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Have fatigue, tinnitus, dizziness. History of ulcerative colitis and blood in semen. MRI and blood test normal. Any thoughts?

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Hi, my fiance (54 year old male resident in the USA) has had a year long history of intermittent severe fatigue, tinnitus, dizziness. Past history of ulcerative colitis with a severe flare up last year (about this time of the year) which took about 4 months to go back into remission. Around the same time he also had blood in his semen (frank) for about 6 weeks - no further episodes since. He has a past history of spontaneous pneumothoraces, eventually treated with surgical pleurodesis. In between the bouts of fatigue, etc, he is fit, healthy, energetic, cheerful and very capable. This particular episode has been going off and on for about 6 weeks - it's very discouraging. He had a head MRI done last year to exclude nasties - it was unremarkable. Gastroenterologist also did a pretty comprehensive blood work up with nothing remarkable apart from Vit D and Vit b group low levels.
Currently he's on no medications apart from the occasional xanax when he hasn't slept. We really aren't sure what to do next. He's unemployed and has no health insurance. We're not sure where to head next. Any thoughts?
PS occasionally has GORD, treated with an OTC PPI
Posted Fri, 24 Aug 2012 in Brain and Spine
Answered by Dr. Rakhi Tayal 1 hour later
Thanks for posting your query.
The symptoms of your fiance could be due to-
1. Cervical spondylosis.
2. Improper diet.
3. Vitamin B complex deficiency.
4. Electrolyte imbalance.
5. Hormonal disbalance like hypothyroidism.
6. Anxiety neurosis.
7. Inner ear problem - an ENT evaluation is needed to rule this out.
All these possibilities need to be ruled out after a proper physical examination and related tests.
Till the time he gets evaluated for these possibilities, there are some of the other lifestyle options which he can follow:

1) He can take a vitamin B complex supplements for at least two weeks regularly. Taking a well balanced will be helpful.

2) Do not take caffeine or alcohol at night just before going to bed.

3) Indulge in yoga and meditation to calm the mind.

4) He can also indulge in progressive muscle relaxation which is useful in anxiety by alternately tensing and relaxing the muscles.

Hope this answers your query. I will be glad to answer the follow up queries that you have.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Dr. Rakhi Tayal.
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