Medical

Have medical questions? Ask a doctor online!

Ask a Doctor,
Get an Answer ASAP!

I have the following symptoms: severe nausea, upper

Customer Question
Hi I have the...

Hi I have the following symptoms: severe nausea, upper abdominal pain and distention, shaking/trembling, dizziness, headache, and feeling that I will faint whenever I get up or move too much.

Doctor's Assistant: Is the headache episodic or daily? And what about nausea?

Episodic for both, but the nausea is so severe that I feel like vomiting all the time. I have felt this way for the past 2 hours

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

Im currently taking escitalopram and hydroxyzine. i have had problems with my digestive tract my whole life (issues with lactose and gluten intolerance), but this doesn't feel like that it feels different. and now I also have tightness in my chest

Submitted: 2 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 26 minutes by:
4/2/2018
Doctor: Dr. Muneeb Ali, Doctor replied 2 months ago
Dr. Muneeb Ali
Category: Medical
Satisfied Customers: 9,629
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine
Verified
Hi,
Welcome to Ja and thanks for this question. I'm sorry to hear about your symptoms. I just came online to see that you have been waiting for some time so ill quickly answer this question for you. Actually from what you are describing there are a couple of possibilities here. The first one which comes to mind is that you could have developed autonomic neuropathy. This is a condition in which the autonomic nervous system which controls the involuntary functions in the body may be damaged. This can lead to sudden changes in heart rate blood pressure and all the symptoms that you have mentioned. This can be due to many causes including autoimmune conditions, diabetes and numerous other disorders. The diagnosis can be made with a clinical examination and also with the help of various tests including tilt table testing. The treatment is with various drugs including Midodrine.
Another cause for this could be due to a endocrinological disorders. It could be due to a adrenal gland disorder such as Addison disease which causes decreased cortisol production in the body. A serum cortisol level along with other tests would be diagnostic. The treatment would be with supplemental steroids.
Now if the symptoms are short in nature which means that they have just started then I would consider acute abdominal issues as a possibility. If the pain is in the upper part of the abdomen just under the ribcage then I would consider acute pancreatitis as a possibility. This is inflammation of the pancreas. A CT scan would be diagnostic. The treatment is with IV fluids and antibiotics. Similarly an infection if the gallbladder which is known as cholecystitis should also be considered. Again a CT scan or abdominal ultrasound would be diagnostic.
Lastly if you are above the age of 40 then I would also consider cardiac issues as a possibility because heart pain can radiate down into the upper abdomen as well. An EKG would be needed at this time.
So in short if the symptoms have just started and they are worsening then I would strongly recommend that you proceed directly to the er.
Do you have anymore questions?
Please remember to leave a positive rating as that is how we are compensated for helping you today
Ask Your Own Medical Question
Doctor: Dr. Muneeb Ali, Doctor replied 2 months ago

Would you like to know anything else? Any clarifications or additional questions that you might have, i would be happy to answer them for you. If done for now, please remember to leave a positive rating as that is the only way we are compensated for our time spent helping you. You can continue to ask follow-up questions even after the rating.

Ask Your Own Medical Question
Was this answer helpful?

How JustAnswer works

step-image
Describe your issueThe assistant will guide you
step-image
Chat 1:1 with a doctorLicensed Experts are available 24/7
step-image
100% satisfaction guaranteeGet all the answers you need
Ask Dr. Muneeb Ali Your Own Question
Dr. Muneeb Ali
Dr. Muneeb Ali
Dr. Muneeb Ali, Doctor
Category: Medical
Satisfied Customers: 9,629
9,629 Satisfied Customers
Experience: MBBS, MD, MCCM. Currently working in Critical Care Medicine with 10 year experience in Medicine

Dr. Muneeb Ali is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,786 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,934 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

15,787 satisfied customers

20 yrs. in practice, including surgery, general medicine, addiction medicine and pain.

Dr. Arun Phophalia

Dr. Arun Phophalia

Doctor

13,764 satisfied customers

MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

< Previous | Next >

Related Medical Questions
What is the difference between high blood pressure &
What is the difference between high blood pressure & anxiety … read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,934 satisfied customers
I have been on 20mg of escitalopram for two weeks. I want to
I have been on 20mg of escitalopram for two weeks. I want to stop taking them. How should I wean off. … read more
Dr Stan
Dr Stan
DO
3,310 satisfied customers
I am on a number of medications for high blood pressure and
Hi, I am on a number of medications for high blood pressure and recently added Metopolol, which slows down your pulse. Yesterday my GP told me to double my Metoprolol and also to start taking Sentrali… read more
Dr. Greg
Dr. Greg
Residency
450 satisfied customers
Need answer what is best medication for blood pressure in
Need answer what is best medication for blood pressure in case of high creatinine and potasium on border line … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
I have a few about ocd. Atavin sertraline hydroxyzine
I have a few about ocd. JA: Have you seen a doctor about this yet? What medications are you taking? Customer: atavin sertraline hydroxyzine prispidone JA: Anything else in your medical history you thi… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,798 satisfied customers
I have been taking Escitalopram 10 mg for about 4 years and
i have been taking Escitalopram 10 mg for about 4 years and i took myself off of them and i feel horrible can i start taking them again … read more
Edgar Rubio Villegas
Edgar Rubio Villegas
Emergency physician
Surgeon in Traumatology and Orthopedics
758 satisfied customers
Explain the medication 1. escitalopram 2.donepezil
explain the medication 1. escitalopram 2.donepezil hydrochloride … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,213 satisfied customers
Is there a diet or guideline to lower blood pressure? I
Is there a diet or guideline to lower blood pressure ? I don't want to go back on pills ! … read more
Dr. Greg
Dr. Greg
Residency
450 satisfied customers
Will contrave interact with blood pressure meds and
Will contrave interact with blood pressure meds and antiinfkamatories? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
At what blood pressure sure one become considered.
Second opinion] at what blood pressure sure one become considered… read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
572 satisfied customers
Information on Hernia treatment. Blood pressure; blood
information on Hernia treatment JA: Have you seen a doctor about this yet? What medications are you taking? Customer: blood pressure; blood hinner JA: Is this consistent, or is there some fluctuation … read more
Dr. Greg
Dr. Greg
Residency
450 satisfied customers
What is the best blood pressure for an 80 year woman that is
What is the best blood pressure for an 80 year woman that is still very active and walks about two miles - three times a week? … read more
Dr. Nina Lim
Dr. Nina Lim
Doctor of Medicine
572 satisfied customers
Can you take cymbals with hydroxyzine, tell me about
i'm diabetic i take metformin glyizide losartin hydrocholazide insulin asa simvastatin… read more
Dr. Shah
Dr. Shah
MD
4,064 satisfied customers
Having an issue with my blood pressure. Not on any
had a full physical about a year ago all was fine around 140 went to dentist today 171 … read more
Onlinedoc
Onlinedoc
B.A.M.S.(Bachelor of Ayurveda Medicine & Surgery)
3,450 satisfied customers
Will hydroxyzine raise glucose? Thirsty, urinating
Thirsty, urinating excessively, dry skin and mouth … read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,510 satisfied customers
My blood pressure is 80 over 41, My blood pressure is 80
My blood pressure is 80 over 41 JA: What are your symptoms? Have you used any medication for this? Customer: My blood pressure is 80 pic JA: Have you seen a doctor about this? Customer: My lasortin wa… read more
Dr SS
Dr SS
Doctoral Degree
12,327 satisfied customers
Blood pressure Ned's only slightly lower my blood pressure
Blood pressure Ned's only slightly lower my blood pressure to 180/95.. What else can I do? … read more
Dr Chip (M.D.)
Dr Chip (M.D.)
Doctor
M.D.
15,787 satisfied customers
I take blood pressure pills which controls my blood pressure
I take blood pressure pills which controls my blood pressure pretty well.. Today I feel light headed and pulse is up .. My blood pressure is 157.. Is there something I can eat or do that will bring it… read more
Dr.Saleem
Dr.Saleem
Consultant Cardiologist
Doctoral Degree
839 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x