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Alterted gender. chattering teeth with mild temperature - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
User :   i have been on wellbutrin xl 300mg/day for over a year and was just put on citalopram 20mg/day two days ago. (the only other things i take on a regular basis is ferrous sulfate, colace (for the iron) and OTC Claritin. I am also a female to male transgender person and for the last six months had 200ml intramuscular injections of testosterone cypionate every other week (next shot is tomorrow).) right now, i feel very dizzy and can feel my heart beating. this has been going on since about 12:30am. my temperature is between 95.5 and 96.5. My teeth have been chattering pretty much non stop since i began the addition of celexa yesterday (had nausea yesterday so last night i only took 10mg). I have eaten today and am drinking water. I know this is probably not good -- what should i do?

Gender: female to male transsexual
Age: 25
Doctor :   hi
User :   hi
Doctor :  
please give me sometime to read through what you have typed
User :   sure
Doctor :  
what other symptoms are you having?
User :   like what?
User :   i feel adrenaline but not sure if it's just anxiety
Doctor :  
like fever, dificulty in breating, heartburn, nausea?
User :   no fever, no nausea
Doctor :  
Doctor :  
User :   breathing is kinda shallow but i can do deep breaths
Doctor :  
User :   temperature is betrween 95 and 96 degrees
Doctor :  
when is your next appointment with your doctor?
User :   i have psych appt on wednesday
Doctor :  
Doctor :  
have you had similar symptoms in the past?
User :   not really...been complaining of lightheadedness to GP for a while and it had subsided but is back -- lately in the past couple of days i've felt like this but not this bad? happens maybe once a day since thurs at least.
User :   sometimes my chest feels a little tight too
User :   random pains
Doctor :   ok

Doctor :  
do these pains radiate towards jaw or shoulder?
Doctor :  
which side of chest does it pain?
User :   left
User :   it's just a dull paiin in that spot
User :   not sharp
Doctor :  
User :   i didn't know if it was a reaction to the meds also. if my teeth aren't chattering, my jaw is clenched unless i'm talking
Doctor :  
Doctor :  
you can discuss the possible side effects of the medications prescribed to you
Doctor :   and ask for alternate ones.
Doctor :   but a repeat examination is needed in your case
User :   ok so i shouldn't go to the hospital or anything? this isn't an emergency?
Doctor :  
to determine if the symptoms are indeed due to the medication use
User :   ok so this isn't an emergency then?
Doctor :  
if the symptoms do not come down in another 1/2 hour, you should consider going to ER
Doctor :  
especially for the chest pain
Doctor :  
and jaw clenching
User :   great. okay
Doctor :   Is there any thing else I can help you with?
User :   do you think i should take the meds again tonight or not?
Doctor :   no, go to ER, see what is the cause for the symptoms and if found fine, then take the medications
Doctor :  
call up your doctor and inform him about your symptoms
Doctor :   and if he says fine to take them, after your ER visit, you can take them
User :   ok so i should go to er?
Doctor :  
yes, it will be better to rule out any load on heart (cause for chest pain) and the jaw clenching..
Doctor :   since you are put on the hormones, we cannot predict how your body wil react
Doctor :  
sometimes abnormalities can result due to them
User :   true.
Doctor :  
so you will need detailed investigations
Doctor :  
to help you better if the symptoms are new after the gender change and starting of hormones
User :   they were there before -- the general dizziness
User :   anyway, okay. thank you.
Doctor :  
Doctor :  
Is there any thing else I can help you with?
User :   want to wake up my parents and tell them i should to go er? lol just kidding on that one
Doctor :   Please fill the feedback form say done when done.
User :   done
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   ok
Doctor :   Please chat with our doctors 24/7 for medical queries.
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