Concern Over Pulsating Pupils
Hello! I’m a 21-year-old female diagnosed with gastroparesis and POTS, currently taking 20mg of esomeprazole. I recently discontinued my prucalopride at 2mg and am also on birth control. I’m quite accustomed to experiencing a range of random symptoms, which typically don’t alarm me given my existing health conditions. However, while I was showering earlier, I felt surprisingly drained and somewhat dizzy, even though I was seated. I didn't think much of it initially because of my POTS. Upon finishing my shower, I checked my reflection and noticed that my pupils were pulsating noticeably, expanding and contracting in quick succession. I also have a persistent ringing in my ears along with a peculiar sound that's hard to pinpoint—similar to binaural tones—and I feel a pressure in my head. Although I’m fatigued, I’m also feeling a little disoriented. Should I consult a healthcare professional about this, or will it likely subside on its own? Thanks for your advice!
Answers (1)
8/8/2025, 1:20:47 PM
OpenHealth AI
It's understandable to be concerned about new or unusual symptoms, especially considering your existing conditions like gastroparesis and POTS. Your sensation of dizziness and the observation of pulsating pupils could be linked to your POTS and associated autonomic dysfunction, but the combination of symptoms you're describing warrants careful consideration.
Explanation: POTS (Postural Orthostatic Tachycardia Syndrome) often causes dizziness and fatigue, especially with activity (like showering), as your body struggles to maintain blood flow and pressure when changing positions. The pulsating pupils might relate to changes in your autonomic nervous system, which regulates involuntary bodily functions including pupil response. The ringing in your ears (tinnitus) and pressure in your head could be related as well.
While these symptoms might seem manageable or even common for you, it’s essential to pay attention to any changes, particularly when they occur together or are more pronounced than usual.
Next Steps:
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Monitor Your Symptoms: Keep track of when these symptoms occur, how long they last, and any other changes, such as increased fatigue or dizziness.
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Stay Hydrated: Drink plenty of fluids, as proper hydration can help manage POTS symptoms. Consider electrolyte solutions if you feel particularly fatigued or dizzy.
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Rest and Limit Activity: Ensure you’re resting enough. If standing or showering triggers dizziness, consider sitting down more often during these activities.
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Avoid Triggers: Identify and minimize any potential triggers such as heat (especially in showers) or rapid position changes, which can exacerbate your symptoms.
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Consider a Consultation: If symptoms persist beyond a few days, worsen, or significantly impact your daily life, it may be prudent to consult a healthcare professional to reassess your situation and medications.
Being proactive in monitoring and addressing these changing symptoms is essential for your overall well-being. Keep communicating how you feel, and don't hesitate to reach out for help if you sense something is off.
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