Brief Answer:
Need evaluation...

Detailed Answer:
Hi,

The wide range of symptoms that occur post evening can be related to metabolic condition or psychological factors. If you were my patient, I would order a set of investigations first to isolate the causes. My initial set of tests would include
- complete blood count,
- Blood sugar
- Thyroid function test
You can plan these 3 test using your local physicians help.

Besides the organic cause, psychological factor will also play significant role in controlling your symptoms. A few questions that you need to ask yourself are:
- Have you been sleeping well?
- Are you working without proper breaks recently?
- Have you been missing meals / eating very irregularly?
- Have you stopped drinking enough water?
- Are you under stress from work or family?
- Are you feeling sick and feverish these days?

Answers to your problem may lie in your answers to the above list of questions. You can also consider using vitamin supplements and see if things feel better. I recommend zincovit one tablet a day for 2-3 weeks to my patients with similar problems.

Hope this helps. Write back for clarifications.

Regards

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Brief Answer:
Part of your previous symptoms...

Detailed Answer:
Hi,

Giddiness on and off may be part of the same syndrome/condition. I would consider the same steps of management here. If giddiness is affecting your daily life, you can consider visiting an ENT surgeon for evaluation.

Hope this helps.

Regards

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