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I am facing dizziness, severe fatigue, chills and nausea, What should I do ?

I am facing dizziness, severe fatigue, chills, nausea for last 7 months. I have low blood pressure 90/60, low body temperature 95 degree fahrenheit always. What should I do?

Asked On : Thu, 18 Nov 2010
Answers:  4 Views:  1550
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General & Family Physician 's  Response
Dear Vijay Kr Vishwakarma,
Dizziness, easy fatiguability, hypothermia, nausea, overweight/obesity are symptoms of hypothyroidism.
Apart from this, nutritional deficiencies can also be the cause.
You will also need high protein, nutritious diet.
I can only say this from the details you have provided.
I would suggest you to get thyroid profile tests done and follow up an endocrinologist elsewhere.
I wish to hear back from you, if you have got the thyroid hormones tested.
Answered: Fri, 19 Nov 2010
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  User's Response
I have already been tested for hypothyroidism. My t3, t4 and tsh are all normal. Please give more suggestions if you have.
Answered: Sat, 20 Nov 2010
General & Family Physician Dr. Prasad's  Response
Dear Vijay Kr Vishwakarma,
Before proceeding further, I would like to state that, blood pressure of 90/60mmHg and 95 deg F are just within normal limits.
Hence you may not exactly be hypotensive or have hypothermia.

The following may be the cause for your symptoms
1. Endocrinopathies - Thyroid hormone are the commonest. Endocrine functions including adrenal hormones have to be checked.
2. Nutrition and hydration - Vitamin deficiencies in gross, other nutritional defiiciencies and not drinking good amount of water are the other factors.
3. Stress, occupation and psychological factors including depressions.

You could have included your age, occupation, or any other medical problems that you have in your reply.

Since thyroid profile was normal, you will need other endocrine hormone assessment, that include blood sugar, serum cortisol, ACTH levels checked.

Hence my suggestions are consider lifestyle changes. Increase fluid consumption and modify dietary supplements. More clear opinion can be suggested if all the endocrine abnormalities are ruled out. Hence, it may be necessary that you get blood work up as suggested by an endocrinologist.

Let us know the results of the endocrinologist work up. Get back if there are any queries.
Answered: Mon, 22 Nov 2010
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  User's Response
Answered: Fri, 10 Dec 2010
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