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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could cause nausea, fatigue and lightheadedness

Hi, can I answer your health question? Please type your question here... Ive been nauseus with some vomiting for 5 days. Keep getting light headed. Have a headache that comes and goes. And no matter how much i sleep i still have no energy and feel exhausted
Tue, 16 Apr 2019
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General & Family Physician 's  Response

Firstly, Do not worry, I would like to ask you:
1.. Is there any other symptoms like chest pain ?
2. Is there any ear pain?
3. Are you on any medication?
4. Is there any problem in bowel problem?
5. Is there any muscle pain or allergies?
6. Are you depressed or feeling low?
7. May I ask about your daily activities and occupation?

I also like to give some tests:
1. Complete Blood Count
2. Fasting Blood sugar
3. Thyroid Function (T3, T4, TSH)
4. ECG
5. Serum ferritin
6. Morning Blood Pressure. Can be taken at home with digital machine. If you do at home, please take 3 times per session.

I would like you to start these medications:
1. Modafinil 200mg once a day everyday for 1 month
2. Escitalopram Oxalate.

You should also follow the general guidelines:
1. eat a healthy diet
2. no smoking and no alcohol
3. sleep adequately
4. drink water at least 3 liters per day
5. eat vegetables and fruit juice
6. keep checking blood pressure, if possible with a home machine

After 1 month, post another question with the test results and answers to the questions above. We have skilled doctors here. Any doctor can follow you up and can give the next course of treatment if required.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Dipan Samanta, General & Family Physician
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