Brief Answer: Need some information from you ma'am Detailed Answer: Hello ma'am and welcome. Thank you for writing in to us. I would like to start by saying that the night shift in itself causes numerous ill-effects on ones immune system, metabolism and general health; I should know because I worked a night shift for 4 years of my initial medical career. The diagnosis that your doctor put forward, of schizophrenia is clearly off topic, and my concern here is more relating to your diet, your weight, and daily calorie intake. If you do not mind, could you help me with a little information about yourself. Your height and weight. How many meals do you have in a day? When you experienced the hot, dizzy and almost blacked out event, when was the last time you ate prior to that, and what did you have the entire day, and the quantity in itself? Was it lesser than what you usually have? About your menstrual cycle being irregular, this can be brought about by stress, due to your different shifts, but have you been investigated (eg. ultrasound of your abdomen and pelvis)? I am looking forward to your respectful response, in order to accurately diagnose your condition and to be able to help you avoid such events in the future, entirely. Best wishes.

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Brief Answer: 3 possible causes listed below Detailed Answer: Hello XXXX and thank you for all the information. As I cannot investigate you right now, I can only put forward possibilities, and in my opinion there could be 3 reasons why this happened, they are: -A drop in blood sugar levels at that particular time, coupled with your period (due to which your blood sugar drops further), because symptoms of dizziness, feeling of heat, almost blacking out, headaches, body aches, etc; are all symptoms of a low blood sugar level -Hormonal imbalance created due to the rod and your period, which can also at times manifest in the form of dizziness, hot flashes, light headedness, etc. -Sleep deprivation Although your blood sugar levels were checked and found to be normal later, that does not rule out a low blood sugar level being the cause for the event. The next time you begin to feel this way, eat something sweet immediately. As the event has already passed, we cannot actually investigate to find the exact cause now, but the next time this happens (hoping it doesn't), please make sure you visit a doctor immediately. I hope I have provided you with the information you were looking for ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes.

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Brief Answer: Mostly hormone level change, or low blood sugar Detailed Answer: Hi XXXX. If this is recurring then I would say this is either a drop of blood sugar or your hormone levels fluctuating. We can rule the blood sugar drop if you have had a meal recently, and if you have not then have something to eat immediately, and even after that if you do not experience an improvement then the most probable cause is a hormone fluctuation caused by the implant. If this is the case, then could you tell me why exactly you were advised an implant? Have you been diagnosed with any condition that has resulted in an irregular menstrual cycle like polycystic ovarian syndrome (PCOS), etc? Please schedule an appointment with your prescribing doctor and find a solution for the hormone change. Best wishes.

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Brief Answer: Please eat immediately &take a suitable painkiller Detailed Answer: Hi XXXX. Then please have something to eat immediately, and take a mild pain killer, which ever is available and most suitable to your requirements (something you have tried and has helped in the past). Please make sure you are not on an empty stomach. Try to have small meals, more frequently. This way you won't make your body feel like it is starving which can also bring up headaches. But, either way, please schedule an appointment with your doctor, to make sure the implant is not the cause for your presentation. And also, please make sure you eat healthy, and eat enough to help your body sustain. It is my humble request XXXX. Wishing you nothing but good health. Please feel free to keep in touch. Best wishes.

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Brief Answer: You are most welcome, take care XXXX Detailed Answer: You are most welcome XXXX. Please feel free to keep in touch with me for anything, at any time of the day, any day. And also, eat well, stay healthy. Leave all the health-related worrying to me, alright? God bless.

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