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Diagnosis of Acid peptic disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Peptic Ulcer
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   27 year old male feeling tired lack of energy all the time. when i sleep its only for 5 hours then i wake up not feeling refreshed. im thin and maintain a healthy weight with eating and exercise. this started in feb, i got really sick for about a week and got insomnia during this week. got blood work done and they said nothing was wrong and to take vitamin D, which i did. im clueless, ive always been the person with too much energy and now im draggin my feet.
Doctor :   Hi,
User :   hi there
User :   ill give u some time to read the above
Doctor :   thanks a lot
User :   i just wanted another opinion on the issue
Doctor :   are you stressed out ?
User :   not really, single male with a on stressful job
User :   non*
Doctor :   have you got the heamoglobin levels done ?
User :   not sure what that is
User :   is that in the blod work?
User :   blood
Doctor :   yes
Doctor :   Hb%
User :   im not sure if they checked it in the standard blood work
Doctor :   yes, its a first in the list
User :   ok well im sure that was checked
User :   another thing to note is i had mono last year in oct
Doctor :   its ok, do you feel nauseated , sensation of vomiting ?
User :   it was not really bad thou
Doctor :   ok
Doctor :   i do not relate it to the mono
User :   sometimes i do but its not really bad where i feel like im gonna puke
User :   it just losses my appetite
Doctor :   do you burp ?
User :   alot when im eating and afterwards too
Doctor :   ok , i consider , the APD being the cause
Doctor :   Acid peptic disease
Doctor :   it do present with lot of tiredness
User :   how would i get checked for this?
Doctor :   An endoscopy of the upper GI tract will help
User :   would this explain the sleep patterns?
Doctor :   yes,
Doctor :   acidity in the stomach rules consciousness
Doctor :   hyperacidity , you don get sleep
Doctor :   when stomach full , low acidity sleep follows
User :   ok is this couple with heart burn? because ive not been getting that
User :   i only get heartburn if i consume alchol and its the next hangover day
Doctor :   may not in all cases . but it is a symptom in progressed cases
Doctor :   hangover is a stressful event and induces more acid
User :   well this would make sense since i get really tired after meals usually
User :   only since last feburary thou
Doctor :   you can treat this , by a tab of PRILOSEC once a day early in the morning before breakfast for 15 days, also with vit D take a capsule of multivit daily for atleast a month
Doctor :   it had been 9 months
User :   i take vitamin D and multi every day
Doctor :   it would be a typical presentation but lacking heartburn
Doctor :   continue them along with PRILOSEC
User :   ok , well ill ask my family docoter bout this
Doctor :   have mre juices after workout
Doctor :   yes, also get examined , mention the diagnosis
User :   ok thx
Doctor :   he will help you
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