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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Tiredness, Anxiety And Abdominal Pain?

Hello, I am a 22 year-old male (weight 73kg, height 167cms). I've been feeling quite tired for the last few months and only a couple of days ago and on three occasions I've felt this clammy cold sensation, anxiety and I started sweating slightly, especially on the arms and face; it was very scary because for a moment I really thought I was going to pass out or something. I also felt a bit nauseous. I've also had this abdominal pain for some months now: it starts a couple of hours after I've eaten, and the more hours pass, the worse it gets; it's almost always right below my breastbone but sometimes I also feel it in my lower abdomen. I already took omeprazol, milk of magnesia and antihelmintics for that last symptom but didn't get any better.

What is wrong with me? I'm really scared.

Thank you.
Wed, 17 Sep 2014
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General Surgeon,  's  Response
HI.
Thanks for an elucidate history which says that you are tired for a few months with all the attendant symptoms you have noted down.
All these indicate that you may be a suffering from a generalized disease like Typhoid, Tuberculosis or something which has gone into chronic stage.
I would advise Investigations :
Blood- CBC, Widal for typhoid, Gold Quantiferon for Tuberculosis and as per the findings on clinical examination.
Urine -routine, microscopy, culture and sensitivity.
Stool
Ultrasonography to start with and CT scan of the abdomen if required.
Start treatment on the basis of clinical picture and change according to the diagnosis.
Enteroclysis may be needed.
In some cases diagnostic Laparoscopy can help.
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What Causes Tiredness, Anxiety And Abdominal Pain?

HI. Thanks for an elucidate history which says that you are tired for a few months with all the attendant symptoms you have noted down. All these indicate that you may be a suffering from a generalized disease like Typhoid, Tuberculosis or something which has gone into chronic stage. I would advise Investigations : Blood- CBC, Widal for typhoid, Gold Quantiferon for Tuberculosis and as per the findings on clinical examination. Urine -routine, microscopy, culture and sensitivity. Stool Ultrasonography to start with and CT scan of the abdomen if required. Start treatment on the basis of clinical picture and change according to the diagnosis. Enteroclysis may be needed. In some cases diagnostic Laparoscopy can help.