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What Causes Severe Fatigue Along With Headaches And Vomiting?
I am a 19 year old female. I have never fainted before in my life but in the past 7 months i have fainted on three different occasions. First time, i had been vomitting the entire day and didnt have any food or water whatsoever. I was blow drying my hair and then I fainted. Second time, i fainted while fetting my finger pricked with a lancet for an experiment in our college lab where i fainted and fell on the floor with the back of my head first and I got a concussion. I had headaches for weeks and short term memory loss of atleast 20 minutes after i fainted. Third time, was while my blood was being drawn. I am not scared of blood neither am I scared of getting my blood taken. I have had blood drawn several times before. My recent blood workup was all normal. I also frequently have a higher pulse rate even while my blood pressure is normal. Can you please help me with my diagnosis?
Fri, 15 May 2020
Hi,
Most headaches in general practice are ordinary tension headaches and need just an analgesic and maybe a tranquilizer, but as a routine, one should usually test the following signs:
- Check blood pressure
- Check sinus tenderness over maxillary and frontal sinuses, [flu like symptoms present], and look for any focus of infection in teeth, tonsils and ears
- Check with eyesight
If there is any neurological sign as a weakness of cranial nerves or limbs, then consultation with a neurologist and a C.T. scan might be necessary. You may contact your primary doctor to examine and Investigate thoroughly to look for common causes like:
- Hb% for anemia.
- Blood sugar - fasting and PP for diabetes.
- X-ray chest.
- Serum T3, T4, and TSH
Management will depend upon the cause of the symptoms, until then:
- Regular exercise and walk in the fresh air
- Regularize working hours
- Regularize sleep for 7-8 hours
- Injection Neurobion 2 cc IM [alternate days] X 5-10 injections
- Capsule B complex: 1 daily
Other points to follow are:
- As a rule of thumb, if there is vomiting, headache, one has to rule out meningitis, so visit an ER or nearest hospital to exclude the same.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Munish Sood, Ayurveda Specialist
Most headaches in general practice are ordinary tension headaches and need just an analgesic and maybe a tranquilizer, but as a routine, one should usually test the following signs:
- Check blood pressure
- Check sinus tenderness over maxillary and frontal sinuses, [flu like symptoms present], and look for any focus of infection in teeth, tonsils and ears
- Check with eyesight
If there is any neurological sign as a weakness of cranial nerves or limbs, then consultation with a neurologist and a C.T. scan might be necessary. You may contact your primary doctor to examine and Investigate thoroughly to look for common causes like:
- Hb% for anemia.
- Blood sugar - fasting and PP for diabetes.
- X-ray chest.
- Serum T3, T4, and TSH
Management will depend upon the cause of the symptoms, until then:
- Regular exercise and walk in the fresh air
- Regularize working hours
- Regularize sleep for 7-8 hours
- Injection Neurobion 2 cc IM [alternate days] X 5-10 injections
- Capsule B complex: 1 daily
Other points to follow are:
- As a rule of thumb, if there is vomiting, headache, one has to rule out meningitis, so visit an ER or nearest hospital to exclude the same.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Munish Sood, Ayurveda Specialist
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