafinil, and Bupropion cause symptoms such as nausea and tremors?

Yes, medications like Xywave, Modafinil, and Bupropion can cause side effects such as nausea and tremors. It's important to discuss any side effects with your doctor, who may adjust your dosage or switch you to a different medication.


What are common symptoms of migraines and how can they be managed?

Common symptoms of migraines include a throbbing headache, nausea, and sensitivity to light and sound. Management typically involves medication to relieve symptoms and prevent future attacks, as well as lifestyle changes to avoid triggers and manage stress.


How can anxiety manifest physically and what are some ways to manage these symptoms?

Anxiety can cause physical symptoms such as nausea, shaking, feeling hot and cold, and lethargy. Managing anxiety often involves a combination of medication, therapy, and relaxation techniques like deep breathing and progressive muscle relaxation.


What should I do if I suspect my symptoms are side effects of my medication?

If you suspect your symptoms are side effects of your medication, consult with your doctor. They can provide an accurate diagnosis and may adjust your medication or suggest alternatives to alleviate the side effects.


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