Brief Answer: Pap smear,Lexapro side effect,life style modificat Detailed Answer: Hi, Thanks for using HCM. I went through the query and understood your concern. 1. For irregular periods and spotting (age as a risk factor) you need to get done Pap smear once and pelvic examination. At your age with pre menopausal condition irregular menstrual periods may occur. But just to rule out any pathology kindly get done the investigations explained. 2. ​Night sweats, stomach discomfort or diarrhea may or may not be related to Lexapro. This drug can cause serotonin syndrome alone; particularly with concomitant use of other drugs like triptans, tricyclic antidepressants, fentanyl, tramadol, buspirone, and St. John's Wort. Serotonin syndrome symptoms may include mental status changes, autonomic instability (e.g., tachycardia, labile blood pressure, diaphoresis, flushing, hyperthermia),or gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea). So better is to get examined by your prescribing doctor and can discuss about the symptoms. He may reduce the dose or may give alternate medicines. 3. For now for irregular bowel movements you can try high fibre diet, plenty of fluids, and racecodotril cap. You need to reduce your weight with regular out door exercise and diet. 4. Since cardiovascular disease is running in family monitor your sugar levels, BP, lipid profile and get treated if any abnormality. I hope these information helps you. Feel free to ask if any related query and I will be glad to answer them. Wish you good health. Regasrds

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