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What Does Intermittent Nausea With Night Sweats, Insomnia, Breathlessness And Lack Of Appetite?

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Posted on Wed, 25 Apr 2018
Twitter Wed, 25 Apr 2018 Answered on
Twitter Thu, 4 Jan 2024 Last reviewed on
Question : Hi
I'm a 51 year old female with a medical history of a hysterectomy, hyperthyroidism (Synthroid 224 mcg), obesity, smoking, arthritis with right hip replacement (Nov 2017). Four to five weeks ago I started felling intermittent nausea and experiencing diarrhea daily. I do not have a history of any gastrointestinal disorders. The nausea has lead to lost of weight (8 pounds over the last 3 weeks) and lack of appetite. I'm also experiencing night sweats and insomnia. I've been experiencing menopausal symptoms for 6 years but never nausea. Also, when I take a shower I get a shortness of breath, sweats and nausea (every time). I tried lowing the temp of the shower but it still results in the same symptoms.
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Answered by Dr. salah saad shoman (1 hour later)
Brief Answer:

Various Causes possible

Detailed Answer:

Hello,

You should get a stool analysis to exclude the presence of infectious gastroenteritis and a test for H.pylori infection as a cause of nausea.

Also, you should check on your thyroid hormonal profile including fT3, fT4, and TSH as there might be a need for a dose adjustment of your thyroid medication which might be causing insomnia and the night sweats.

Another thing is that you should get a CT scan of your chest as weight loss accompanied by night sweats and shortness of breath (with a history of smoking) might be an alarming sign of tumor formation.

In the meanwhile, you can take Tab. Metoclopramide (Primperan) 10mg every eight hours for next 2-3 days to relieve nausea.

Hope I have answered your query.

Take care

Regards,
Dr Salah Saad Shoman, Internal Medicine Specialist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. salah saad shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 3147 Questions

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What Does Intermittent Nausea With Night Sweats, Insomnia, Breathlessness And Lack Of Appetite?

Brief Answer: Various Causes possible Detailed Answer: Hello, You should get a stool analysis to exclude the presence of infectious gastroenteritis and a test for H.pylori infection as a cause of nausea. Also, you should check on your thyroid hormonal profile including fT3, fT4, and TSH as there might be a need for a dose adjustment of your thyroid medication which might be causing insomnia and the night sweats. Another thing is that you should get a CT scan of your chest as weight loss accompanied by night sweats and shortness of breath (with a history of smoking) might be an alarming sign of tumor formation. In the meanwhile, you can take Tab. Metoclopramide (Primperan) 10mg every eight hours for next 2-3 days to relieve nausea. Hope I have answered your query. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist