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Gastroenterology (Expert Forum)
nausea and loss of appetite
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
nausea and loss of appetite
by lizzy48, Apr 16, 2007 12:00AM
Hi Doctor
I am a 48 year old female. For approx. 17 years I have been having bouts which last about 2 weeks with the following symptoms: severe fatigue, no appetite, nausea (no vomiting), weak wobbly feeling legs, occasionally a strange numbing chilling sensation throughout my body and achiness. The frequency of the bouts vary and at one point they went away for about 6 years. Since October of 2006 they seem worse and more frequent. I have had 5 bouts of this illness since October and it is really starting to interfere in my life. When I have one of these bouts I have a real hard time working and enjoying anything. I just feel miserable! Even though I am exhausted I seem to have some insomnia. In between bouts I feel great. Every single bout with this that I have ever had started the day before or the day that my period ended.
27 years ago I had some sores in my pubic area and I went to a doctor. He took a real quick look and said I had herpes. That is the only time I ever had sores. Is it possible the herpes virus is causing these symptoms even though I have no sores? I have been to several doctors who run routine blood tests and find nothing abnormal. What do you suggest I do?
I am a 48 year old female. For approx. 17 years I have been having bouts which last about 2 weeks with the following symptoms: severe fatigue, no appetite, nausea (no vomiting), weak wobbly feeling legs, occasionally a strange numbing chilling sensation throughout my body and achiness. The frequency of the bouts vary and at one point they went away for about 6 years. Since October of 2006 they seem worse and more frequent. I have had 5 bouts of this illness since October and it is really starting to interfere in my life. When I have one of these bouts I have a real hard time working and enjoying anything. I just feel miserable! Even though I am exhausted I seem to have some insomnia. In between bouts I feel great. Every single bout with this that I have ever had started the day before or the day that my period ended.
27 years ago I had some sores in my pubic area and I went to a doctor. He took a real quick look and said I had herpes. That is the only time I ever had sores. Is it possible the herpes virus is causing these symptoms even though I have no sores? I have been to several doctors who run routine blood tests and find nothing abnormal. What do you suggest I do?
Doctor's Answer
by Kevin Pho, MD, Apr 17, 2007 12:00AM
, Apr 17, 2007 12:00AM
I would suggest an upper endoscopy. This test can look for blockages and strictures that may be causing your symptoms. If herpes is a concern, the endoscopy can determine if there are any suspicious herpes lesions within the esophagus.
I would also consider an abdominal ultrasound to look at the liver and gallbladder.
More specialized tests can be considered, such as a gastric emptying scan looking for gastroparesis as well as a 24-hr pH study to rule out GERD.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
I would also consider an abdominal ultrasound to look at the liver and gallbladder.
More specialized tests can be considered, such as a gastric emptying scan looking for gastroparesis as well as a 24-hr pH study to rule out GERD.
These options can be discussed with your personal physician.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
