
What Causes Fatigue, Shakiness And Hunger After Meals?

There should be improvement in symptoms
Detailed Answer:
Hi
Welcome to Healthcare-Magic
Greetings of the day
Dear Ms.
Autonomic Neuropathy very well explains your symptoms of hypotension and intestinal motility disorder. The other past problems have been very well taken care by surgery. As intestinal biopsy is normal ,the cause of symptoms is unlikely to be due to any significant cause.
The large alteration between. Constipation and diarrhoea is likely to be due to following factors
1. Decreased intake of fibre in diet
2. Decreased intake of water
3. Gastric distension caused by stasis of food sometimes leads to Gastrocolic reflex leading to colonic motility and passage of stools . This explains the urge to 0ass stools after food .
4. Stress and anxiety could be other major contributing factors
The long term outlook is good provided you religiously follow the advice
1. Eat small quantity of meals more frequently
2. Identify the food stuffs which precipitate your symptoms and avoid them
3. Avoid oily food
4. Avoid carbonated / caffeinated / alcoholic beverages
5. Ensure good intake of water
6. Avoiding milk will be helpful
6. Regular exercise : Exercising regularly especially brisk 30 minutes walk everyday is known to increase gastric motility
7. Vitamin B12 supplements will be helpful for management of neuropathy
Do get back to me if you need any further assistance, will be glad to assist you.
Take care
Best Regards
Dr T Shobha Deepak

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