[64F] Experiencing fatigue, gastrointestinal symptoms, and weight loss
Patient Description
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Arora's Assessment
What might be happening
Based on the information you've provided, possible diagnoses include:
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Gastrointestinal disorders: Given your symptoms of gas, bloating, burping, nausea, and changes in bowel habits, you might have a gastrointestinal disorder. This could include conditions such as irritable bowel syndrome (IBS), gastritis, or peptic ulcer disease. These conditions can cause a variety of symptoms, including those you've described.
- Treatment typically involves dietary changes, stress management, and sometimes medication.
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Thyroid disease: You mentioned that you have a history of thyroid issues and are on Synthroid. Both hypothyroidism (underactive thyroid) and hyperthyroidism (overactive thyroid) can cause fatigue and weight changes. It's possible that your thyroid medication needs adjustment.
- Treatment involves adjusting the dose of your thyroid medication under the supervision of your doctor.
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Depression: Depression can cause physical symptoms like fatigue, weight loss, and loss of appetite. It can also cause digestive symptoms like those you're experiencing. You mentioned that you're taking Pristiq, which is an antidepressant. If your symptoms are due to depression, it's possible that your medication needs adjustment.
- Treatment involves adjusting the dose of your antidepressant under the supervision of your doctor, as well as psychotherapy and lifestyle changes.
What you can do
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See your doctor: Given your symptoms and their duration, it's important to see your doctor for a full evaluation. They can order tests to help determine the cause of your symptoms and guide treatment.
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Monitor your symptoms: Keep a symptom diary, noting when your symptoms occur, what you're doing at the time, and what you've eaten. This can help identify any patterns or triggers.
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Stay hydrated and eat a balanced diet: Even if you're not feeling hungry, it's important to eat regular, balanced meals and stay hydrated. This can help maintain your energy levels and prevent further weight loss.
What you should look out for
Seek immediate medical attention if you:
- Have severe abdominal pain
- Vomit blood or have blood in your stool
- Have a fever or chills
- Experience rapid weight loss
- Have severe or worsening fatigue
Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.
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9 mo ago