Should I Stop My Medication? Symptoms and Next Steps

Should I stop the medication first, and which specialty should I consult?

Last week on the 25th, I underwent an upper gastrointestinal endoscopy due to symptoms of bloating, chest tightness, and loss of appetite.
The results showed esophageal ulcers, excessive gastric acid, gastritis, and slight relaxation of the pylorus.
The doctor mentioned that the condition is not severe and prescribed medication for a week to monitor the situation.
My original symptoms have improved, but over the past two days, I have started to experience loss of appetite again, along with a feeling of heaviness and bloating in the back of my neck.
I also feel slightly nauseous, dizzy, and extremely fatigued throughout the morning and afternoon, wanting to sleep.
At night, I often wake up suddenly with slight muscle twitching in my limbs (usually only once a night for no more than a second), and it takes a while for me to fall back asleep.
These symptoms have only appeared in the last two days.
Could this possibly be related to a cold? Should I stop taking the medication to see if my condition improves, or what should I do?

Da En, 10~19 year old female. Ask Date: 2020/03/01

Dr. Ye Qianyu reply Family Medicine

Hello! Based on your description, since your condition has just improved after treatment by a physician but new symptoms have emerged, it is advisable for you to return to the original medical facility for follow-up treatment.

Reply Date: 2020/03/01

More Info

When considering whether to stop your medication, it's essential to approach the situation with caution and a clear understanding of your symptoms and the potential effects of discontinuing treatment. Based on your description, you have been experiencing gastrointestinal issues, including bloating, chest tightness, loss of appetite, and have recently been diagnosed with esophagitis, excessive stomach acid, and gastritis. Your doctor has prescribed medication for a week to manage these conditions, and while you initially saw some improvement, you are now experiencing new symptoms that are causing concern.

Firstly, it’s important to recognize that medications can indeed have side effects that may mimic or exacerbate existing symptoms. The symptoms you describe—loss of appetite, a feeling of heaviness in the neck and back of the head, nausea, dizziness, fatigue, and sleep disturbances—could potentially be related to the medication you are taking. However, they could also be a continuation of your gastrointestinal issues or even unrelated factors, such as stress or anxiety.

Before making any decisions about stopping your medication, consider the following steps:
1. Consult Your Doctor: The first and most crucial step is to reach out to your healthcare provider. Discuss the new symptoms you are experiencing and express your concerns about the medication. Your doctor can help determine whether these symptoms are likely side effects of the medication or if they are related to your underlying gastrointestinal issues.

2. Evaluate the Timing: Since your symptoms have worsened after starting the medication, it’s essential to evaluate the timing. If the symptoms began shortly after starting the medication, it may be worth discussing the possibility of adjusting the dosage or switching to a different medication.

3. Do Not Stop Abruptly: If you and your doctor decide that stopping the medication is the best course of action, it’s crucial to do so gradually, if recommended. Abruptly stopping certain medications can lead to withdrawal symptoms or a rebound effect, where symptoms may worsen.

4. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their severity, and any potential triggers. This information can be invaluable for your doctor in determining the best course of action.

5. Consider Lifestyle Factors: Sometimes, lifestyle changes can significantly impact symptoms. Ensure you are managing stress, eating a balanced diet, staying hydrated, and getting enough sleep. These factors can influence both gastrointestinal health and overall well-being.

6. Explore Alternative Treatments: If your doctor agrees that the current medication is not suitable, they may suggest alternative treatments or therapies that could help manage your symptoms without the side effects you are experiencing.

7. Follow-Up Appointments: Schedule regular follow-up appointments with your healthcare provider to monitor your condition and adjust treatment as necessary. This ongoing communication is vital for managing your health effectively.

In summary, while it may be tempting to stop your medication due to the new symptoms you are experiencing, it is crucial to consult with your healthcare provider first. They can help you determine the best course of action, whether that involves adjusting your medication, exploring alternative treatments, or implementing lifestyle changes to improve your overall health. Remember, managing your health is a collaborative process, and open communication with your doctor is key to finding the right balance for your needs.

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