Skin Itch, Dizziness, Loss of Appetite, and Abdominal Pain

Q: Skin Itch, Dizziness, Loss of Appetite, and Abdominal Pain

Dear Miss Peiru： Your main complaints include： [itchy skin that started 5 days ago, dizziness, frequent loss of appetite, and recurrent abdominal pain, with nausea occurring halfway through meals. <br>Sometimes you eat only one meal a day, and at times you hardly eat at all, resu

Itching skin, dizziness, frequent loss of appetite, and abdominal pain?

Hello, doctor: I have been experiencing skin itching, dizziness, frequent loss of appetite, and recurrent abdominal pain for the past five days.
When I finally feel like eating, I can only eat about half of my meal before feeling nauseous and wanting to vomit.
Some days I only eat one meal, and other days I hardly eat at all, resulting in weight loss.
What could be the issue?

Pei Ru, 10~19 year old female. Ask Date: 2018/07/09

Dr. Xiao Yongxun reply Family Medicine

Dear Miss Peiru: Your main complaints include: [itchy skin that started 5 days ago, dizziness, frequent loss of appetite, and recurrent abdominal pain, with nausea occurring halfway through meals.
Sometimes you eat only one meal a day, and at times you hardly eat at all, resulting in weight loss.] All the symptoms involve various bodily systems, including the skin, liver, gastrointestinal tract, endocrine system, nervous system, and even gynecological aspects; the situation is quite complex.
It is recommended that you consult your trusted family physician together with your parents to discuss your concerns thoroughly and undergo a basic physical examination.
This will help in making a differential diagnosis and determining whether any necessary tests or examinations should be conducted.

Reply Date: 2018/07/09

More Info

Hello,
Based on your symptoms of skin itchiness, dizziness, loss of appetite, and abdominal pain, it is essential to consider a range of potential underlying causes. These symptoms can be interconnected and may indicate various medical conditions that require further evaluation.

1. Skin Itchiness: Itching can arise from several factors, including allergic reactions, skin conditions (like eczema or psoriasis), systemic diseases (such as liver disease or kidney dysfunction), or even infections. Given that you are experiencing other systemic symptoms, it is crucial to consider whether the itchiness is part of a broader condition.

2. Dizziness: Dizziness can be caused by numerous factors, including dehydration, anemia, low blood sugar, or vestibular disorders. It can also be a side effect of medications or a symptom of anxiety or stress. If you are not eating well, this could lead to low blood sugar levels, contributing to your dizziness.

3. Loss of Appetite and Nausea: A decreased appetite and feelings of nausea can be linked to gastrointestinal issues, such as gastritis, peptic ulcers, or even more serious conditions like pancreatitis or liver disease. Stress and anxiety can also significantly impact your appetite and lead to gastrointestinal discomfort.

4. Abdominal Pain: Abdominal pain can stem from various sources, including digestive issues, infections, or even referred pain from other organs. The fact that you are experiencing this pain alongside your other symptoms suggests that it may be part of a systemic issue rather than an isolated problem.

5. Weight Loss: Unintentional weight loss, especially when accompanied by the other symptoms you mentioned, is concerning. It can indicate malnutrition, chronic illness, or significant psychological stress.

Given the complexity of your symptoms, it is crucial to seek medical attention as soon as possible. A healthcare provider will likely perform a thorough evaluation, including a physical examination, blood tests, and possibly imaging studies, to determine the underlying cause of your symptoms.
Potential Conditions to Consider:
- Gastrointestinal Disorders: Conditions like gastritis, peptic ulcers, or inflammatory bowel disease could explain your abdominal pain and loss of appetite.

- Liver or Kidney Issues: Both can cause systemic symptoms, including itching and abdominal discomfort.

- Infections: Viral or bacterial infections can lead to systemic symptoms, including nausea and abdominal pain.

- Endocrine Disorders: Conditions like hyperthyroidism or diabetes can cause changes in appetite and weight.

- Psychological Factors: Anxiety and depression can manifest physically, leading to symptoms like loss of appetite, nausea, and abdominal pain.

Next Steps:
1. Consult a Healthcare Provider: Make an appointment with a primary care physician or a gastroenterologist to discuss your symptoms in detail.

2. Document Your Symptoms: Keep a diary of your symptoms, noting when they occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.

3. Stay Hydrated: Ensure you are drinking enough fluids, especially if you are not eating well.

4. Avoid Self-Medicating: While it may be tempting to take over-the-counter medications for relief, it is best to avoid this until you have a clear diagnosis.

In conclusion, your symptoms warrant a comprehensive evaluation to identify the underlying cause and initiate appropriate treatment. Early intervention can significantly improve your quality of life and prevent further complications. Please prioritize seeking medical care.

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