[60F] Experiencing muscle spasms, diarrhea, and dizziness

What might be happening

Based on the symptoms and history you provided, here are some possible explanations:

1. Electrolyte Imbalance:

   • Rationale: Muscle spasms, cramping, and weakness can often be caused by imbalances in electrolytes such as potassium, calcium, or magnesium. Given your history of celiac disease, malabsorption issues could contribute to such imbalances.
   • Typical Treatments/Testing: Blood tests to check electrolyte levels, and possibly adjusting your diet or supplements to correct any deficiencies.

2. Dehydration:

   • Rationale: Diarrhea and nausea can lead to dehydration, which in turn can cause dizziness and muscle cramps.
   • Typical Treatments/Testing: Rehydration with fluids and electrolytes, and possibly intravenous fluids if dehydration is severe.

3. Medication Side Effects:

   • Rationale: Some of the medications you are taking, such as HCTZ (a diuretic) and lisinopril, can affect electrolyte levels and hydration status, potentially leading to muscle spasms and dizziness.
   • Typical Treatments/Testing: Reviewing your medications with your healthcare provider to see if any adjustments are needed.

What you can do

Muscle Spasms and Cramping:

• Immediate Steps:
  • Ensure you are staying well-hydrated by drinking plenty of fluids.
  • Consider taking an over-the-counter electrolyte solution.
  • Gentle stretching exercises can help alleviate muscle cramps.
• Long-term Steps:
  • Discuss with your doctor about checking your electrolyte levels.
  • Ensure you are getting enough magnesium and potassium in your diet.

Diarrhea:

• Immediate Steps:
  • Stay hydrated by drinking water, oral rehydration solutions, or clear broths.
  • Avoid dairy, caffeine, and fatty foods which can worsen diarrhea.
• Long-term Steps:
  • Monitor your symptoms and keep a food diary to identify any potential triggers.
  • Consult your doctor if diarrhea persists for more than a couple of days.

Dizziness:

• Immediate Steps:
  • Sit or lie down immediately to prevent falls.
  • Drink fluids to stay hydrated.
• Long-term Steps:
  • Monitor your blood pressure, especially if you are on medications like HCTZ and lisinopril.
  • Discuss with your doctor if you need any adjustments to your medications.

What you should look out for

Given the severity of your symptoms, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Severe or persistent abdominal pain.
• Signs of severe dehydration such as dry mouth, decreased urine output, or dark urine.
• Fainting or severe dizziness.
• Persistent or worsening muscle weakness.

Remember, while I can provide some guidance, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.