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Nauseous at night and fatigued throughout the day

Resolved Question:

Nasea and fatigue??

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
 25 Doctors Online

Hello,

Please add more details to your query. The option is available at the bottom of the page as Ask follow-up question. Your query will be then assigned to appropriate specialist.

It will also help the consulting Doctor in making the best assessment.

Thank you
In-house Physician


Patient replied :

I need to know why I am nauseas at night mostly and fatigued throughout the day


Hello,

Thank you for asking your query at DoctorSpring.

I will require some additional information from you so that I can provide my best and learned opinion.

1. For how long are you having these symptoms (days, weeks, months ?)
2. Do you have any stomach upset or abdominal symptoms? (Like diarrhoea, abdominal pain, constipation?)
3. Have you had any significant illness in the past?
4. Do you have any of these symptoms – Fever, breathlessness, chest pain, leg swelling, pain over the joints ?
5. By ‘fatigued’ may I know what exactly you mean ? Is it just a feeling of tiredness or are you physically disabled to carryout work ?

You can reply as a followup .

Thank you


Patient replied :

1. Months. 2. Well as soon as I eat, I must go. Like several times a day. 3. Just MRSA. 4. Occasional chest pain or shoulder pain. 5. I goto work every day feeling fine and then at several times during the day I must stop and rest. I need to sleep for a bit.



Hello,

Thank you for the additional details you have provided.

You are having a set of constitutional symptoms which are nonspecific. When I say non specific I do NOT mean that they are not significant, just that the symptom patter is not suggestive of a single diagnosis.

There are a number of possibilities we need to rule out by doing appropriate tests. This has to be done in a stepwise manner. Liver and Kidney disorders are the first and foremost entities to be ruled out (as both can cause nausea and fatigue). Other diagnostic possibilities like blood related disorders, a bowel upset should also be ruled out. You will require some blood tests for this. These tests are simple and easily available.

1. Renal Function Test (Urea, Creatinine, Electrolytes)
2. Liver Function Tests (Including Proteins)
3. Complete Haemogram
4. Urine Routine.

Once the results are available we can rule of major illness and a treatment protocol or protocol for further evaluation if needed can be formalised.
I recommend getting in touch with your GP to get theses tests done.

Hope this helps
Please feel free to ask followup queries.
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

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