I feel run-down all the time. Why?

Hi,

Welcome to icliniq.com.

From the reports and the history of complaints that you have provided me, it seems likely that you are suffering from some sort of infective hepatitis. For confirmation of the same I suggest you to undergo certain blood tests like liver function tests and anti-HAV (hepatitis A virus) IgM and anti-HEV (hepatitis E virus) IgM. You might feel tired for some time because of the infection. The mainstay of the treatment is adequate rest, plenty of oral liquids and fruit juice. Avoid having spicy and oily foods for two to three weeks.

You can get back to me with the requested blood tests when you get the reports.

Take care and get well soon.

Hi,

Welcome back to icliniq.com.

I have gone through your investigations (attachment removed to protect patient identity). All the parameters are grossly normal. Though your RBC (red blood cells) distribution width is low, your hemoglobin still remains within normal limits. So there is nothing to be worried about. Low glucose levels can occur due to prolonged fasting before doing the tests. Please mention whether you still have symptoms persistently. As you have pointed out, the antibody levels against the vaccinable type of infective hepatitis seem to be low or undetectable, then you consider having vaccination against Hepatitis A and B if you do international travel frequently.

In case, if we have ruled out the infective causes of your symptoms, then we can consider inflammatory causes or irritable bowel syndrome. I could not find the reports of the stool tests that you have done. A stool calprotectin test should be done to rule out any inflammation in the intestines. If it is an irritable bowel syndrome, you need to take symptomatic treatment according to the phase of bowels, whether you are constipated or having loose motions. Keep yourself hydrated. You can consider taking probiotic capsules or sachets thrice a day. Keep your food high in fiber content. This will definitely help with your symptoms. You can get back to me if any further queries. Take care.