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Feeling fatigue, head spin, diarrhea with abnormal MCH.

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1. Fatigue 2. Feels like head spin at times(not intense, but like heavy head) 3. Thirsty(Drinking lot of water and peeing a lot too) 4. No diarrhea but need to go to toilet frequently, mostly after every meal I had an intercourse with my boyfriend on 16th (It was 16 days from the date of my last period), but the contraceptive broke off in-between. He got to know then, and stopped then itself. I took an iPill within 4 hours. That day night I was having diarrhea with foul smell and I started having antibiotics for the stomach infection. And the next day, I fell from scooter, didn’t hit my head but the handle was badly pressed against my ribs on the fall. I was having hearing loss for 2 min and wasn’t able to move at all for 5-10 min(Not a big fall, small one only, just that the handle was pressed against my ribs hard). Later I started having a very bad throat infection and diarrhea. Now the throat pain is gone and no diarrhea, but now I am having all the above stated problems. I am due for my periods tomorrow (28th). I tested my blood yesterday, everything was normal except for MCH. Attaching my Blood report along with. Requesting your advice for the above said problems.

Category: Internal Medicine Specialist

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Category: HIV- AIDS Specialist
 32 Doctors Online

Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
So your main symptoms as of now are fatigue, thirsty all the time, as well as head spinning.
Your blood reports are fine, and MCH is slightly low, but nothing significant.
How is the stool consistency now? Any dietarry modifications?
Any relevant past medical history?
What is your BP?
Please reply and I will get back to you.
Regards.


Patient replied :

MCH is high, not low. No dietary modifications as such. Stool consistency is almost normal(bit soft bit normal). No past medical history.. And I frequently go to toilet now unlike before.Had slightly elevated body temperature the last few days.
BP haven't checked. I am healthy, not obese. Do regular check up and all. Will check next day. Can you give me a response apart from the BP part? I will update with BP readings next day.


I apologise about the MCH low part, yes it is high, but just slightly high. It is no matter of concern..
Regarding fatigue and head spinning, your reports are fine, the commonest cause being anemia, and since that is ruled out, the second probable cause is fluctuations in the BP levels. That needs to be monitored.
One more significant history is increase in water intake and increase in urination. The sugar levels are normal, so I will suggest urine examination, as well as RFT.
Do you have any pain in the area of the ribs which got hurt while you fell down?
Regarding the head spinning, is it present throughout?
Also, was there any injury to the ear? any minor injury to the ears can lead to vertigo, which can cause similar symptoms.


Patient replied :

1. I will check BP level and RFT.
2. Pain on ribs were there and slight swelling. Now its all gone and no pain.
3. Head spin is not throughout, at times only
4. There was no injury to the ear as I didn't hit my head at all.
5. Is there any chance that I could be pregnant? and all this happening cause of that.
6. And when I go weak, my whole head goes numb.
Thanks for your timely reply


Pregnancy does not cause such symptoms.
Head spinning is definitely not a pregnancy related symptom, however, update me on whether you got your period.
You can also mention about your menstrual history, like whether you get regular cycles, and what is duration of each cycle.
If there was no ear injury, then vertigo can be ruled out. So, we have to wait for the BP and RFT results for further management.
Regards.


Patient replied :

Hi Doctor, After the previous consult. I was feeling all better and good. But 5 days back, i ate pork which was a little stale. From then I started having foul smelling diarrhoea, stomach pain and headache. Stomach pain comes and goes inbetween inbetween. Now i am having aversion towards food and having nausea and headache. Diarrhoea almost stopped but the stomach pain comes and goes at times still. I took antibiotics for stomach infection but no use yet. I am having this sick feeling from then till now, not yet gone.I feel really tired always.
And for the previous consult. Yes, I did get my periods on time, both last one and the one before that.


Hello,
Kindly note this consult is over a month old now, and hence it will be closed by the syste,.
If you want to continue with this consult, please initiate a new one and the same specialist will be assigned for you.
Regards.


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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