Several areas feel uncomfortable?
Hello, Doctor.
Since September 1998, I have been feeling a heavy sensation in my head.
I wake up feeling very tired, not from lack of sleep but from an inability to feel refreshed.
I feel lethargic throughout the day and lack energy for any activities.
Over the past two years, I have developed additional symptoms, including a dry mouth and excessive thirst.
Despite drinking a lot of water, I find myself frequently needing to urinate, about ten times during the day.
I also experience anxiety, palpitations, dizziness, and poor physical stamina.
I do not sweat much and have a strong intolerance to heat.
Could you please advise me on which specialty I should consult for examination? Thank you, Doctor.
kenny, 30~39 year old female. Ask Date: 2010/05/04
Dr. Chen Bozhang reply Family Medicine
Hello: In response to your inquiry, you mentioned several symptoms including dry mouth, frequent urination, anxiety with palpitations, dizziness, and fatigue.
Since these symptoms require a thorough medical history and physical examination by a physician, along with laboratory tests if necessary, to determine the underlying cause, I recommend that you schedule an appointment with a family medicine or general internal medicine clinic for evaluation and management.
Dr.
Chen Po-Chang from Keelung Hospital's Family Medicine Department.
Reply Date: 2010/05/04
More Info
It sounds like you are experiencing a complex array of symptoms that have been affecting your quality of life for quite some time. Given the variety of issues you’ve described, including fatigue, excessive thirst, frequent urination, anxiety, palpitations, dizziness, and intolerance to heat, it is crucial to approach your health concerns systematically.
First and foremost, I recommend that you see a Family Medicine specialist. Family medicine practitioners are trained to handle a wide range of health issues and can provide a comprehensive evaluation of your symptoms. They can perform initial assessments, order necessary tests, and determine if you need to be referred to a specialist for further evaluation. This holistic approach is particularly beneficial when multiple symptoms are present, as it allows for a more integrated understanding of your health.
When you visit a Family Medicine doctor, they will likely start with a thorough medical history and physical examination. They may ask about your lifestyle, diet, stress levels, and any medications you are currently taking. Given your symptoms, they might consider conducting blood tests to check for conditions such as diabetes, thyroid disorders, or electrolyte imbalances, which could explain your excessive thirst and frequent urination. Additionally, they may evaluate your heart health through an electrocardiogram (ECG) if they suspect that your palpitations are significant.
It’s also important to discuss your mental health with your Family Medicine doctor. Symptoms like anxiety and fatigue can sometimes be linked to psychological factors, and addressing these can be just as crucial as treating physical symptoms. They may recommend counseling or therapy if they believe that your mental health is contributing to your physical symptoms.
If your Family Medicine doctor identifies any specific issues that require specialized care, they will refer you to the appropriate specialist. For example, if they suspect a hormonal imbalance, they might refer you to an endocrinologist. If your symptoms suggest a neurological issue, a neurologist might be the next step.
In terms of your symptoms, the combination of fatigue, excessive thirst, and frequent urination could indicate conditions such as diabetes mellitus, particularly if you are experiencing increased urination and thirst. Diabetes can lead to dehydration and fatigue, and it’s essential to rule this out early. Additionally, your intolerance to heat and lack of sweating could suggest a condition related to your autonomic nervous system or thyroid function, which should also be evaluated.
It’s also worth noting that chronic fatigue can stem from various sources, including sleep disorders, chronic stress, or even nutritional deficiencies. Therefore, a comprehensive evaluation is essential to pinpoint the underlying causes of your symptoms.
In summary, I strongly encourage you to schedule an appointment with a Family Medicine specialist. They will be able to provide a thorough assessment of your symptoms, order necessary tests, and guide you through the process of understanding and managing your health concerns. Remember, it’s important to advocate for your health and communicate openly about all the symptoms you are experiencing. This will help your healthcare provider to develop a more accurate diagnosis and effective treatment plan.
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