HomeAnswersGeneral PractitioneranxietyKindly suggest treatment to reduce headache accompanied with nausea, fatigue and dizziness.

I have headache accompanied with nausea, fatigue and dizziness. Please help me.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Atika Maryam

Medically reviewed by

Dr. K. Shobana

Published At November 27, 2020
Reviewed AtJanuary 2, 2024

Patient's Query

Hi doctor,

I am struggling with my health for almost 11 months. I started to have this issue two years back. I waked up one day with a headache accompanied by nausea, fatigue, shaking hands, blurry eyes, confusion, and loss of balance. I thought that I am going to die. I went to a doctor and he told me that my body remains pale. He assumed that I have anemia. He gave me pills and wrote a list of foods and supplements to eat. His medications helped me and I returned back to normal. After a year, my gums start to bleed. I started to have some gaps formed between my teeth with gum ache. I consulted a dentist. He referred me to a periodontist who diagnosed me with gum disease and underwent surgery. I took medications and ate soft food for two months. My surgery was successful but antibiotics affected my bowel badly. I had a runny stomach and then, it turned to constipation later. Blood came out while passing stools and I started to have tearing of anus several times while passing stools. My anus became itchy as if I had pinworms. I consulted a gastroenterologist and he diagnosed me with pruritis ani. He prescribed me a cream and it worked for two weeks. After that, things started to become abnormal until today. I am still experiencing irritation. I wake up every day with a feeling of going to die. Before a year, my symptoms resurfaced more intensely. I had a bad headache with nausea, fatigue, dizziness, shaking hands, memory loss, confusion, and blurry eyes. But this time, it remains worse. Sometimes, I have a feeling that I am going to have a loss of eyesight soon. I will sleep for eight hours and I will wake up in the morning with a feeling of having inability to blink my eyes. It happens every day. Even at night, I start to have headaches when I open my eyes. I consulted a physician and he did some tests. Everything came back normal. He told me to do another blood test and CT brain. I did my blood tests and it came back normal. I planned to do a CT brain after few days. My symptoms got worse day by day and so I went to a hospital for doing CT brain. Then they told me to come back after a month to have my results. After that, I was unable to go to hospital due to lockdown. Then I called the hospital to have my results. They told me to wait for a month. My symptoms was getting bad. So I pleaded with them and they told me to come to hospital. After going to the hospital, I came to know that my results were lost. The symptoms were resurfacing. My headache got less intense. But still, I have shaken hands, minor fatigue, and nausea daily. After a month, my headache returned back. My nausea became worse and my head was heavy. I seem to be physically tired and I have to act like nothing is wrong with me and I will do chores in my home. I did not receive any support from my family in this situation. My mum took my situation lightly. At this point, I do not have any idea about my body. I do not know whether it occurs due to chronic anxiety or depression or migraine or stress. After a month, all my symptoms have returned back to normal and now, I hate to go to hospital as nothing was found previously. Currently, it is hard to go to the hospital as it is full of covid patients. I am scared and lost hope in everything. Kindly suggest any medication. People living around me are self-centered, manipulative, toxic, and have zero empathy. I got sexually harassed by my stepdad four years back. He went out of my home three years back and my mom wants me to forgive him. Till, this day, I did not do it. My mum does not take care of me and she plays victim all the time. She has a blind eye on my situation and when I say to her, she tries to manifest things. She tells me to do prayers often. My stepbrother and other siblings are on my stepdad's medical aid and even for small things, they go to a hospital immediately. When I mention my mental instability and depression to my mother, she changes the topic quickly and says me to avoid thinking about it. Recently, my aunt called my mother and asked her about my health. She told me that I am fine. My mum never sees me as a human being. Kindly help me.

Answered by Dr. Atika Maryam

Hi,

Welcome to icliniq.com.

I am sorry to hear about your illness. As all your illness are resolved, this seems like a psychic issue. Your symptoms suggest that you suffer from severe anxiety. You need to consult a psychiatrist. You need to take anti-anxiety medications and CBT (cognitive behavioral therapy). I hope this helps. Thank you.

The Probable causes

You have stress, sexual harassment, and bad parenting.

Investigations to be done

You can have psychoanalysis.

Differential diagnosis

You seem to have depression and anxiety.

Probable diagnosis

You have anxiety.

Treatment plan

You can take anti-anxiety medicines.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Atika Maryam
Dr. Atika Maryam

General Practitioner

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