What Causes Headache Along With Lower Abdominal Pain While On Lexapro?

Posted on Tue, 10 Oct 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Tue, 10 Oct 2017 Answered on

Fri, 3 Nov 2017 Last reviewed on

Question : started lexapro 20-25 m 4 months ago for anxiety was on paxil for 10 years ,also changed from metoprolo to lisinop/hctz 20-25m.Dr.said these were not working any longer . BP now fine .For the last 4 weeks I have lower abdominal pain constant went to G P. He said it was nerves and prescribed sucralfate 1 gm.and omeprazole for gerd which I do have at night from time to time .the pain is still here so I went to a gastrologist he listen to my stomach an prescibed dexilant 60 mg.and dicyclomine 10mg.and within the 10 minute check out time he set me up for a colon test andd endioscopy .my problem is thats 3 weeks from now.I am in pain frequently .no black stool or no vomitting some nausea no blood coming from anywhere .appitite stinks I am hungry but do not want to eat ,the pain is around my lower belly not my back or side .When ever I see a specialist about anything Im told to run test .I had headaches last year went to a EnT sent to get an mri and a c scan and put on cpap which I was taken of o 2 months later because I only woke up 2-4 times a few nights a week so I am skeptical latley of what Iam being told .I realize they have difficult jobs. I guess am asking does this sound like an ulser?

Answered by Dr. Dr. Yogesh D (4 hours later)

Brief Answer:
Lower tummy pain unlikely to be GERD or Ulcer.

Detailed Answer:
Hello,

Thanks for posting your query here on HealthcareMagic.

The lower tummy pain does not seem to be related to any of the medicines or even of the stomach issues.

The pain from GERD or ulcer will be located around the umbilicus and above it, not the lower abdomen.

It is imperative that you get examined well by a general surgeon.

The likely cause in your case could be an infection in the urinary bladder.

Have you got your prostate examined to see if it is enlarged, prostate enlargement increases the risk of developing urinary tract infections.

Get a urine routine and microscopy done and also get a urine culture and sensitivity test done to fine out if there is infection.

Also get an ultrasound exam to find out if the prostate is enlarged.

If it is not urinary tract infection, then it is most likely colitis, which can be confirmed by endoscopy (colonoscopy) and biopsy.

Colitis needs to be managed differently and your Gastroenterologist will be quite capable of treating the condition.

I hope this answers your queries for now, please write back to me if you have any doubts.

Wishing you good health.

Best regards

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Above answer was peer-reviewed by : Dr. Yogesh D