Thanks for posting your query.
With the available described symptoms, there appears to be possibility of hypothyroidism; a thyroid disorder
Presence of tiredness
, nausea and constipation
(gastrointestinal menifestation), libido (not involve in sexual activity).
You should consult with internalmedicine specialist and should go for thorough check up.
You should go for complete hemogram, thyroid profile, liver function test.
You should also go for endoscopy
to rule out gastric problems.
You should take proton pumpinhibitors along with prokinetics for relief of sympoms.
Dr. Mayank Bhargava