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The last 5 days I've had restlessness, anxiety, hot and cold…

Customer Question
The last 5 days...

The last 5 days I've had restlessness, anxiety, hot and cold flashes,loss of appetite and insomnia. Then 2 days ago n/v,hiccups and crying started. Can tell me what's wrong with me. I've seen 2 different doctors and they don't know.

Doctor's Assistant: How long have you been dealing with this? Is there anything in particular that seems to make the symptoms better or worse?

5 days.Nothing makes it better or worse

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

I'm a diabetic on oral meds. My a1c 6.5.I'm 60yo

Submitted: 8 months ago.Category: Medical
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Answered in 1 minute by:
12/15/2017
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 39,113
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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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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Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

What are the investigations done?

Do you have urinary issues, diarrhea, bloating, gas, fever?

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Customer reply replied 8 months ago
I had diarrhea 1 day. None of the other symptoms.
Customer reply replied 8 months ago
Nothing else. I hope u can help me.
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Your symptoms are likely due to mild grade infection. Diabetics are prone to infections despite the good control of blood sugar. This infection may not have typical symptoms and thus are not easy to diagnose.

Your need complete blood counts, comprehensive metabolic panel, urine and blood culture for the evaluation.

You may also need a course of antibiotic.

Was this information helpful to you? I would be glad to answer any further questions.

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Customer reply replied 8 months ago
I'm definitely not happy with the answer. The doc yesterday ran all those tests ply EKG and cxr.
Customer reply replied 8 months ago
ALL were normal
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

I am sorry, you are not happy with the answer.

But I specifically asked what were the investigations done initially.

What did your culture tests show?

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Customer reply replied 8 months ago
No culture done.I have not had a fever.
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

Body fluid cultures would be the foremost investigations for hot and cold flushes.

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Customer reply replied 8 months ago
no diagnosis?
Doctor: Dr. Arun Phophalia, Doctor replied 8 months ago

You need following investigations in the stepwise fashion for ascertaining the diagnosis:

1) Obtain cultures for bacteria, mycobacteria, and fungi (blood, urine, stool, sputum).

2) Serologies for Brucellosis, CMV infection, amebiasis.

3) Serum protein electrophoresis (SPEP).

4) Serum ferritin levels.

5) Antinuclear antibody titers, rheumatologic factor, thyroxine level, and ESR,

If these are negative, you would need:

6) High resolution CT scan of lung and CT scan of chest.

7) Ultrasound and CT scan of abdomen.

Diagnosis can be achieved by these investigations, I am sure.

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Customer reply replied 8 months ago
I would like a full refund. This was not helpful.
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