I am getting recurrent diarrhea, nausea, fatigue and much more. What is the reason?

Hello,

Welcome to icliniq.com.

I have read the attached reports. (attachment removed to protect patient identity).

The red blood cells count, hemoglobin and HCT (hematocrit) are slightly raised.

So secondary polycythemia seems most likely.

The smoking habit, heart problem, chronic lung disease, dehydration are some of the causes for it.

You are having repeated diarrhea history. So, diarrhea can cause dehydration and that is the reason for secondary polycythemia.

You need to maintain hydration with lots of water at least two to three liters per day.

You need to investigate with endoscopy or CT (computed tomography) colonoscopy, virtual colonoscopy like investigations for further work up for diarrhea.

Stool routine microscopic examination and culture are also needed to be done.

Diarrhea can cause electrolyte loss in fluid, so muscle weakness and bone pain can occur.

I suggest you take Vital Z with water to replenish the lost electrolytes.

You need to investigate with SGPT (serum glutamic pyruvic transaminase), urea, creatinine, serum vitamin D, and serum TSH (thyroid-stimulating hormone) estimation as well.

You can revert back once all reports are done.