How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17651
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I am constantly tired,lethargic,visual problems and wobbly

Resolved Question:

I am constantly tired,lethargic,visual problems and wobbly when walking...prickly sensations in hands and feet and tongue in mouth feels huge
Submitted: 10 months ago.
Category: Medical
Expert:  Dr. D. Love replied 10 months ago.
Hello from JustAnswer.How long has this been bothering you?Have you had any tests for evaluation of these symptoms?
Customer: replied 10 months ago.
The last 6 months
Blood tests...slightly anaemic
Had a gastric bypass nearly 6 years ago so as a result of this have B12 injections every 12 weeks I now get no improvement in energy levels at all...also take Forceval tablet each day since operation...Nurse says my blood results are all ok..
Expert:  Dr. D. Love replied 10 months ago.
There are many possible causes of these symptoms, and the first consideration would be a variety of metabolic conditions, such as thyroid disease, vitamin B12 deficiency, electrolyte abnormalities, or liver or kidney dysfunction. Blood tests are the usual method for detection of these metabolic conditions. If the blood tests were done for evaluation of these symptoms, rather than routine monitoring of someone after gastric bypass, then the tests probably included the tests for these conditions. Another unique metabolic condition would be if the blood sugar is low at times. Since people with this problem will frequently have normal blood sugars when labs are done in the office, it may be necessary to check blood sugar by finger stick at home during times of greater symptoms to detect whether the blood sugar gets low to cause symptoms. If blood tests are normal, then the next consideration would be a neurologic condition, such as inflammatory conditions of the nervous system. The initial step in evaluation for neurologic conditions would be a complete neurologic examination, and the findings on exam would guide the next steps in the evaluation, but may require imaging studies, such as an MRI, or nerve function studies. So, it would be reasonable to check your blood sugar during times of greater symptoms and to arrange a visit with a Neurologist for an examination, If I can provide any further information, please let me know.
Customer: replied 10 months ago.
All I seem to get from the Doctor or Nurse is try Iron tablets for 2 months and we will re do your bloods again...in the mean time I am just getting worse and depressed...guess that mean more tablets....I have a phone consultation tomorrow with my GP...unusual but there you are...so I will see if I can have a referral for more intense tests.
Expert:  Dr. D. Love replied 10 months ago.
It would be unlikely for iron deficiency to cause these symptoms if you are only slightly anemic.However, you can discuss further evaluation with your doctor tomorrow, and your doctor also would be able to review the labs to be certain that everything was checked that should be checked for these symptoms.
Customer: replied 10 months ago.
I am convinced that poor absorption of nutrients is the main problem and not enough B12 in my system..
Thank you for your advice
Customer: replied 10 months ago.
Is it ok for me to update you on tomorrows consultation..it would help me to know your opinion.
Expert:  Dr. D. Love replied 10 months ago.
B12 deficiency certainly can cause these symptoms, but since you are receiving shots, it is not an issue of whether you are absorbing oral B12. And the blood work would be able to determine if there is any persistent B12 deficiency.
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 17651
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and 2 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.