Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

151 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes extreme fatigue, dizziness, headache, nausea, chills and tachycardia?

Answered by
Dr.
Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 1699 Questions

default
Posted on Fri, 18 May 2018 in Brain and Spine
Question: My husband has had these symptoms for over a year: extreme fatigue, dizziness & slight headache. These symptoms have come and go all this time. he was sent to a neurologist and his meds checked. Since Oct. the symptoms have become worse and now he has nausea, chills and tachycardia. The tachycardia only happens when he is sleeping. He was fine last week but the symptoms have come back from yesterday....the worst ever.
His EKG and echocardiograms are normal. His Lyme disease test was normal. Blood tests were normal. Who do we see to get diagnosed. I think our GP is rapped out.
doctor
Answered by Dr. Saddiq Ulabidin 2 hours later
Brief Answer:
May need thyroid functions tested alongwith B12, folic acid and D3

Detailed Answer:
Hi! Welcome to Healthcaremagic. Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all it's sad to know what your husband had been going through lately.

Based on the history you have shared, he needs to be evaluated for thyroid functions tests as well as levels of B12, D3 and folic acid as any fluctuations can lead to the symptoms as you have discussed.

Getting CPk, LDH as well as ANA, ESR,and CRP may also be needed to rule out any muscular disease or any autoimmune or rheumatological disease.

Next best person to get consultation from is rheumatologist. Meanwhile supplements for calcium, Vitamin D3 and B complex should be started. If these causes turn out to be normal a holler monitoring may also be needed.

Wishing him a quick recovery. Hope this has answered your query. If you have any more questions please feel free to ask. Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Saddiq Ulabidin 1 hour later
His thyroid was tested and wasormal.

Sorry my typing was bad. He had his thyroid tested and it was normal. He also wore a holler monitor and that should tachycardia at night and he is seeing another cardiologist on Friday.
Right now he is under a blanket like a lump...really dizzy today.

I read your reply again and saw holler monitor...what is that I assumed on first reading that it was a holter monitor, my mistake.
doctor
Answered by Dr. Saddiq Ulabidin 9 hours later
Brief Answer:
It's good that holter monitoring and thyroid are normal, start supplements

Detailed Answer:
Hi! Thanks for the feedback. Yes it's good that holter monitoring and thyroid functions are normal and as we had discussed already, it was anomg our suggested plan and to get a detailed neurological examination and ENT examination for both cerebellar functions and benign positional vertigo respectively should be done alongwith levels of calcium, D3, B12 and folic acid and meanwhile supplements can be started.

If these tests turn up to he normal, a rheumatologist review alongwith baseline workup for rheumatological or auto immune diseases like polymyalgia rheumatica or some myopathy should also be done. You can keep me updated regarding the course of management and diagnosis. Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication
Lab Tests ,  
Medical Topics

Recent questions on  Esr

doctor1 MD

My ESR Test Result: 30mm/hr in 1st hour and 2nd hour 60mm/hr why it’s come like can you please explain. Last 2 weeks on word i ma getting itching .what the reason The doctor has started working on your question. Once the doctor submits the answer,...

doctor1 MD

Dear Doctor, My wife is having dry cough for past 4-5 months. We have visited doctor as well and doctor has said that it is allergic cough . After having the medications prescribed by him, there was a bit relief for initial 1-2 days but, now it is...

doctor1 MD

my grandmother is 75 years old and he had a test of blood everthing was fine except esr,the rate of esr was 97 and she also have a problem of coughing nearly about one year but the doctor told us that there isnt any serious problem but now he said might be she is suffering from tb i dont know what to do i am really worried about her

doctor1 MD

my father has a problem in the throat, so doctor said for a blood test. in his Immunoassay report he has T3 3-6 ng/ml 0.85 -2.02 T4 23.0 ug/dl 5.14 -14.1TSH 0.005ulu/ml 0.27 - 4.2 . in pathology report differential count (DC) 70% - neutrophils 27% - lymphocytes 03% - eosinophils. TOTAL LEUCOCYTE COUNT (TLC) 6400 c/cumm ERYTHROCYTE SEDIMENTATION RATE(ESR) 38(H) mm/hr. so what problem does he have? He has been given T.Neomarcazole 10mg tablet morning & night for 1 month

doctor1 MD

Hi doc, my name is bobin, and i have a 2 months old baby girl who is having high ESR level, 140 as per lab results...She is having inflammation on her cheek and swelling was also there which has decreased now...When consulted with our pediatrician she said some infection was there and recommended for taking advent injection 150 mg for seven days to reduce ESR levels...My baby is active, she is feeding well and all other sensations are normal.. Kindly advise why ESR levels gets raised in a 2 month old baby?