hot flashes, extreme fatigue, adominal discomfort and pain

[rmirzage]

Hi I am a 28 year old male, and have been having hot flashes, extreme fatigue, muscle spasms, strained voice, breathing difficulties, abdominal discomfort, gurgling in my stomach, weakness, blurred vision for about 15 years or so.  I have gone to my doctor and explained what my symptoms were and he gave me some blood tests, took some urine, and did an mri, and ekg but found nothing wrong.  I then went to another doctor who also did some blood tests and found that I had a positive ANA.  So I then went to a rheumatologist who thought that I had Sjorgens or Lupus and did some blood tests and found that I do not have either.  After the rheumatologist I thought maybe I will check with a gastroenterologist about the abdominal discomfort and gurgling in my stomach.  He suggested I have a colonoscopy to check what is wrong.  He actually did an endoscopy and colonoscopy and found only some inflammation in my esophogus, which he prescribed prilosec otc for.  I have been taking the prilosec otc and it did not help with my symptoms at all.  I then went online and did some research and thought maybe something is wrong with my hormones so I went to an endocronologist who did some blood tests and found that I had extremely low vitamin D, but nothing else wrong, so she prescribed some strong vitamin D pills for me.  I have still been getting the same symptoms and no one can figure out what exactly is wrong with me.  I know that something is wrong with my because I have been suffering with these symptoms for 15 years now.  I have tried many things such as diets, eating right, exercising, different vitamin combinations, but nothing works.  I have been having a lot of difficulty just living my day to day life.  I have to constantly avoid interaction with people because of the hot flashes and because of my extreme fatigue just standing up or trying to talk exhausts me.  I don't have a social life at all because I am constantly feeling fatigued just trying to talk.  When I do talk to people it is like I am using all my energy just to say a word or short sentence, which eventually leads to hot flashes in the middle of a conversation and that is when I have to end the conversation.  I am very desperate to find an answer to my problem.  If anyone can give me any advice I would really appreciate it.  If you have a suggestion of a doctor who you think can help me or may know what I have please let me know.  If you have any suggestions I would greatly appreciate them.

[alsky]

check on   chronic fatigue syndrome

[Dr. Kokil Mathur]

Hi! First get your blood pressure checked. This could be due to high blood pressure. The other possibility is clot in some blood vessel. This can also give out heat sensation without there being any temperature. Hyperthyroidism, diabetes, temporal arteritis(possible as you have vision problems too) are the other possibilities. It can also be an allergic reaction to some soap or oil etc. In males it can be due to male menopause or low testosterone.
Possibility of H pylori infection too should be looked into by a carbon urea breath test and a combination antibiotic tried. Many a times a persisting H pylori infection can be the cause behind acidity not responding to treatment. Apart from a combination of 2 or more antibiotics to overcome drug resistance, the treatment of H pylori also involves taking a proton pump inhibitor such as omeprazole, lansoprazole or pantoprazole empty stomach in the morning. Along with it you can try over the counter antacids. However I would recommend you see a doctor and take medication under a doctor’s supervision. Avoid heavy meals and eat frequent small meals. Avoid too much of caffeine, tea, smoking, fried food and drinks both alcoholic and non alcoholic fuzzy ones. Avoid heavy exercises within 4 hours of a heavy meal. Raise the head end of the bed by pillows to 30 degrees. Take a late night snack and eat supper early. Avoid lying down for least 2 hours after food main food, dinner or supper. Maybe these tips will help you. Take care!