question-icon

What Causes Extreme Fatigue, Sternum Pain And Nausea?

default
Posted on Fri, 24 Jul 2015
Question: I suddenly feel extremely fatigued and am asleep within minutes, bad pain from sternum downward upon waking and standing, nausea, with some relief after b.m.
doctor
Answered by Dr. Grzegorz Stanko (59 minutes later)
Heart attack has to be ruled out. Please visit ER.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Grzegorz Stanko (2 hours later)
It's been happening off and on for a week and has before. NOT a heart attack, entirely gastric-related symptoms, will pass eventually but seems to be recurrent .
doctor
Answered by Dr. Grzegorz Stanko (9 hours later)
Brief Answer:
Some more information is necessary.

Detailed Answer:
From your prevoius questions I can see you have some gastric problem indeed. Can you please give some more information about your current and previous symptoms. Here are the facts I need to know before giving the answer:
Do you have any abdominal pain? If so, where is it located? Does it radiate to the back? Is it associated with food foods intake? Do you have bloating, diarrhea, blood or mucus in stool? Have you lost some weight recently? Is the chest pain sharp or squeezing/burning? Have you had any diagnostic and if so please try to attach the reports.

Im looking forward to hearing from you.
Regards.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Grzegorz Stanko (7 hours later)
Two types of abdominal pain: gas-type stabbing pains in entire colon (both sides and across top of abdomen) with bloating; squeezing, muscular pain that starts at top center and moves downward to navel; both relieved by applying hot, moist heat pack; occasionally either may be so sudden as to cause retching and/or vomiting. Neither generally radiate to the back although both can be severe.

I have a lot of bloating no matter what I eat, and the pain does not have any apparent connection to food. I have generally been constipated, with a couple incidences of diarrhea. No blood in stool, some mucus after several days with no b.m.

I HAVE HAD NO CHEST PAIN WHATSOEVER. No recent diagnostics. I have not lost significant weight.

I am frustrated as this has returned after several weeks feeling mostly fine and active. It keeps happening without warning or provocation and begins with the extreme fatigue. I wonder if it could be IBS.
doctor
Answered by Dr. Grzegorz Stanko (3 hours later)
Brief Answer:
Colonoscopy has to be done.

Detailed Answer:
I can see we have discussed your issues few months ago. I have mentioned that you should have some diagnostic and for sure colonoscopy. This is still the next step as you can see it has returned. Without diagnostic, it is very hard to give you any other solution.
So please if its possible consult your doctor and have at least some basic tests. Colonoscopy is a very important at this point to rule out large intestines problems.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Grzegorz Stanko

General Surgeon

Practicing since :2008

Answered : 5794 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What Causes Extreme Fatigue, Sternum Pain And Nausea?

Heart attack has to be ruled out. Please visit ER.