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Suggest Treatment For Extreme Fatigue And Headaches
Question: For the past couple of months I have been experiencing extreme fatigue and my whole body hurts all the time. I get headaches daily and am dizzy when I stand up. I also throw up at least once a week and have lost about six pounds.. My eating habits and sleep habits haven't changed but I continue to lose weight. I'm 20 years old, female. Should I be worried?
Brief Answer:
Few more informations needed.
Detailed Answer:
Hi ! Good evening. I am Dr Shareef answering your query.
To be able to answer you more in detail, I would like to have the following information from you:
1) Your food habits : Do you eat frequently from outside like fast, fried food ?
2) Do you get fever any time of the day ?
3) Has your appetite changed or reduced recently?
4) Any episodes of loose motions?
5) Any change in preference for temperature (cold or hot)?
6) Any significant family history !!
7) Have you gotten any tests done? If so please upload the reports.
These information would help in understanding your problem better to arrive at the nearest possible conclusion.
Thanks for choosing health care magic to clear doubts on your health problems. Dr Shareef.
Few more informations needed.
Detailed Answer:
Hi ! Good evening. I am Dr Shareef answering your query.
To be able to answer you more in detail, I would like to have the following information from you:
1) Your food habits : Do you eat frequently from outside like fast, fried food ?
2) Do you get fever any time of the day ?
3) Has your appetite changed or reduced recently?
4) Any episodes of loose motions?
5) Any change in preference for temperature (cold or hot)?
6) Any significant family history !!
7) Have you gotten any tests done? If so please upload the reports.
These information would help in understanding your problem better to arrive at the nearest possible conclusion.
Thanks for choosing health care magic to clear doubts on your health problems. Dr Shareef.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
My food habits aren't the best I'm often out and busy. I try to eat healthy but I do occasionally have fast food about once every other week or so. I do get warm and get what seems to be a fever but I haven't hot a thermometer so I'm not positive. My appetite has decreased lately and I have trouble eating without feeling nauseous after. And as far as I know I haven't got any family history of medical issues.
Brief Answer:
A physical examination along with investigations required.
Detailed Answer:
Hi XXXX! Good to listen from you.
Hi ! Thanks for giving some valuable information which was needed to come to a nearest diagnosis of your condition. As per your food habits are concerned, I feel that you may be sensitive/allergic to gluten, which is found in many fast foods containing wheat, pasta, etc. This is not easy to diagnose, and the best way is to exclude all kinds of fast food you consume in outside eating joints.
It is best to have home cooked food or carry the same with you if you are that busy. Gluten sensitivity can give rise to all the symptoms you have described including the fatigue and dizziness due to a possible low hemoglobin.
I suggest you to consult a gastro-enterologist along with a dietician on this aspect of the diagnosis.The gastro-enterologist will be able to diagnose with few biochemical tests along with a possible endoscopic biopsy of the intestinal mucosal wall, while the dietician can guide you on your food that you can consume pleasantly.
Also your food habit from outside needs your physician to exclude co-existing amoebiasis which is very common. I am hopeful that this will resolve your problem and you will start feeling the same way as before.
Another aspect of decreased appetite and feeling of warmth (which actually might be a low grade fever) along with continuous loss of weight (which could also occur in gluten sensitivity as described above) might lead to a suspicion of a chronic illness like tuberculosis which is more common in this part of sub continent. However, in the place you live, your doctor could tell you the possible chances of this disease over there.
If I were your doctor, I would advise you for some routine tests like a CBC,ESR, Blood sugar, blood urea, serum creatinine, LFT, a thyroid function test,and some biochemical tests for suspicion of gluten sensitivity, along with a stool test for ova and cyst, and a urine routine/microscopic test.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
I wish you an early recovery. Dr Shareef.
A physical examination along with investigations required.
Detailed Answer:
Hi XXXX! Good to listen from you.
Hi ! Thanks for giving some valuable information which was needed to come to a nearest diagnosis of your condition. As per your food habits are concerned, I feel that you may be sensitive/allergic to gluten, which is found in many fast foods containing wheat, pasta, etc. This is not easy to diagnose, and the best way is to exclude all kinds of fast food you consume in outside eating joints.
It is best to have home cooked food or carry the same with you if you are that busy. Gluten sensitivity can give rise to all the symptoms you have described including the fatigue and dizziness due to a possible low hemoglobin.
I suggest you to consult a gastro-enterologist along with a dietician on this aspect of the diagnosis.The gastro-enterologist will be able to diagnose with few biochemical tests along with a possible endoscopic biopsy of the intestinal mucosal wall, while the dietician can guide you on your food that you can consume pleasantly.
Also your food habit from outside needs your physician to exclude co-existing amoebiasis which is very common. I am hopeful that this will resolve your problem and you will start feeling the same way as before.
Another aspect of decreased appetite and feeling of warmth (which actually might be a low grade fever) along with continuous loss of weight (which could also occur in gluten sensitivity as described above) might lead to a suspicion of a chronic illness like tuberculosis which is more common in this part of sub continent. However, in the place you live, your doctor could tell you the possible chances of this disease over there.
If I were your doctor, I would advise you for some routine tests like a CBC,ESR, Blood sugar, blood urea, serum creatinine, LFT, a thyroid function test,and some biochemical tests for suspicion of gluten sensitivity, along with a stool test for ova and cyst, and a urine routine/microscopic test.
I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.
I wish you an early recovery. Dr Shareef.
Above answer was peer-reviewed by :
Dr. Vinay Bhardwaj
Answered by
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