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Losing weight, feeling cold in office, tired. X-ray and ultrasound normal

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General & Family Physician
Practicing since : 2009
Answered : 983 Questions
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I am losing wt for last 3 months. All other reposts like X-ray. ultrasound are normal. I lost 7Kgs in last 3 months. I feel really tired all the time. I feel really cold in office. In office temprature is 23*C.
Posted Fri, 14 Sep 2012 in Thyroid Problem and Hormonal Problems
 
 
Answered by Dr. Aparna Kohli 1 hour later
Hi,
Thanks for writing in.
Since there are a lot of conditions which could be contributing to the weight loss, I would like to ask you the following questions:
a. Do you have any low grade fever or cough ?
b. Do you have a normal appetite?
c. What gastric problem do you have?
d. Are you currently receiving any medication?
e. Has a sputum examination and CT chest been done for you?
f. Do you still eat the same amount of food as before? Is the exercise pattern the same?
g. Does anybody in your family have a history of tuberculosis?
h. Do you have any rash or unusual spots anywhere on the body?
i. Do you have foul smelling diarrhoea?

Please let me know and then we can take this discussion ahead.
Best
Above answer was peer-reviewed by
 
Follow-up: Losing weight, feeling cold in office, tired. X-ray and ultrasound normal 15 minutes later
a. Do you have any low grade fever or cough ?
No, In fact I have always a low temprature 96.5 to 97.2.
b. Do you have a normal appetite?
Yes
c. What gastric problem do you have?
If i eat some fried or heavy stuff. I feel pain in my stomach and 2-3 times motions. It get back to normal in 2-3 days.
d. Are you currently receiving any medication?
Yes, Doctor prescribed GRERAB(empty stomach) and Vitoxy forte 2 times daily
e. Has a sputum examination and CT chest been done for you?
No, Chest X-ray is normal and blood reports are normal.
f. Do you still eat the same amount of food as before?
Yes
Is the exercise pattern the same?
I exercise daily. In fact I feel more tired If I not do exercise.
g. Does anybody in your family have a history of tuberculosis?
No
h. Do you have any rash or unusual spots anywhere on the body?
No
i. Do you have foul smelling diarrhoea?
No.

Have you seen the reports?

I got mouth ulsers about 2 months back. My mouth is always dry. I pass urine more frequently. I feel more tired when in AC and after having food.
 
 
Answered by Dr. Aparna Kohli 11 minutes later
Hi,
Thanks for writing back.
Your symptoms could be due to a chronic worm infestation, tuberculosis, diabetes insipidus or steatorrhoea. I think we would need a few more tests in your case like a fecal fat estimation and a urine examination to rule out steatorrhoea. If this is normal, we'll need to do a CT chest and a sputum examination as well.
Till then, I would suggest that you speak with your physician about treating the chronic worm infestation. We usually treat it with drugs like metronidazole. A course of this and the gastric issues that you have been suffering from should be resolved.
I hope this helps. Please get the tests done and revert back.
Regards
Above answer was peer-reviewed by
 
Follow-up: Losing weight, feeling cold in office, tired. X-ray and ultrasound normal 9 minutes later
Urine report is already attached.
 
 
Answered by Dr. Aparna Kohli 3 minutes later
Hi
I am sorry I missed it. I have seen the reports and now diabetes insipidus is ruled out but I would stick to the rest of my earlier recommendations.
regards
Above answer was peer-reviewed by
 
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