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What causes fatigue with appetite loss and vomting?

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Posted on Wed, 30 Jul 2014
Question: My boyfriend has had fatique, no appetite for a week, just last 2 days he has added throwing up & sleeping all the time to the problem. Now he has gotten the hickups, that keep him up at night, was throwing up in between the hickups. Not sure what to do....
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Answered by Dr. Shailja Puri (2 hours later)
Brief Answer:
Clinical examination and investigations required.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.

Your history suggests that you are experiencing loss of appetite, vomiting, pain below ribs, and hiccups.
A couple of investigations need to be done to know the origin of these symptoms.
An assessment of the gastrointestinal tract (GIT) needs to be done to know the status of gastrointestinal tract.
Vomiting suggests that there is some problem of the GIT.

A complete hemogram with peripheral blood smear needs to be done.

Hiccups occur due to irritation of the diaphragm.
This could be muscular in origin.
Uremia can also lead to persistent hiccups not responding to any treatment.
Thus, renal function tests should also be done.

Tiredness, fatigue and excessive sleepiness can be secondary to the main cause of symptoms.

I would suggest you to consult your primary health provider for clinical assessment, investigations and thus management.

Thanks and take care
Dr Shailja P Wahal


Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 8746 Questions

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What causes fatigue with appetite loss and vomting?

Brief Answer: Clinical examination and investigations required. Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. Your history suggests that you are experiencing loss of appetite, vomiting, pain below ribs, and hiccups. A couple of investigations need to be done to know the origin of these symptoms. An assessment of the gastrointestinal tract (GIT) needs to be done to know the status of gastrointestinal tract. Vomiting suggests that there is some problem of the GIT. A complete hemogram with peripheral blood smear needs to be done. Hiccups occur due to irritation of the diaphragm. This could be muscular in origin. Uremia can also lead to persistent hiccups not responding to any treatment. Thus, renal function tests should also be done. Tiredness, fatigue and excessive sleepiness can be secondary to the main cause of symptoms. I would suggest you to consult your primary health provider for clinical assessment, investigations and thus management. Thanks and take care Dr Shailja P Wahal