Hi,
The combination of fatigue,
dark circles under the eyes, and a yellowish tint to the skin and palms of the hands can be concerning for several potential underlying conditions. Your daughter needs to see a healthcare provider to get a proper diagnosis and treatment plan.
One possible cause of these symptoms is anemia, which can result from a deficiency in iron,
vitamin B12, or folate. Anemia can cause fatigue and dark circles under the eyes, and a deficiency in vitamin B12 can also cause a yellowish tint to the skin. Another potential cause is liver dysfunction, which can cause yellowing of the skin and eyes (
jaundice) and fatigue.
Digestive problems can also be related to these symptoms, as
malabsorption or inflammation in the gut can affect nutrient absorption and lead to deficiencies that can cause fatigue and other symptoms. It's important to rule out any potential gastrointestinal issues. Regarding the missed periods, your daughter needs to see her
OBGYN as soon as possible. Missed periods can be a sign of
hormonal imbalances or other gynecological issues that can affect overall health.
As for the use of
psyllium, it's important to be cautious with over-the-counter supplements as they can interact with other medications or cause adverse reactions in some people, hence, discuss this with the healthcare provider. In terms of treatment, it will depend on the underlying cause of the symptoms. Treatment may involve dietary changes, supplementation, medications, or lifestyle modifications.
Take care. Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Priyanka, General & Family Physician