Patient Report: Concerns Regarding Symptoms and Medication Effects
A 36-year-old female, standing at 5 feet 6 inches tall and weighing 145 pounds, is currently prescribed Abilify, Adderall, and Wegovy (with her last dose administered last Saturday). Additionally, she has received three doses of medication for shingles, despite her shingles test returning negative. Recently, she has been experiencing general weakness, nausea, and an upset stomach, along with full-body allodynia that has since localized to her arms and shoulders. She does not smoke. Her main concern is that she has noticed a disparity in the size of her pupils and has been feeling unusual, expressing feelings of brain fog alongside heightened weakness and nausea that have intensified over the last few hours. A complete blood count (CBC) was conducted, the results of which were normal. She is hesitant to reach out to her insurance's nurse hotline, fearing that it may result in a recommendation to visit the emergency room. I would appreciate any guidance you might provide regarding her symptoms. Do you require any additional information to assist further?
Answers (1)
6/20/2025, 5:01:10 AM
OpenHealth AI
It sounds like you have significant concerns regarding symptoms that are affecting your daily life. Your report indicates general weakness, nausea, allodynia localized to your arms and shoulders, and a notable disparity in pupil size. These symptoms can be distressing, especially when combined with the feelings of brain fog and intensified weakness.
Understanding Your Symptoms:
- General Weakness, Nausea, and Upgraded Stomach: These can be side effects of medications like Abilify or Adderall. Mental health medications often influence the body's metabolism or lead to gastrointestinal issues.
- Allodynia: This is a painful sensation when touched or under pressure, which can occur due to several factors, including medication effects or underlying conditions like fibromyalgia.
- Pupil Size Disparity: This can occur due to various reasons, including stress, medication effects, or neurological factors. It’s important to note if this disparity is new or worsening, as this can be significant.
The normal CBC is reassuring but does not rule out all possible issues. Medications and underlying health conditions could be contributing to your symptoms.
Next Steps:
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Monitor Symptoms:
- Keep track of all symptoms, noting when they worsen or improve, along with any potential triggers or changes related to your medications.
- Note any changes in pupil size and overall visual experience, such as sensitivity to light or blurred vision.
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Hydration & Nutrition:
- Stay hydrated, especially if you’re experiencing nausea. Try small, bland meals to see if they help your stomach upset (e.g., crackers, rice, or bananas).
- Avoid caffeine and alcohol, as these can exacerbate nausea and anxiety.
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Review Medications:
- Check with your healthcare provider about the medications you are currently taking. It's crucial to assess whether they might be contributing to your symptoms.
- If you notice persistent or worsening symptoms, consider coordinating with your provider to discuss alternative options or adjustments in your regimen.
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Relaxation Techniques:
- Implement stress-relief techniques such as deep breathing, meditation, or gentle stretching exercises to help manage discomfort and mental fog.
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Documentation for Consultations:
- Prepare a brief log of your symptoms and when they occur for your next healthcare visit. This will aid in making an accurate assessment.
If your symptoms significantly worsen (e.g., severe dizziness, confusion, or changes in consciousness), or if you experience other concerning symptoms like chest pain or difficulty breathing, it would be imperative to seek immediate medical attention, even if it's not through the emergency room at first. Your health and safety are the top priority.
It's understandable to be hesitant about utilizing certain healthcare resources, but communicating your concerns with a healthcare professional can lead to better management of your condition. Remember, you are not alone, and seeking help is a crucial step towards understanding what is going on with your health.
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