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Suggest treatment for fatigue, frequent urination and dark bags under eyes

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Posted on Fri, 4 Sep 2015
Question: Hi, i have hypertension, fatique everyday( especially after meals), frequent urination( also nocturia),dark bags under eyes.
All started around same time.thank
doctor
Answered by Dr. Ashok Kumar Dash (22 minutes later)
should get properly investigated like hypertensive profile. your age is less so it appears you are having anxiety neurosis. give your family history of having problem to any other member. for you it may be secondary. renal involvement is to be excluded.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ashok Kumar Dash (3 hours later)
Is it possible to have anxiety for a number of years. I have noticed that i constantly have to recheck things at work even though i know its done aleady done. And could this be the cause of dark bags under eyes. Iv had standard blood test done, came back ok.
doctor
Answered by Dr. Ashok Kumar Dash (4 hours later)
Brief Answer:
hypertention, fatigue and dark patch under eye.

Detailed Answer:
What test has been advised so far are standard and minimum for such problems.
Dark bags under eye are possibly caused by hyper pigmentation. For it sunscreen lotion is to be applied and avoid expose to sun. You should also make sure your vision is checked in case you need glasses.

For frequent urination, a UTI (Urinary Tract Infection) has to be excluded. Although age does not really support that diagnosis. It's something that needs checking. Another possibility is diabetes. That causes frequent urination has to be ruled out.

Your information that hypertension after meal is not clear. Although eating is an exertion and can precipitate angina.. in your case, your history does not indicate such things.

There is definite anxiety in your case. Investigations are repeated in your case since complains are so varied that it is difficult to reach the point of diagnosis.

In that pretext I will not hesitate to advise ECG and cardiac consultation to rule out any heart problems.

Several problems starting at one time may be coincidence. If the anxiety is constant and getting in the way of your daily life, you might need counseling from a good Therapist. Its not a bad thing and if it IS the problem.. then a Therapist is your best way to heal.

A general checkup with blood profile, with stool & urine analysis is advisable in the long run.
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Ashok Kumar Dash

Ophthalmologist

Practicing since :1969

Answered : 12704 Questions

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Suggest treatment for fatigue, frequent urination and dark bags under eyes

should get properly investigated like hypertensive profile. your age is less so it appears you are having anxiety neurosis. give your family history of having problem to any other member. for you it may be secondary. renal involvement is to be excluded.