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What could be causing my intense and fluctuating symptoms like fatigue, palpitations, and nausea for over three months?
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Mental & Emotional Health
Question #29092
18 days ago
76

What could be causing my intense and fluctuating symptoms like fatigue, palpitations, and nausea for over three months? - #29092

Naffre

Bonjour, Depuis environ trois mois et demi, je ressens des symptômes intenses et très fluctuants qui affectent ma vie quotidienne. Je présente une fatigue soudaine et intense, des sensations de malaise général et fébrile, comme si j’étais malade, des palpitations et de l’anxiété. J’ai également une faim très forte et des creux douloureux, avec des envies de sucre importantes, des nausées, des maux de ventre, des maux de tête récurrents et une tête lourde. Mes mains et mes pieds sont souvent froids, ma soif varie beaucoup, parfois absente et parfois très forte. Je ressens aussi une faiblesse dans certains membres et parties du corps, ainsi que des éructations et éternuements très fréquents. Ces symptômes peuvent varier d’un jour à l’autre, d’une heure à l’autre et même d’une minute à l’autre, et apparaissent souvent après les repas ou spontanément. Ils sont intenses mais pas constants. Mes bilans récents sont normaux : glycémie et insuline à jeun, fer, TSH, T3, T4, cortisol, urée, créatinine. Les tests digestifs, dont Helicobacter pylori et coproculture, sont également normaux. J’ai eu une restriction alimentaire brutale il y a environ trois mois et demi, mais ces symptômes persistent malgré un retour à une alimentation normale. J’ai aussi remarqué des variations d’humeur dans le passé. Je ne sais plus quoi faire pour aller mieux, et tout ves symptômes bizarre dans mon corps m'inquiète vraiment. Que devrai-je faire et pensez vous que je vais m'en sortir et que c'est rien de grave ? Merci pour vos réponses How long have you been experiencing these symptoms?: - More than 3 months How would you rate the severity of your symptoms?: - Severe — significantly limits functioning When do these symptoms worsen?: - No specific pattern Have you noticed any triggers that make symptoms worse?: - No clear trigger How is your appetite and digestive health?: - Frequent nausea or discomfort How would you describe your sleep quality?: - Sound and restful Have you tried any treatments for these symptoms before?: - Home remedies or lifestyle changes Have you experienced any significant stress or changes in your life recently?: - Yes, but minor stressors

How long have you been experiencing these symptoms?:

- 1-4 weeks

How would you rate the severity of your symptoms?:

- Moderate — affects daily activities

When do these symptoms worsen?:

- No specific pattern

Have you noticed any triggers that make symptoms worse?:

- No clear trigger

How is your appetite and digestive health?:

- Frequent nausea or discomfort

How would you describe your sleep quality?:

- Light or interrupted

Have you tried any treatments for these symptoms before?:

- No, this is the first time seeking help

Have you experienced any significant stress or changes in your life recently?:

- Yes, but minor stressors
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
17 days ago
5

Hello dear See as per clinical history it seems autonomic nervous system disorder with peripheral nerve irritation It has following symptoms which are coinciding with your query Hypoglycemia Weakness Anxiety issues Discomfort It is not a severe problem and is probably observed after recovery Iam suggesting some precautions for improvement Please follow them for atleast two months physical exercise atleast half an hour daily for 5 months Do meditation Take good balanced diet for good health Engage in social media Indulge in hobbies like reading and writing Avoid overthinking Avoid junk food and alcohol/ smoking Set your goals for every day In addition please get following tests done for follow up and share result with neurologist for better clarity Please donot take any medication without consulting the concerned physician CBC Serum ferritin Serum tsh Serum dopamine and serotonin Serum bradykinin EMR Regards Brain USG Hopefully you recover soon Regards

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
17 days ago
5

fluctuating fatigue, palpitations, anxiety, intense hunger with sugar cravings, digestive discomfort, cold extremities, and weakness—despite normal test results, are most likely related to a functional imbalance rather than a serious organic disease. The history of a sudden dietary restriction followed by persistent symptoms suggests your body may be experiencing metabolic and autonomic dysregulation, possibly with elements of reactive hypoglycemia, gut sensitivity, and anxiety-related nervous system overactivity. The fact that symptoms vary rapidly and often worsen after meals further supports this. Importantly, normal blood tests are reassuring and indicate that this is unlikely to be a dangerous or life-threatening condition. With proper management—such as regular balanced meals (avoiding long gaps and excessive sugar), gradual dietary stabilization, stress reduction, and possibly guidance from a doctor or nutritionist—these symptoms are usually reversible over time. In summary, while your symptoms feel intense and concerning, you are likely to recover, and this condition is manageable with the right approach.

