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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Headache, Nausea, Fatigue And Excessive Sleepiness?

hello, I have had a severe headache since last night into today. it has been going on all day along with nausea feelings. my eye sight is tunneled, having to squint my eyes a lot. chills come and go.. I am also very sleepy or fatigued. can you help me?
Thu, 5 Mar 2020
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General Surgeon 's  Response
Hi,

Your work up is to be as follow:
* Serum TSH, T4 estimation to rule out thyroid issue
* CBC to rule out anemia
* Overexertion history
* Depression and any medication history if needed can be taken
* PS examination

If any specific cause found than treated accordingly. For example, if hypothyroidism is present then levothyroxine drug needs to be given for that.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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What Causes Severe Headache, Nausea, Fatigue And Excessive Sleepiness?

Hi, Your work up is to be as follow: * Serum TSH, T4 estimation to rule out thyroid issue * CBC to rule out anemia * Overexertion history * Depression and any medication history if needed can be taken * PS examination If any specific cause found than treated accordingly. For example, if hypothyroidism is present then levothyroxine drug needs to be given for that. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Iven Romic Rommstein, General Surgeon