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I have vertigo, abdominal pain, headache, and feel nauseous. What can be the cause?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have had constant lightheadedness for the past 20 hours. Today, I started to have a feeling of nausea during day time. I also have abdominal pain, headache, and neck stiffness for a week. It comes and goes for a week. I have pain and soreness in my neck and shoulders.

I am taking Dextroamphetamine 20 mg for ADHD. I have fibromyalgia, chronic fatigue syndrome, and IBS. I am trying to drink water and eat food. But nausea and abdominal pain make it difficult for me to do it. I do not have a fever, but I have chills with sweating.

Please advise.

Thank you.

Hi,

Welcome to icliniq.com.

I understand your concern.

Your temporal profile suggests that you have mild ongoing inflammation. These symptoms can occur due to sub-clinical inflammation, a stomach bug, or drug intolerance. In addition, a phenomenon of fibromyalgia (FM) or chronic fatigue syndrome (CFS) can be superimposed with a generalized anxiety disorder (GAD).

I suggest you undergo tests like CBC (complete blood count), ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), vitamin D, TSH (thyroid-stimulating hormone), and creatinine.

Your condition can be treated with an SSRI (selective serotonin reuptake inhibitor) or Duloxetine. Additionally, avoid taking anti-inflammatory foods.

I hope this helps you.

Thank you.

Medically reviewed byDr. Sneha Kannan

Published At May 5, 2020
Reviewed AtMay 6, 2026

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