What Causes Dizziness, Fatigue And Abdominal Pain?
Multiple problems. Needs further work up
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query. You seem to have a number of independent problems. You seem have gastritis or gastroesophageal reflux as the cause of the upper abdominal pain.
In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.
The dizziness, confusion, lightheadedness, numness of hands, fatigue etc. could all result from a fluid electrolyte imbalance that could have resulted from the gastritis. You need to take ORS (oral rehydration solution) and plenty of fluids to drink. Taking juicy fruits should help.
The raised bilirubin level needs further evaluation. I would insist on getting a liver function test as well as an abdominal ultrasound done. Please revert back with the reports and I would guide you accordingly.
Hopefully that should help.
Let me know if I could help further.
Regards
Thank you.
An ultrasonogram might provide valuable clues
Detailed Answer:
Thanks for writing back. I do not think that the symptoms are a likely adverse effect of the medication. However, you would have to correlate your scenario to find out whether the onset of symptoms correlates with the onset of starting the medication. If you were having the symptoms beforehand, chances are that the medication has no role to play in this regard.
A liver function test will only indicate if the liver function has been affected. I do not suppose that a liver function test would help unless there is a clinical finding that seems to indicate that the liver could have been affected.
I would insist you to get an ultrasonogram of whole abdomen done.
Regards