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My husband smells like beer sometimes I have noticed this…

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My husband smells like...

My husband smells like beer sometimes I have noticed this for a few months.Then his odor changed to a smell like beer and garlic.He recently had been very tired to the point of not being able to get out of bed today he just can't seem to wake up.Could the smell and tiredness be linked together?

Doctor's Assistant: What are all the symptoms you're experiencing (e.g. loss of appetite, fever, rash)?

Increase in appetite weight gain loss of energy loss of interest in everything .Feeling cold

Doctor's Assistant: Do you have a fever? Do you have any other existing medical conditions?

No fever,hi blood pressure

Submitted: 2 months ago.Category: Health
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Answered in 7 minutes by:
12/23/2017
Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 months ago
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 37,252
Experience: MBBS, MS (General Surgery), Fellowship in Sports Medicine
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Welcome to Just Answer.
Answers here are for education and information.
I will respond shortly with an answer, or further information request.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 months ago

I am writing the answer for you and will get back to you in 4-5 minutes. If you get a phone call request, you may ignore it as that is an automated site trigger. Thank you.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 months ago

The odor and tiredness can be linked.

This can be due to:

Thyroid disease

Connective tissue diseases

Chronic anemia

Neoplastic disease

Chronic infections like Epstein Barr virus

Endocrine diseases (Addison disease).

Chronic fatigue syndrome

Myasthenia Gravis.

He would need following investigations:

Complete blood count (CBC)

Liver function tests

Thyroid function tests

Erythrocyte sedimentation rate (ESR)

Serum electrolyte level measurement

Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer

IgM/IgG human herpesvirus 6 (HHV-6) titer

IgM/IgG C pneumoniae titer

Autoimmune panel

Anemia panel.

Other causes of fatigue;

You may consider following also;

1) Recurring episodes of weakness should raise the question of periodic paralysis.

2) Weakness exacerbated by effort and relieved by rest is characteristic of myasthenia gravis.

3) Proximal muscle weakness suggests a myopathy, whereas distal muscle weakness is more consistent with a peripheral neuropathy or pyramidal tract disorder. Myopathy would be detected by a blood test creatinine kinase.

4) Recurring episodes of apprehension, tremulousness, and palpitations are seen with generalized anxiety.

5) Weakness or fatigue that occur only after work, fasting, or insufficient sleep are most likely explained by normal physiologic mechanisms.

6) All prescription and over-the-counter medications should be considered. Frequently used medications such as antihypertensives, sedative-hypnotics, antidepressants, tranquilizers, and antihistamines are common causes of fatigue.

Please feel free for your follow up questions.

I would be happy to assist you further, if you need any more information.

Thanks for using Just Answer.

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Health Professional: Dr. Arun Phophalia, Doctor (MD) replied 2 months ago

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