Brief Answer:
Approach to Multiple problems being faced at a single time

Detailed Answer:
Welcome to Health Care Magic.

Thanks for writing.

I am Dr. Saddiq ul Abidin. I have read your question completely, I understand your concern and will try to help you in best way possible.

First of all, it is sad to hear that, you have been suffering from, quite a number of health issues lately, though, you seem like a real brave person, as to cope with everything with such determination. At this point, as you have been through alot already, it seems as if, your believes got shaky, as many of those advices were contradictory to each other.

At the same time, i would like to ensure you, that a number of medical conditions are unfortunately such, that when you start to cope with one, the others gets worse or propagated further. So a balanced approach is always mandatory, while dealing with such multiple issues at a single point of time.

As far as, chronic nausea and constipation is concerned, along with hiatal hernia. You need to consult a good gastro-entrologist at first. It would have been much more appreciable if we had known about the intensity of hiatal hernia, as if it may need surgical repairs in the worst cases, but your gastroentrologist would be in a better position to comment about that, after looking into your past detailed record and examining you carefully. Also that he may need to recommend you, a series of blood tests, as with any such chronic Gastrointestinal issues, the decreased absorption of certain important vitamins and minerals, becomes an associated part of the disease process. So a good approach would be to get, lab tests for the exact levels of such vitamins and minerals, whether B12, folic acid, Iron, Zinc or whatever you have been told earlier. After getting the exact levels, it would be more easier, and evidence based replacement than a blind shot.

At the same time, low blood sugars can be a sequalae of decreased intake,owing to fear of such adverse gastric symptoms, which you are experiencing lately. Also that it can be due some other endocrine abnormalities. A good gastroenterologist can also screen you, from these basic screening tests upfront and he would be able to suggest you, that whether or not, to consult an endocrinologist.

Your last but not the least, symptoms being anxiety are quite explainable with the amount of unease and discomfort you have had because of your other genuine complaints. For that, after a gastroenterologist, the 2nd domain with which you can have a regular follow up is a psychiatrist, who can offer you moral boost with some sessions, and trying non pharmacological options, before switching to much aggressive medical therapies. I hope you will get a benefit from such sessions, as they will explain and deal with you as a whole, single entity, and not treating a single disease at a time.

Since, you are in a small town, you can try approaching to a tertiary care hospital, where all these specialties are available under a single roof. And you can chose which ever is nearest to you, as you may need to have regular follow ups with the same doctors, and i would suggest you the same rather switching doctors that quickly, before jumping to a final conclusion.

I hope this answered your question. If you have more queries I am happy to answer. Otherwise rate before closing the discussion.

You can also contact me directly through: http://doctor.healthcaremagic.com/doctors/dr-saddiq-ulabidin/70164

Regrads.

Dr. Saddiq ul Abidin

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