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What Causes Poor Appetite, Severe Night Sweats, Lethargy And Depressive Thoughts?
Question: Symptoms, not in priority: i) Loss of Appetite for 3 weeks, not eating at all for 4 days. ii) Diabetic, not insulin injecting. iii) 81 years of age. iv) Booming sound in head, humming loud. v)Extreme night sweats. vi) Lethargy. vii) Tired and sleeping a lot. viii) Irritability. ix) Depressive thoughts, almost fatalistic about dying at times when asked ( don't think this is mental, just situational moments) x) Incontinence at times, but not major, but going for a year. xi) Bit of vomiting up food. xii) Cold on his extremes, wears jacket in hot weather. xiii Note: blood pressure normal 120/80. Blood test: normal white blood cells.
Brief Answer:
Consultation
Detailed Answer:
Hello, and thanks for your question.
Given the normal bloodwork and ultrasound, and given these specific symptoms, this sounds consistent with a major depressive episode. I would talk to your doctor about starting an SSRI antidepressant such as escitalopram or sertraline. It may be augmented by low-dose mirtazapine to help you sleep. With this strategy I would expect your symptoms to improve.
Please remember to rate and close this answer thread when you are finished and satisfied.
Consultation
Detailed Answer:
Hello, and thanks for your question.
Given the normal bloodwork and ultrasound, and given these specific symptoms, this sounds consistent with a major depressive episode. I would talk to your doctor about starting an SSRI antidepressant such as escitalopram or sertraline. It may be augmented by low-dose mirtazapine to help you sleep. With this strategy I would expect your symptoms to improve.
Please remember to rate and close this answer thread when you are finished and satisfied.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Veerisetty Shyamkumar
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