Question: Unknown diagnosis.
Symptoms:
inability to sleep through the night. chronic constipation. hot flashes
increased thirst agitation. easier to increase temper. decreased ability to concentrate/remember. Decreased libido Exhaustion. Slight facial and feet swelling. Increased anxiety. Depression.
Occasional Blood in semen post ejaculation Increased feeling of stress. Loss of interest in activities
Recent admission to the hospital with enteritis of unknown cause. On levaquin and flagyl. Recent labs done, all within normal limits. Normal vital signs, testosterone level, thyroid level, cortisol level. Negative for common bacteria. Slightly elevated WBC possibly r/t enteritis. Unknown if bacterial or viral cause.
What might possibly be the cause of the symptoms above? Symptoms started about age 27. Patient is male age 36.

hello,

I understand the reasoning for the panic attack evaluation however this has been an ongoing issue for 9 years now. wouldn't that be an extraneous amount of time for the symptoms to continue?

Regular exercise has already been apart of daily routine due to the profession of the patient.

Alpha blockers (finesteride) is potentially what sparked all these symptoms so the patient is not eager to enter back into an aloha blocker. The patient believes has looked into the Post Finesteride Syndrome Foundation (there is a website online postfinesteridesyndromefoundation.org) and has found many of his symptoms correlate with this. Do you think this could be the cause, and if so, how would we go about treating this?

Thank you