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What Causes Persistnet Feeling Of Being Ill?
My husband has been consistently getting sick daily over the past 2 years. They have done every stomach test, allergy test, deviated septum surgery, he s been to a psychologist and chiropractor. Nothing seems to help and they haven t found anything. The last two days have been worse and he is feeling sick the entire day. Now he is complaining of a pain right below his ribs in the middle. Any idea what could be wrong?
Mon, 12 Oct 2015
Welcome at HCM
I have gone through your query and being your phyiscian i completely understand your health concerns.
what is his age? for how long u are suffering from it? any other associated problem? like diabetes or hypertension? any history of TB in past or exposure to TB? are u having fever? any other lymph node swelling in ur body?is swelling on both sides of neck or not? any association of food intake with pain? any history of surgery in past? any history of heart diseases?? what is his occupation? any stress factor in your family?
based upon your history it is very difficult to diagnose. feeling of being not well requires a lot of workup before labeling a patient psychosomatic....
In my opinion you should meet another phyiscian , if u have visited one as it is appropriate to take second opinion....
if i am his attending phyiscian i will do his all baselines including FBC LFTs RFTs ESR CRP ECG ECHO CHEST X RAY......
after then i will i will refer him to psychiatrist for workup..
as far as his pain is concerned, it has many differentials. he should get his ECG along with SERUM amylase levels. i will prefer abdominal ultrasound to look for any gall stones too..
meanwhile stay calm and use OMEPRAZOLE 40mg , if it is due to stomach problem it would be relieve, and meet your doctor for accurate diagnosis
may he get well soon
Hope your query is adequately addressed if you still have any feel free to ask
Regards
Dr Saad Sultan
I have gone through your query and being your phyiscian i completely understand your health concerns.
what is his age? for how long u are suffering from it? any other associated problem? like diabetes or hypertension? any history of TB in past or exposure to TB? are u having fever? any other lymph node swelling in ur body?is swelling on both sides of neck or not? any association of food intake with pain? any history of surgery in past? any history of heart diseases?? what is his occupation? any stress factor in your family?
based upon your history it is very difficult to diagnose. feeling of being not well requires a lot of workup before labeling a patient psychosomatic....
In my opinion you should meet another phyiscian , if u have visited one as it is appropriate to take second opinion....
if i am his attending phyiscian i will do his all baselines including FBC LFTs RFTs ESR CRP ECG ECHO CHEST X RAY......
after then i will i will refer him to psychiatrist for workup..
as far as his pain is concerned, it has many differentials. he should get his ECG along with SERUM amylase levels. i will prefer abdominal ultrasound to look for any gall stones too..
meanwhile stay calm and use OMEPRAZOLE 40mg , if it is due to stomach problem it would be relieve, and meet your doctor for accurate diagnosis
may he get well soon
Hope your query is adequately addressed if you still have any feel free to ask
Regards
Dr Saad Sultan
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