[49F] Experiencing severe nausea, vomiting, and mental health concerns

What might be happening

Based on the information you've provided, several potential conditions could explain your symptoms:

• Medication Withdrawal: Stopping antidepressants like Lexapro and Wellbutrin abruptly can lead to withdrawal symptoms, including nausea, vomiting, dizziness, irritability, and mood changes. This is sometimes referred to as "discontinuation syndrome."

  • Treatment typically involves gradually tapering off the medication under medical supervision rather than stopping abruptly. Restarting your medication under the guidance of a healthcare provider may also help alleviate symptoms.

• Gastrointestinal Issues: Persistent nausea and vomiting bile could indicate a gastrointestinal problem such as gastritis, gastroesophageal reflux disease (GERD), or a peptic ulcer.

  • Treatment may involve dietary changes, medications to reduce stomach acid, and avoiding triggers like spicy foods, alcohol, and caffeine.

• Mental Health Crisis: Your ongoing thoughts of suicide are a serious concern and indicate a mental health crisis.

  • Immediate treatment involves seeking help from a mental health professional, calling a crisis hotline, or going to the nearest emergency room.

What you can do

1. Seek Immediate Help for Suicidal Thoughts: If you are having thoughts of suicide, please seek immediate help. You can call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255) or go to the nearest emergency room.
2. Consult a Healthcare Provider: Given your symptoms and the fact that you stopped taking your medications, it's crucial to consult a healthcare provider as soon as possible. They can help you manage withdrawal symptoms and address your gastrointestinal issues.
3. Stay Hydrated: Vomiting can lead to dehydration. Try to sip on clear fluids like water, broth, or an electrolyte solution to stay hydrated.
4. Gradually Reintroduce Medications: If your healthcare provider advises, you may need to gradually reintroduce your antidepressant medications to alleviate withdrawal symptoms.

What you should look out for

• Worsening Symptoms: If your nausea, vomiting, or dizziness worsens, seek medical attention immediately.
• Signs of Dehydration: Look out for signs of dehydration, such as dark urine, dry mouth, and dizziness. Seek medical help if these occur.
• Severe Abdominal Pain or Blood in Vomit: If you experience severe abdominal pain or notice blood in your vomit, seek emergency medical care.
• Mental Health Crisis: If your thoughts of suicide intensify or you feel unable to keep yourself safe, seek immediate help by calling a crisis hotline or going to the nearest emergency room.

Please remember that this information is not a substitute for professional medical advice. You should consult a healthcare provider for a formal diagnosis and appropriate treatment.