Suggest Treatment For Low Blood Sugar With Headache, Anxiety And Nausea

Posted on Fri, 29 Jan 2016

Question: for the last couple months i have been experiencing symptoms of low blood sugar. It started out o had to eat every 3-4hours or symptoms would start and i would get nervous, crying, nauseated, headache, anxiety and feeling i was about to faint. Once i eat i feel better but it seems it has gotten worse now i need to eat every 1-2hours or symptoms will develop. I have been tested for diabetes Hga1c was a 5 and random blood sugars were normal. I have had my thyroid checked normal levels, a ct of brain normal, chest x ray normal, and other test. Please can you give me some insight as to what is going on. Causing major depression and no answers .

Answered by Dr. Neeraj Kumar (13 minutes later)

Brief Answer:
Provide more details and reports

Detailed Answer:
Hello there, Welcome to HCM.

I have gone through your question and understand your concerns.

Undocumented symptoms of hypoglycemia is questionable.

You need to get your blood pressure measured for any hypotension.

In some cases of gastric disease causing mal-absorption of food leading to feeling of hypoglycemia.

Check your blood sugar at time of symptoms.

You should get an ultrasound abdomen done.

Is there any history of migraine headache?
Take meal rich in carbohydrates.

Hope you found the answer helpful.

Do get back to me with details.

Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (1 hour later)

I don't have a history of it but I have noticed headache with nausea and dizziness. The dizziness comes and go it was one of the reasons they did ct of brain. This has all started with in last couple of months. My only history is high cholesterol. I am not sure of what other details I need to provide. Please let me know and I'm more than happy to share as I'm at a loss on what to do. I have two girls that I want to raise.

Answered by Dr. Neeraj Kumar (5 minutes later)

Brief Answer:
Upload reports and take treatment as advised

Detailed Answer:
Hello,
Your symptoms do not point to hypoglycemia.

Are you having abdominal pain, history of worm infestation, weight loss?

For headache, dizziness, anxiety take amitryptiline and Flunarizine.

Clonazepam can be additionally taken if anxiety is more.

Upload any reports or prescription if available.

Hope you found the answer helpful.

Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (45 hours later)

Are you thinking it's more anxiety and depression

Answered by Dr. Neeraj Kumar (2 hours later)

Brief Answer:
Get investigated to look for any organic cause

Detailed Answer:
Hello,
If all test including ultrasound abdomen is normal then most probably it is due to anxiety.
Upload all investigations done so far.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T