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Suggest Treatment For Fatigue, Shortness Of Breath , Stomach Discomfort And Dizzy Spells

Posted on Mon, 9 Jun 2014

Question: I am age 51 woman. I have Sedimentation rate 3 between the range of 0-30. Hemoglobin os 13.3 between the range of 11.8 -15.8. Hematocrite is 41.0 between the range of 35-47. I have sever fatigue in past one month. My Doctor checked TSH level it was 1.43 between the range of 0.27-4.20. The doctor told me I might be in female climacteric states and checked FSH and LH, FSH 24. LH 14.3. I might not be fully on menopue. My comprehensive metabolic panel showed evevated glucose of 107 and chloride 109, but my doctor said not a clinical concern. My lipid panel looked fair also total Cholestrol 163,(range 112-199) Tryglycerides 48(range 28-149), HDL 72(range 40-200), LDL 81(range 57-99) I have been a smoker and I am trying to quite smoking... I got urine exam no clinical problem with test result, just trace of protein and Leukocytes, urine glucose is negative and also culture testing is negative i have no infection. Since after I started hives in December my health seems to be declined dramstically. I was diagnosed as Atopic (due to my IgE level was very high) and some allergic reaction to environmental allergen in Feb. Do you think I am just experiencing transition with my age? My fatigue is persistent, i have short of breath a lot with chest pain and dizzy spell, my muscle is so tired with joint pain, lost appetite a lot, feel cold all the time and i have stomach discomfort all day, feel like my bladder was not emptied well, i need to squeeze my pee out especially in the morning. My hives has been improved lately though, what can I do to improve my health condition?

Answered by Dr. Indu Kumar (29 minutes later)

Brief Answer:
You should take psychiatrist opinion.

Detailed Answer:
Hello XXXXXX
Thanks for writing to HCM

I have gone through your findings in detail.
All relevant investigations has been done which may lead to your symptoms.Additionally Ultrasound of abdomen should be done.
As all investigation reports are normal and you have vague somatic symptoms,i suggest you to consult psychiatrist.

Your symptoms may be due to depression.Depression causes vague somatic symptoms.You need proper history taking and clinical examination.
You may need antidepressants.It can lead to dramatic improvement.

Your doctor has rightly said that it may also be due to climacteric states but depression is important to rule out.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Indu Kumar (8 minutes later)

Thank you for your advise. Depression, that is new to me, but I sleep very well, and I am easy going, I am still pushing myself to get done thgs I need to do daily with sick feeling though... what other symptoms would indicate depression? It is hard for me to recognize if I am expressing depression, but I certainly take your advise to check my health becaue this is very new to me since I was proud if my good health until my hives started and moreover, I want to know what is going on and what can I do to get better.

Answered by Dr. Indu Kumar (19 minutes later)

Brief Answer:
Please find detail answer below.

Detailed Answer:
Hello XXXXXX
Thanks for writing back

Depression patients are usually unaware of their illness.
It can cause variety of symptoms like decreased energy,fatigue,sleeping too much or too little,loss of interest or pleasure in activities,persistent sad,anxious, or "empty" mood,Persistent physical symptoms that do not respond to treatment such as headaches,digestive disorders and chronic pain etc.

Depression may be associated with climacteric state.It can be well assessed by a psychiatrist.

Get well soon.
Hope I have answered your question.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Indu Kumar (7 minutes later)

Thank you Dr. Bhushan! I will check into it. I appreciate your prompt advice.

Answered by Dr. Indu Kumar (2 minutes later)

Brief Answer:
Thanks for your comments.

Detailed Answer:
Hello XXXXX
Thanks for writing back

Thanks for your comments.

Get well soon.
Further queries are most welcome.

Take Care
Dr.Indu XXXXXXX

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj