Dr. Florilyn Joyce Chulsi Bentrez
Neurology
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
Medically reviewed by
Patient's Query
Hello doctor,
I have some questions about symptoms I often experience after physical activity or if I have not eaten for five to six hours. I have not been very active for one to two years due to depression and PTSD. Now, I am making an effort to be more active to lose weight and improve my overall well-being. However, after about an hour of walking, I feel extremely exhausted and dizzy. Sometimes, my hands even tremble a bit. When I eat afterward, I constantly feel nauseous, experience trembling, and get chills throughout my body, as if I am on the verge of collapsing. Various doctors have suggested it might be chronic fatigue. What could be causing this? Am I pushing myself too hard too quickly?
Not long ago, I had blood sugar, blood pressure, hormone, and vitamin tests, and all the results were normal. What additional tests do you recommend, and what might be the underlying issue?
Thank you.
Hello,
Welcome to icliniq.com.
How has your sleep been, and how is your mood lately? I recommend that you obtain a cardiovascular clearance to ensure safety during exercise. Please include a serum total vitamin D test in your workup. Also, try to avoid binge eating and opt for small, frequent meals. Snacking on fruits is a better choice. Spending time in natural settings, such as at the beach, near a river, or in the mountains, can be beneficial. In the meantime, while awaiting the results of your workup, we can try Escitalopram 10mg once a day at 6pm. If it is well tolerated, please continue taking it for six months.
I hope this helps. Thank you.
Patient's Query
Thank you doctor for the reply,
My mood has been low, and I occasionally feel depressed due to my anxiety and PTSD. I believe my lack of physical activity may be making it worse. However, I will make an effort to obtain a cardiovascular clearance. I had a cardio exercise check two years ago, and it was fine, but I will get it checked again. I am willing to try Escitalopram. However, based on the symptoms and readings, can you confirm that it is not diabetes? I am quite concerned about diabetes, even though my doctor has consistently said that my blood sugar is fine. After eating meals, especially those containing rice, meat, and fatty foods, I do not feel well.
Hello,
Welcome back to icliniq.com.
Avoid foods that cause sugar rushes and high-calorie foods for now. Focus on consuming more vegetables and fruits. Consider having an apple in the morning to feel refreshed and a banana in the evening to aid in sleep (as bananas are high in Tryptophan). You can also try aromatherapy with peppermint during the daytime and lavender in the evening to help calm you down. Reading a good inspirational or motivational book before bedtime can be beneficial. Additionally, try to minimize your use of gadgets and avoid browsing the internet before sleep. I hope these home remedies will contribute to your well-being.
Thank you. I hope your queries are resolved and any further queries are welcome.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Neurology
Related Questions
Could the tremors in my hands and feet be due to the withdrawal of medication?
Fever and chills in a child of age 3 years 6 months. What can be done?
Why am I having severe fatigue and bone pain with abnormal findings in my blood smear?
I have severe fatigue with positive ANA test and bumpy rash on abdomen. Please help.
I have chills, breathing problems and cough with white phlegm. Could it be Coronavirus infection?
What causes tremors with pain in arms, legs, and joint pain?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
