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Tiredness, changes in bowel movements - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2433 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   I have a question regaurding if I should go into the doctor or not
Doctor :   Ok

User :   I have several symptoms over the past few months
Doctor :  
Ok
User :   first I have been much more tired lately
Doctor :   Ok

User :   and I dont know if its because I work out 2 hours a day
User :   or if its seasonal depression
User :   second
User :   my bowel movements have changed
Doctor :   Ok

User :   the stool is never completely solid nor diahhrea and never consistent
User :   usually more soft
Doctor :   Ok

User :   lastly I am having a harder time paying attention
User :   and I struggle to find the right word
User :   like I feel I am not always coherent
Doctor :  
ok
User :   being educated in public health and microbio I am worried of some infection
User :   am I over reacting?
Doctor :   Nothing as such

Doctor :  
I shall explain you
Doctor :  
first of all, may I know your age and gender?
User :   I am a 24 year old male
Doctor :   Ok

Doctor :  
Since when are you having the above mentioned symptoms?
User :   well what really started to bother me was my cognitive function
User :   I am a grad student
User :   and I have never had trouble focusing
User :   or struggling to find words
Doctor :   ok

User :   and that started about oh 2 months maybe
Doctor :  
ok
User :   the bowel changes maybe 3
User :   months
Doctor :  
ok
Doctor :  
Has there been a significant event in the near past that could have an impact on your mind?
User :   no
Doctor :   Ok

User :   not necessarily
Doctor :  
How is your studies going?
User :   I am still getting As
User :   but I feel like something is really not right
User :   mentally like something is affecting me
Doctor :  
Ok
User :   and I dont know if the extreme fatigue has to do with it either
Doctor :  
How is your sleep?
User :   its sporadic
User :   so I dont know if that contributes
User :   some nights 9 hours some nights 5
Doctor :  
Has it changed in the past 3 months?
User :   not really
Doctor :  
Ok
Doctor :  
That is fine
Doctor :  
such shifting patterns are acceptable
Doctor :  
9 hours sleep is for compensation of sleep debts built over a few days
Doctor :  
so there is no need to worry about it
Doctor :  
but I would recommend you to get 6 hours of sleep anyday
Doctor :  
that completes the sleep cycle if you are aware of
User :   right but what could explain almost the impeding of my thought process
User :   and bowel changes
Doctor :   Ok

Doctor :   do you mean to say clouding of thoughts?
User :   I have been tested for HIV and other STI in the past but none super recently
User :   yes
User :   I work with HIV patients and prevention in the community so its always at the back of my mind
Doctor :   I understand

User :   so like I said I dont know if I am fabricating this or if I should get blood work done or have some type of test
User :   But I have noticed a great difference in just cloudiness of my mind compared to say a few months ago
Doctor :   ok

User :   right around when the stool also changed
Doctor :  
How is a typical day for you?
User :   wake up and drink 16 oz of water before I do anything to wake me up and replish. Typically eat breakfast on the go so not usually a large one. I go to class and then will work out for about 2-3 hours
User :   return home do homework if I need to but other than that pretty sedentary for the rest of the night
User :   and usually eat a smaller lunch
User :   and a larger dinner
Doctor :   fine
User :   the bowel movements are much more runnier when I have coffee
User :   which I believe is a natural laxative to begin with
Doctor :   Coffee is an irritant and should not be considered a laxative

Doctor :  
it could be considered a stimulant for a better word
Doctor :  
but it does irritate the gut
User :   and I am very health concious and eat fruits and vegetables so I know I am getting fiber
Doctor :  
thats good
User :   so I dont really know how to explain the excessive bowel movements
User :   usually 3-4 times a day
Doctor :  
ok
Doctor :  
how about abdominal pain?
User :   none
Doctor :  
fine
Doctor :  
the excessive workout does affect such episodes
Doctor :  
but shall be associated with abdominal pain as well
Doctor :  
and in your case, the mind's effect cannot be denied
Doctor :  
for now, what I would suggest you is to avoid apprehension about it
Doctor :   and also do not be very much occupied with HIV fear
User :   is there something that could affect my mind that I should be aware of"?
Doctor :  
there is a risk but that should not eat away your mind or life
Doctor :   Does that make sense to you?

User :   i just never feel 100% even from a year ago. Like there is a marked difference
User :   yeah it does
User :   but i feel like there has to be something
User :   because nothing has changed in my lifestyle
Doctor :   fine

User :   and now these symptoms are appearing
Doctor :  
if you are getting exhausted with the workout
Doctor :  
you should reduce
Doctor :  
restrict intake of coffee
Doctor :  
and you should also consider about a parasitic infestation
User :   thats something I have thought possible
Doctor :  
and take antihelminthic treatment
User :   is that over the counter
Doctor :   no, should be taken after a prescription
User :   okay
Doctor :   apart from that, what can you do to calm yourself

User :   and eating sushi could be a possible culprit of infestation?
Doctor :  
because everything is there within you, but it could be masked by stress or tension
User :   well thats just it. I am never a stressful person
User :   i never get stressed
User :   nor do I tend to worry
Doctor :  
also reduce the fear about HIV, if any
Doctor :  
thats good that you do not have tension
User :   thats why I have waited to do something about these symptoms
User :   as I wait to make sure I feel something is really wrong before I take action
User :   the last thing I have ever been is a hypochondriac
User :   I only got scared
User :   when my mind started to mess with me
Doctor :   Ok

Doctor :  
You should not get scared
Doctor :  
there is nothing to be afraid of
User :   so do you recommend that I go to the doctor for possible tests on parasites or infection?
Doctor :   Yes for a parasitic infestation, mainly

Doctor :  
and also decrease your work out time, if you feel exhausted
Doctor :  
get the daily dose of sleep for 6 hours
User :   well I dont get tired from the work out itself. I tihnk the exhaustion may be due just to seasonal effect and will subside when its not so cold anymore
User :   could parasitic infestion affect my cognitive function as well
Doctor :   It is the otherway round

Doctor :  
exertion actually helps in cold
User :   or just the bowel aspect
Doctor :   Sorry, I couldn't get you

User :   I just asked if a parasite could infect cognitive function
Doctor :   No

User :   I mean affect
User :   not infect
Doctor :  
it does not, unless in highly complicated cases
Doctor :  
which is very less likely in your case
User :   ok
User :   thank you
Doctor :  
Is there any thing else I can help you with?
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