Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Headache, Weakness And Loss Of Appetite?
Question: Dear Doctor,
My daughter XXXXXXX aged 16 yrs has been suffering from continuous headache, weakness and loss of appetite for the last one month.. Doctor advised for some blood tests. As per Lab report dated 8.8.2016 attached Hb was at 10 level and started treatment for low Hb. giving Dexorange & other multivitamins and LIV 52 tablet
But there has been no much improvement even after continuing above medicines for 2 weeks. weakness (numbness in both hands & pain in leg muscles and headache & dizziness was continuing.
Again blood tests were again done on 6/9/2016 Reports. of Dr. LalPathlabs is attached. As per this report HB is 13.60 and normal AND some elevation in Liver enzymes likes Bilirubin Direct, ALP, ST & ALT and also elevation in Triglycerides and VLDL cholesterol. Other reports including Thyroid, Glucose fasting are normal. Also took CT scan of Head ( report attached) which is normal.
From 7th September she is taking Livolexin aurvedic cap ( for liver), NVM M tablet for numbness( now from 9th September, changed to Cynocal -16 injection on alternate days) Rosufit 10 mg for Cholesterol control.. Dolo 650 mg (paracetamol) on SOS (now changed to Acetofence P tablet twice a day) plus Stugipen-25 tablet twice a day for dizziness. Stopped Rosufit 10 mg for Cholestrol control..
Although there is improvement in general weakness, numbness and dizzness after starting above medicines & injections, there is no much reduction in headache. Also please note that she has no fever, even though some time hers head feel like some high temperature while touching but thermometer level is normal or minor below normal.
All the reports are enclosed. I am preparing to see a neurologist if her health does not improve in next 1 to 2 days. Kindly let me have your advise reg. what to do next.. Any further test, scanning needed to find out the cause of headache and general weakness..
I shall be thankful to you sir,
XXX XXXXXXX XXXX
My daughter XXXXXXX aged 16 yrs has been suffering from continuous headache, weakness and loss of appetite for the last one month.. Doctor advised for some blood tests. As per Lab report dated 8.8.2016 attached Hb was at 10 level and started treatment for low Hb. giving Dexorange & other multivitamins and LIV 52 tablet
But there has been no much improvement even after continuing above medicines for 2 weeks. weakness (numbness in both hands & pain in leg muscles and headache & dizziness was continuing.
Again blood tests were again done on 6/9/2016 Reports. of Dr. LalPathlabs is attached. As per this report HB is 13.60 and normal AND some elevation in Liver enzymes likes Bilirubin Direct, ALP, ST & ALT and also elevation in Triglycerides and VLDL cholesterol. Other reports including Thyroid, Glucose fasting are normal. Also took CT scan of Head ( report attached) which is normal.
From 7th September she is taking Livolexin aurvedic cap ( for liver), NVM M tablet for numbness( now from 9th September, changed to Cynocal -16 injection on alternate days) Rosufit 10 mg for Cholesterol control.. Dolo 650 mg (paracetamol) on SOS (now changed to Acetofence P tablet twice a day) plus Stugipen-25 tablet twice a day for dizziness. Stopped Rosufit 10 mg for Cholestrol control..
Although there is improvement in general weakness, numbness and dizzness after starting above medicines & injections, there is no much reduction in headache. Also please note that she has no fever, even though some time hers head feel like some high temperature while touching but thermometer level is normal or minor below normal.
All the reports are enclosed. I am preparing to see a neurologist if her health does not improve in next 1 to 2 days. Kindly let me have your advise reg. what to do next.. Any further test, scanning needed to find out the cause of headache and general weakness..
I shall be thankful to you sir,
XXX XXXXXXX XXXX
Brief Answer:
Visit a neurologist for clinical examination and investigation if required
Detailed Answer:
Hello,
I have gone through your question and attached reports.
Possibility of some viral illness related headache or meningitis.
She needs to be examined by a neurologist for the need of further imaging like MRI or CSF examination.
Headache may improve with time.
Is there any joint pain or swelling, skin rashes?
Any visual loss, vomiting, Sensitivity to light or sound, sleep disturbances, anxiety, stress?
Any history of migraine?
You should upload prescription of treating doctor for assessing examination findings.
You can continue the treatment with the addition of amitriptyline 10 mg at bedtime.
Hope you found the answer helpful.
Get back with details.
Regards
Dr N Kumar
Neurologist
Visit a neurologist for clinical examination and investigation if required
Detailed Answer:
Hello,
I have gone through your question and attached reports.
Possibility of some viral illness related headache or meningitis.
She needs to be examined by a neurologist for the need of further imaging like MRI or CSF examination.
Headache may improve with time.
Is there any joint pain or swelling, skin rashes?
Any visual loss, vomiting, Sensitivity to light or sound, sleep disturbances, anxiety, stress?
Any history of migraine?
You should upload prescription of treating doctor for assessing examination findings.
You can continue the treatment with the addition of amitriptyline 10 mg at bedtime.
Hope you found the answer helpful.
Get back with details.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Dear Doctor,
Thanks for the prompt reply and advice.
After taking injection and medicine there is some improvement in general weakness, there is no dizziness or numbness feeling now. Only headache and pain in hands and calf muscles of leg left out, but severity of pain is reducing.
No joint pain or swelling and no skin rashes.
No any visual loss, vomiting, Sensitivity to light or sound, anxiety or stress. No severe sleep disorder, only wake up of 1 or two times in sleep at night.. No history of migraine.
