Hello, I am Dr. Romain Rajan, General Physician.
I understand your concern â experiencing dizziness and vertigo after stopping escitalopram, along with long-standing digestive issues and constipation, can be distressing and may be due to a combination of factors including medication withdrawal, gut health, and nutritional deficiencies
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Advices
⢠Stay hydrated and maintain a balanced diet rich in fiber, fruits, vegetables, and fluids to help with constipation and overall gut health
⢠Rise slowly from sitting or lying positions to reduce dizziness and vertigo episodes
⢠Include probiotics and consider gentle digestive
aids like warm water and mild fiber supplements under supervision
What to Monitor
⢠Watch for severe dizziness that leads to falls, fainting, or inability to perform daily activities
⢠Mild warning signs include worsening vertigo, persistent nausea, worsening fatigue after bowel movements, or worsening abdominal pain
Managment
Given your history of stopping escitalopram, ongoing digestive issues, and grade 2 fatty
liver, it is important to review your medications, diet, and liver function. You may need blood tests to check for anemia,
vitamin deficiencies, and liver function, and a consultation to address constipation and vertigo in a structured way
When to Consult a Doctor Immediately
⢠Severe or sudden vertigo, fainting, or inability to stand
⢠Blood in stools, severe abdominal pain, persistent vomiting
⢠Confusion, rapid heartbeat, or new neurological symptoms
Every patientâs situation is unique. For accurate diagnosis and lasting relief, itâs important to discuss your medical history and symptoms in detail
You can reach out to me directly for this case, and also connect with me in future for any medical consultation
I am available on Practo or on WhatsApp at 85271646 seven seven for a one-on-one consultation, where youâll receive
A personalized treatment plan
Safe medicine adjustments if required
Quick follow-ups to track your recovery
Take care, wishing you good health
Best regards
Dr. Romain Rajan
General Physician