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What Causes Sluggish Behavior, Loss Of Appetite And Mood Swings?
Posted on
Fri, 20 Apr 2018
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Fri, 20 Apr 2018
Answered on
Thu, 17 Aug 2023
Last reviewed on
Question : Hi Doctor, im not sure how do i explain but from past few days actually weeks, my fiance is not having any appitite.. she just try n force down some fruits just for the sake of eating something.. she does not feel hungry at all n dont want to eat any solids.. additional she is having mood swings, dont know why. there is no clinical problem or no medical issues, but just not interested in doing anything , feels very sluggish.
Brief Answer:
Need further details.
Detailed Answer:
Hello,
Well, first of all, please clarify a few details so that I can help better in this scenario:
Are her menstrual periods regular? If not, when was the last time she had her periods?
Is this the first time she's experiencing this?
Is there any pain abdomen/nausea/vomiting or any other concerns?
Are you sexually active?
You've mentioned there're no clinical problems, so did you mean that she's already been examined by any doctor? If yes, please let me know the details of the examination.
Had it been going for only a few days, it could've been attributed to hormonal/even related to PMS (Premenstrual syndrome), but as you explain it's persisting for weeks, it requires further evaluation.
Kindly revert with these details so that I can guide you further.
Take care.
Regards,
Dr. Arnab Banerjee
Critical Care Specialist
Need further details.
Detailed Answer:
Hello,
Well, first of all, please clarify a few details so that I can help better in this scenario:
Are her menstrual periods regular? If not, when was the last time she had her periods?
Is this the first time she's experiencing this?
Is there any pain abdomen/nausea/vomiting or any other concerns?
Are you sexually active?
You've mentioned there're no clinical problems, so did you mean that she's already been examined by any doctor? If yes, please let me know the details of the examination.
Had it been going for only a few days, it could've been attributed to hormonal/even related to PMS (Premenstrual syndrome), but as you explain it's persisting for weeks, it requires further evaluation.
Kindly revert with these details so that I can guide you further.
Take care.
Regards,
Dr. Arnab Banerjee
Critical Care Specialist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
hi Doctor. she has no menstural problems. her periods are not yet arrived n her periods r not due until late next week. .what she is facing now is from past 3 to 4 days. . she does have thyroid which is little high but bo medical issues related to that. no negative symptoms due to thyroid.. Also no pains nothing.. perfectly fine. just that she has list her appetite from past few weeks. n from past few days she is very disinterested in everything n does not want yo do anything.. regarding sexually active she is still virgin
Brief Answer:
Follow-up consultation.
Detailed Answer:
Hello,
Well, from your description it seems like PMS only. I'd suggest you just be vigilant and not force her into any activities that she doesn't like to do. Let her eat simple home-cooked food whichever she feels like eating. If appetite's a concern, you can give her Cap. Pantoprazole 40 mg once daily 10-15 min before breakfast for the next 3-4 days.
A better person to discuss at this time will be someone senior (someone from the family like her mother/ elder sister or anyone that she's close to). Just wait and watch for the periods, it should resolve on its own.
Since you've mentioned about the thyroid issues, it'll be important to see when it was last checked. If it was more than 3 months back, then I'd suggest getting a fresh Thyroid function assay also. If she's taking medications for that, perhaps it'll be even more important to recheck for further dose adjustment/requirement.
No need to worry, but if the symptoms persist/worsen despite following this or beyond the next 3-4 days, then I'd suggest getting a Gynecological check-up for further assessment.
Take care.
Regards,
Dr. Arnab Banerjee
Critical Care Specialist
Follow-up consultation.
Detailed Answer:
Hello,
Well, from your description it seems like PMS only. I'd suggest you just be vigilant and not force her into any activities that she doesn't like to do. Let her eat simple home-cooked food whichever she feels like eating. If appetite's a concern, you can give her Cap. Pantoprazole 40 mg once daily 10-15 min before breakfast for the next 3-4 days.
A better person to discuss at this time will be someone senior (someone from the family like her mother/ elder sister or anyone that she's close to). Just wait and watch for the periods, it should resolve on its own.
Since you've mentioned about the thyroid issues, it'll be important to see when it was last checked. If it was more than 3 months back, then I'd suggest getting a fresh Thyroid function assay also. If she's taking medications for that, perhaps it'll be even more important to recheck for further dose adjustment/requirement.
No need to worry, but if the symptoms persist/worsen despite following this or beyond the next 3-4 days, then I'd suggest getting a Gynecological check-up for further assessment.
Take care.
Regards,
Dr. Arnab Banerjee
Critical Care Specialist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
okay. thyrod was cheked in February n it was verybhigh for which shez been taking medication.. though thyroid high she has not got any negative symptoms..will ask her parents to talk to her
Brief Answer:
Make sure she doesn't skip any thyroid medications.
Detailed Answer:
Hi,
The most important factor will be making sure she doesn't skip any of the thyroid medication doses under any circumstances.
Yes, let her parents talk to her in the meanwhile.
Hope I have answered your query.
Take care.
Regards,
Dr. Arnab Banerjee
Critical Care Specialist
Make sure she doesn't skip any thyroid medications.
Detailed Answer:
Hi,
The most important factor will be making sure she doesn't skip any of the thyroid medication doses under any circumstances.
Yes, let her parents talk to her in the meanwhile.
Hope I have answered your query.
Take care.
Regards,
Dr. Arnab Banerjee
Critical Care Specialist
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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