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Given the range and fluctuation of your symptoms, it’s understandable why you’d be concerned. Your symptoms, such as fatigue, palpitations, nausea, changes in appetite and mood, could be stemming from a variety of causes. What stands out immediately is the interplay of multiple systems: the cardiovascular symptoms like palpitations and cold extremities, digestive issues including nausea and stomach pain, and the systemic signs like fatigue and fluctuating thirst.

A major consideration is the link between your symptoms and your nutritional status, especially since you mentioned a recent restrictive diet. It’s possible that your body is still adjusting to changes in nutrient intake, potentially causing hypoglycemia episodes, though your blood tests are normal. Hypoglycemia could explain sudden hunger, anxiety, palpitations, and fatigue. Another possibility to consider is a functional or non-classical adrenal insufficiency that wouldn’t necessarily show on a standard cortisol test but might be symptomatic with stress or physical demand. It’s also relevant to consider the role of stress or anxiety contributing to physical symptoms–this doesn’t mean your symptoms are “just in your head,” but that physical reactions can be triggered or exacerbated by stressors.

Given no red-flag signs like severe chest pain or shortness of breath that necessitate immediate attention, a thorough follow-up with your healthcare provider could be invaluable. They might suggest continuous monitoring like a 24-hour glucose or a Holter monitor for the heart to check for arrhythmia. Additionally, seeking input from a nutritionist about your diet’s stability and adequacy might help bridge the nutrition gap. Making a symptom diary noting timing, intensity, potential triggers, and correlation with stress or meals will also be insightful for diagnosis precision. Meanwhile, adhering to balanced meals, frequent small meals might avoid sudden dips in blood sugar. Avoid caffeine and alcohol which can exacerbate symptoms like palpitations and anxiety. Gentle regular exercise can stabilize energy and mood swings over time. Nonetheless, if symptoms of intense dizziness, chest pain, or difficulty breathing occur, seeking urgent care is crucial.

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
15 days ago
5

Hey! It sounds like you’ve been going through a tough time with these symptoms, and it’s completely understandable to feel worried. Let’s break this down and see how we can help you feel better.

### Understanding Your Situation 1. Normal Blood Tests: It’s great that your recent blood tests came back normal. This suggests that there are no immediate issues with your blood sugar, thyroid function, or other major organ functions.

2. Diet Changes: A sudden diet can sometimes lead to changes in energy levels, mood, and overall well-being. Even if you’ve returned to a normal diet, your body might still be adjusting.

3. Mood Swings: Mood swings can be influenced by various factors, including stress, hormonal changes, and even diet. It’s important to address these feelings, as they can impact your overall health.

### Steps to Consider 1. Consult a Healthcare Professional: Since you’re experiencing persistent symptoms, it might be helpful to consult a healthcare provider or a specialist (like an endocrinologist or a psychologist). They can help identify any underlying issues that might not be apparent in standard tests.

2. Mental Health Support: If mood swings are affecting your daily life, consider talking to a mental health professional. They can provide strategies to manage stress and improve your mood.

3. Lifestyle Adjustments: - Balanced Diet: Ensure you’re getting a well-rounded diet with plenty of fruits, vegetables, whole grains, and healthy fats. This can help stabilize your energy levels and mood. - Regular Exercise: Physical activity can boost your mood and energy levels. Aim for a mix of cardio and strength training. - Sleep Hygiene: Prioritize good sleep habits. Aim for 7-9 hours of quality sleep each night, as poor sleep can exacerbate mood swings and fatigue. - Mindfulness and Relaxation: Practices like meditation, yoga, or deep breathing exercises can help reduce stress and improve your overall well-being.

4. Stay Hydrated: Ensure you’re drinking enough water throughout the day, as dehydration can also affect energy levels and mood.

### Reassurance - You’re Not Alone: Many people experience similar symptoms, especially after significant lifestyle changes. It’s important to remember that with the right support and adjustments, you can feel better. - Focus on Small Changes: Sometimes, small, consistent changes can lead to significant improvements over time. Be patient with yourself as you navigate this.

### Conclusion You’re taking the right steps by seeking answers and being proactive about your health. If you continue to feel unwell or if your symptoms worsen, don’t hesitate to reach out to a healthcare professional for further evaluation. You’ve got this, and with the right support, you can work through these challenges

Thank you

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