Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Excess sleep and abdominal pain

Resolved Question:

Hello,

46 years old male
I’ve been having these symptoms for the last 12 months:
1- Very hard to wake up in the morning
2- After waking up, stomach pain daily
3- By the afternoon, I get very tired and sleepy.

Category: Internal Medicine Specialist

Ask Your Own Question

Category: HIV- AIDS Specialist
 22 Doctors Online

Hello,

Thank you for choosing DoctorSpring.

I would like to know some additional details from you so that I can provide a solid and learned opinion.
You can reply as a followup

1. When was Diabetes diagnosed ?
2. What is usual Fasting and Post prandial blood sugar level ? Also HbA1C levels ?
3. Have you done any blood tests for this ? If so please share.
4. Do you have any chest pain, breathlessness on exertion ?
5. How is your sleep during the night ? Do you snore ? Do you feel out of breath anytime ?


Thank you


Patient replied :

1. about 1 year ago
2. fasting bs level ~ 120, HbA1C 6.5
3. did all kinds of tests, all -
4. chest pain yes
5. I don't sleep good, no snore, I don't feel out of breath


Thank you for the reply.

There seems to be no obvious cause for this fatigue symptoms for last 12 months. But with few investigations and a step by step approach I hope diagnosis can be reached.

The stomach pain is suggestive of a Acid Peptic disease or stomach ulcer. I feel you might have tried some anti ulcer medication also. I recommend an OTC anti ulcer medication like Prilosec once a day. This has to be taken just before sleep, without any food for 14 days.

The most common causes of the symptom set - trouble to wake up. easily fatigued by evening and stomach pain - is depressed mood and/or anxiety and/or stress. You will be the best person to judge this. Stress anxiety is one of the most common cause for the stomach ulcer also. Let me know if there is a history of depression , stress or anxiety.

If not the 3 causes I mentioned above the next step would be a comprehensive investigation. These are the set of investigations required. Many of them you might have done.

CBC
ESR, CRP
Liver function tests
Renal function tests
Thyroid function tests
Urine Creatinine ration
Urine routine
S.Calcium
Vitamin D levels
H Pylori breath tests

I would recommend you to take up a moderate aerobic exercise plan for 40 minutes five days a week. If you the reports of above mentioned blood tests please share.

Hope this helps
Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news