instruction: over the past 20 hours ive had constant lightheadedness vertigo and during the day today ive gradually started feeling nauseous no vomiting abdominal pain cramping headache neck stiffness in the past week ive had some abdominal pain on off and acid reflux as well as headaches and general soreness in my neck and shoulders I am only 20mg of dexamfetamine 10mg in the morning and 10mg at midday for add I have fibromyalgia and chronic fatigue syndrome and is but these symptoms do not feel similar to what I usually experience no other medications ive been trying to drink water and eat crackers but the nausea and abdominal pain makes it difficult I havent noticed any fever but I did have chills come and go with some sweating but didn't feel feverish
output: hi thanks for your query the temporal profile suggests mild ongoing inflammation that is causing the problem it could be subclinical inflammation and or infection like a stomach bug also a possibility of drug intolerance to ample along with a drug interaction may be suspected in addition of on phenomenon of am or cos along with gad superimposed may result in this condition in the subsequent sentences and para I would reflect on some measures to mitigate after performing certain investigations flare of inflammation subclinical infection cos flare am flare drug interaction abc ear cop vitamin ash creatinine as above medication effect sari or duloxetine anti inflammatory foods please consult by contacting me through I clinic for rapid assessment and equation to prevent flare or co morbid medical condition emergence