How Are Fatigue, Disorientation, Headache, Nasal Congestion, Joints Pain And Dry Lips Diagnosed?

Posted on Fri, 8 Jan 2021

Question: Hello Doctor!
My Symptoms Start 7 weeks ago.
Fatigue (Tired & Sleep) (confused & Disoriented)
Headache (Most is in Fronthead and between eyes)
General Discomfort
Red Throat with mucus and Irritation
Nasal Congestion & Runny Nose
Red Swollen Nasal Passages
Head Congestion
Join & Muscle Pain
Dry Lips
Ear Pain
CHILLS (No Fever)
Since then I have lost around 7lbs weight
I went to my doctor Thursday last week. He injected me a B12 and did some labwork (urine, and blood, including for STDS and HIV)
I wont get my results back till another 2 weeks. He also prescribed me antibiotic Sulfamethoxazole-trimethoprim
and zyrtec and Omega3 and Vitamin D
also restora Rx
Based on all my symptoms, Analysis and Prescriptions What would think its going on with me at the moment
Thank you

Answered by Dr. Dr. Muhammad Sareer Khalil (1 hour later)

Brief Answer:
Upper respiratory tract infection

Detailed Answer:
Hello and Welcome

I appreciate your concern

.There are a number of symptoms but the infectious foci in the throat are likely to be the cause. The congestion symptoms indicate rhinosinusitis. I do not agree with the choice of the empirical antibiotics. A quinolone such as levofloxacin 500 mg once a day would have been a better option covering for both pharyngitis and sinusitis.

The weight loss is significant and should be kept an eye upon. Chest x ray, complete blood count , ESR/CRP and a basic metabolic panel should also be advised as part of the workup in consultation with your doctor.

STD and other counts when available can be shared here to comment further.

Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

Dr. M.S. Khalil

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

Follow up: Dr. Dr. Muhammad Sareer Khalil (2 hours later)

Thank you Doctor for your Response! Where I'm worry the most is if HIV could be giving me all of this symptoms.. I always have use condoms on my sex relationships but I'm a little nervous about it... thanks again

Answered by Dr. Dr. Muhammad Sareer Khalil (4 minutes later)

Brief Answer:
Most welcome

Detailed Answer:
You are most welcome

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. Muhammad Sareer Khalil (11 minutes later)

Hello Dr. I'm not sure if you were able to read the rest of my reply...??

Answered by Dr. Dr. Muhammad Sareer Khalil (18 minutes later)

Brief Answer:
Explained

Detailed Answer:
Hello again

HIV can present initially with a flu like illness but that is not a specific criteria. One must get tested to be more sure and rule it out.

In case of protected /safe sex the probability of transmission would be low.

Let me know if you have any query

Thanks

Above answer was peer-reviewed by : Dr. Vaishalee Punj