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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Fatigue With Nausea?

my friend was not feeling good for about a week, she is weak she has to sleep if she sit up too long (more than 15mn) or walk she got nauseated and have to go back to lay down, her doctor said everyting is good send her home. But she did not get better she said even talking she feel sick by just talking to much.
Please help.
Thu, 28 Dec 2017
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted the history and understood your concerns.
Such a weakness that your friend is getting fatigued even on talking or walking indicates severe weakness and hence the cause of this and nausea has to be found out in spite that she has been sent back home.
I would advise her the following in such a situation:
Get back to the ER or the nearby hospital as is the system.
Insist for proper clinical evaluation, examination and investigations of blood in details like CBC, liver, thyroid, kidney function, serum electrolytes, Widal for typhoid and so on.
X-ray of the chest.
Ultrasonography of abdomen.
Tests of stool and urine to complete the set.
This will help to know the exact cause and since medicine is an evidence based science, this will give a proper plan of management.
Till then give your friend plenty of liquids, electrolyte solution, ask to take bed rest and medications as would be advised by the Doctor.
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What Causes Extreme Fatigue With Nausea?

Hi. Thanks for your query. Noted the history and understood your concerns. Such a weakness that your friend is getting fatigued even on talking or walking indicates severe weakness and hence the cause of this and nausea has to be found out in spite that she has been sent back home. I would advise her the following in such a situation: Get back to the ER or the nearby hospital as is the system. Insist for proper clinical evaluation, examination and investigations of blood in details like CBC, liver, thyroid, kidney function, serum electrolytes, Widal for typhoid and so on. X-ray of the chest. Ultrasonography of abdomen. Tests of stool and urine to complete the set. This will help to know the exact cause and since medicine is an evidence based science, this will give a proper plan of management. Till then give your friend plenty of liquids, electrolyte solution, ask to take bed rest and medications as would be advised by the Doctor.