Medicine using: Injection Mecobalamin ( Neurobion Forte) alternate days – 5 injections total required as per doctor. Acetofence P ( Aceclofence 100 mg plus paracetomol -325 mg) twice a day. Livolexin twice a day. Stugipen -25 (Cinnarizine) twice a day(recommended for 3 days only) Elixir Neogadine for appetite.
I have an appointment with neurologist tomorrow. Kindly convey if you have any further opinion or advice to be given considering above progress of patient. Your further opinion will be kept in mind while meeting doctor tomorrow. Kindly let me have a reply today itself. I will write to u again after meeting doctor.
Thanks & Regards,
XXX XXXXXXX XXX
Thanks for the prompt reply and advice.
After taking injection and medicine there is some improvement in general weakness, there is no dizziness or numbness feeling now. Only headache and pain in hands and calf muscles of leg left out, but severity of pain is reducing.
No joint pain or swelling and no skin rashes.
No any visual loss, vomiting, Sensitivity to light or sound, anxiety or stress. No severe sleep disorder, only wake up of 1 or two times in sleep at night.. No history of migraine.
Medicine using: Injection Mecobalamin ( Neurobion Forte) alternate days – 5 injections total required as per doctor. Acetofence P ( Aceclofence 100 mg plus paracetomol -325 mg) twice a day. Livolexin twice a day. Stugipen -25 (Cinnarizine) twice a day(recommended for 3 days only) Elixir Neogadine for appetite.
I have an appointment with neurologist tomorrow. Kindly convey if you have any further opinion or advice to be given considering above progress of patient. Your further opinion will be kept in mind while meeting doctor tomorrow. Kindly let me have a reply today itself. I will write to u again after meeting doctor.
Thanks & Regards,
XXX XXXXXXX XXX
Brief Answer:
Get back with follow up details
Detailed Answer:
Hello,
If she is improving with the treatment, then continue the same.
Neurologist opinion and examination will rule out any possibility of meningitis too.
Hopefully she will recover soon.
Wishing her good health.
Regards
Dr N Kumar
Neurologist
Get back with follow up details
Detailed Answer:
Hello,
If she is improving with the treatment, then continue the same.
Neurologist opinion and examination will rule out any possibility of meningitis too.
Hopefully she will recover soon.
Wishing her good health.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Prasad
Dear Doctor,
Thanks for the prompt reply again.
I met and consulted a neurologist yesterday and done the MIR. MIR report is OK(copy attached) But Doctor said she has nerve weakness and prescribe the following medicines:
Toficlam (Tofisopam) 50 mg twice a day
Ketrip (Amitriptyline ) 10 mg once a day in the evening.
Vitamin supplement - Lycodox-Gold (Coensyme Q10, Lycepene, Selenium with Omeaga-3 fatty acids) - 1 twice a day.
Papain & Fungal Diastase Syrup.
Doctor asked us to meet after taking 10 days medicine and to do blood test for Serum Vit- B12 & Vit-D3 levels
Kindly advice whether she can continue with the medicine Livolexin twice a day (for liver) and Neurobion Forte injection alternate days for the remaining days as there was some improvement with these medicine took earlier. What about Elixir Neogadine syrup for appetite??
I forgot to ask the doctor about the above.
According to, we parents observation she has no anxiety disorders or depression, then is it necessary to have this medicine Toficlam 50 mg twice a day which have side effects ?
Kindly let me have your opinion & advice also in this regard.
With thanks & regards,
XXXXX XXXXXXX XXXX
Thanks for the prompt reply again.
I met and consulted a neurologist yesterday and done the MIR. MIR report is OK(copy attached) But Doctor said she has nerve weakness and prescribe the following medicines:
Toficlam (Tofisopam) 50 mg twice a day
Ketrip (Amitriptyline ) 10 mg once a day in the evening.
Vitamin supplement - Lycodox-Gold (Coensyme Q10, Lycepene, Selenium with Omeaga-3 fatty acids) - 1 twice a day.
Papain & Fungal Diastase Syrup.
Doctor asked us to meet after taking 10 days medicine and to do blood test for Serum Vit- B12 & Vit-D3 levels
Kindly advice whether she can continue with the medicine Livolexin twice a day (for liver) and Neurobion Forte injection alternate days for the remaining days as there was some improvement with these medicine took earlier. What about Elixir Neogadine syrup for appetite??
I forgot to ask the doctor about the above.
According to, we parents observation she has no anxiety disorders or depression, then is it necessary to have this medicine Toficlam 50 mg twice a day which have side effects ?
Kindly let me have your opinion & advice also in this regard.
With thanks & regards,
XXXXX XXXXXXX XXXX
Brief Answer:
Take treatment as advised
Detailed Answer:
Hello,
It's good that Mri is normal.
The blood reports are also normal.
There is no need to continue vitamin B 12 injections regularly.
Continue other medications as it may help in recovery.
No benefit of getting B12 testing as it may be raised due to injections.
Vitamin D can be tested.
Continue toficalm as it may allay any existing anxiety too.
Regards
Dr N Kumar
Neurologist
Take treatment as advised
Detailed Answer:
Hello,
It's good that Mri is normal.
The blood reports are also normal.
There is no need to continue vitamin B 12 injections regularly.
Continue other medications as it may help in recovery.
No benefit of getting B12 testing as it may be raised due to injections.
Vitamin D can be tested.
Continue toficalm as it may allay any existing anxiety too.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
