Important investigations:
CBC Serum Ferritin Vitamin B12 & Folate levels 25(OH) Vitamin D Thyroid profile (TSH, Free T4) Fasting blood sugar Liver & Kidney function tests Serum Calcium, Magnesium, Zinc Hormonal panel (LH, FSH, Estradiol, Prolactin, Testosterone)
Most probably you anemia. Follow up with the reports. Don’t take medicine without any investigation.
As u have mentioned u have piles since 3-4 years which which you might have Anemia , which is responsible for tiredness, dizziness. Secondly you have shorter cycle and you’re not gaining 2 possible causes are there thyroid disorder and pcos I would suggest you to kindly do following investigation 1. CBC, Thyroid profile, LH, FSH, Sr. Estrogen 2. Also consult for general surgeon for detail evaluation of piles Meanwhile you take following medicine 1. Tab Iron folic acid Sig: 1 tab once daily before food for 1 month 2. Tab Daflon 500 Sig: 1 tab once daily after food for 15 days 3. Escort gel Sig: Apply locally 4. Syp lactulose Sig: 30 ml at bed time for 3 days ( if constipation)
Advice: sitz bath with betadine solution
Hello dear Please be aware I think as per clinical history you are multiple problems which usually occur in PCOS. You may require following precautions and instructions Oral Contraceptives Diane-35 ( acne medication) Progesterone - Duphaston ( bleeding induction) Spironolactone -( associated bp fluctuations of present) Letrozole (ovulation induction- but only after confirmation from gynacolologist) In addition,please take preventive measure Do meditation Exercises regularly for half an hour Eflorthine- ( for facial hair) Kindly get following tests done and share reports with gynacolologist for clarification Serum ferritin Tsh level Hemogram Random sugar Regards
Your long-standing piles, short menstrual cycles, low weight, easy fatigue, and dizziness may indicate anemia or another underlying nutritional or hormonal imbalance. These issues require proper diagnosis to address both the piles and your overall health. Please consult a general surgeon for piles management and a gynecologist or physician for hormonal evaluation, anemia testing, and a nutritional plan.
For the issues you’re experiencing, let’s break this down step by step. Starting with the piles, or hemorrhoids, which you’ve had for several years, managing these typically involves dietary adjustments and topical treatments. If over-the-counter creams haven’t been effective, consider increasing your fiber intake significantly. This means more fruits, vegetables, and whole grains, and staying well-hydrated––aiming for at least 2 liters of water a day can make a difference. This helps soften stools and reduces straining, which can exacerbate the hemorrhoids. Persistent piles may require more comprehensive evaluation by a medical professional to explore minimally invasive treatments or even surgery, if needed.
Regarding your menstrual cycle irregularities and shortened periods, this could be linked to various factors such as hormonal imbalances, low body weight, or stress. Since you mentioned difficulty with weight gain and fatigue, it might be beneficial to check for any underlying conditions like thyroid dysfunction or anemia. These could also contribute to your feeling of fatigue and dizziness. Simple blood tests can diagnose anemia or thyroid issues, and proper treatment can then be initiated.
Your low weight and easy fatigability might indicate a need for a detailed nutritional assessment. Consulting with a nutritionist could provide personalized advice to help you gain weight in a healthy manner. They would likely suggest small, frequent meals that are high in protein and healthy fats. Regarding the dizziness, especially when changing positions, this could be postural hypotension. Staying hydrated and slowly transitioning from sitting to standing can help reduce symptoms; however, if it persists, a more thorough evaluation is warranted to rule out cardiovascular causes.
I recommend setting an appointment with a healthcare provider who can give you a comprehensive assessment. They can tailor a plan that addresses not only your symptoms but the underlying health issues that might be contributing to this constellation of symptoms. Early intervention and proper management can significantly improve your daily functioning and quality of life.
