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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tiredness And Dizzy Spells Inspite Of Having Anxiety?

Hi doctor, I am always really tired, I have dizzy spells but recently happening everyday, I suffer with anxiety an worrying and haven't felt right for a while now. I also have sinusitis which affects my nose breathing properly. I feel there is something serious wrong with me what do you think?
Mon, 30 May 2016
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General & Family Physician 's  Response
Hi.
If I would have been your treating physician for this case of anxiety,worrying,dizzy spells, I would come up with following possibilities:

1) First possibility is of Hyperthyroidism.Further history such as tremors,sweating,weight loss,diarrhoea,menstrual irregularities can be evaluated. Diagnosis can be confirmed by doing Thyroid Function tests such as Serum TSH,Serum T3,T4 and free T4.

2) Second possibility is of Anxiety disorders such as Generalised anxiety disorder,Panic disorder,social phobia etc. It is diagnosed by carefully reviewing clinical history and no such investigation available to diagnose.Psychiatrist and psychologist diagnose it by using certain assessment tools.

I would suggest you to get Thyroid function tests done.10-12 hours of fasting is required to get valid result. If they come normal then I would suggest you to consult psychiatrist and psychologist to assess further.

I hope this helps you to understand your question.Even if you have any queries let me know.

Regards
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What Causes Tiredness And Dizzy Spells Inspite Of Having Anxiety?

Hi. If I would have been your treating physician for this case of anxiety,worrying,dizzy spells, I would come up with following possibilities: 1) First possibility is of Hyperthyroidism.Further history such as tremors,sweating,weight loss,diarrhoea,menstrual irregularities can be evaluated. Diagnosis can be confirmed by doing Thyroid Function tests such as Serum TSH,Serum T3,T4 and free T4. 2) Second possibility is of Anxiety disorders such as Generalised anxiety disorder,Panic disorder,social phobia etc. It is diagnosed by carefully reviewing clinical history and no such investigation available to diagnose.Psychiatrist and psychologist diagnose it by using certain assessment tools. I would suggest you to get Thyroid function tests done.10-12 hours of fasting is required to get valid result. If they come normal then I would suggest you to consult psychiatrist and psychologist to assess further. I hope this helps you to understand your question.Even if you have any queries let me know. Regards