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Ask Dr.Shakeel Ansari Your Own Question
Dr.Shakeel Ansari
Dr.Shakeel Ansari, Doctor
Category: Medical
Satisfied Customers: 323
Experience:  MBBS, Diploma clinical Neurology
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Have unexplained syptoms, Yes, seen a doctor but they don't

Customer Question

Have unexplained syptoms
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: Yes, seen a doctor but they don't know what is wrong, NOT taking any medications
JA: What medications do you take daily? Are you allergic to any medications?
Customer: No medications, no known allergies
JA: Is there anything else the Doctor should know before I connect you? Rest assured that they'll be able to help you.
Customer: Once had an unexplained fainting and suspected heart issue
Submitted: 17 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 17 days ago.

What are your age and gender?

What are the investigations/treatments done for fainting?

Customer: replied 17 days ago.
Symptom have been ongoing around 4 weeks, head is very cloudy, cannot think properly or focus, first was feeling very cold, but then hot again but now this is gone and now feels like head is very cloudy and body is weak. Feel very tired but no body pain, no headache, just head feels cloudy
Customer: replied 17 days ago.
Male 45
Customer: replied 17 days ago.
The fainting was 3 years ago, it could be unrelated, although still have a reveal device monitor fitted in chest
Customer: replied 17 days ago.
Have been going to kidney doctor for regular checkups as the creatine level is high but also I am very muscular so this might not be anything
Customer: replied 17 days ago.
Check the last lab results
Customer: replied 17 days ago.
https://docs.google.com/spreadsheets/d/1gONsEvjIEytqfb_DST_MlxqCHmsq29utxTtg-wBuQB8/edit?usp=sharing
Customer: replied 17 days ago.
last 2 lab results
Customer: replied 17 days ago.
When I fainted 3 years ago, I was in hospital in the UK for 1 week, they did many tests but didn't find the cause, they said maybe heartbeat was irregular due to taking an energy drink but they fitted me with a heart reveal device to monitor, over 1 year no irregularities were found but they told me to keep the reveal device fitted in my chest. It has been in my chest for 3 years, I was not able to return to UK due to Covid, I am currently in the Philippines
Expert:  Dr. Arun Phophalia replied 17 days ago.

I reviewed your investigations which are not worrisome.

Your symptoms can be due to;

1) Mild infection

2) Hormonal issues.

3) Anxiety/Depression.

You would need the following investigations to ascertain the cause (some of these are normal which you have posted):

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.

Following investigations need to be pursued for unexplained fainting;

1) MRI with gadolinium contrast

2) Magnetic resonance angiography (MRA)

3) Tilt table test

4) Carotid sinus massage

5) Electroencephalography (EEG)

6) Stress cardiac test

7) Total creatine kinase (CK) and heart enzymes; done immediately after the fainting episode and would tell about the abnormal brain or heart activity that caused the fainting.

8) Following also may be done after the fainting episode; blood electrolytes and blood glucose.

These should be able to zero down the cause.

I wish your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using Just Answer.

Customer: replied 17 days ago.
I also had 4 bulging discs in my back in January, it was a slow recovery but no issue with that now
Customer: replied 17 days ago.
I had some of the tests you are referring to recently already
Customer: replied 17 days ago.
I pasted the link to the results here
Expert:  Dr. Arun Phophalia replied 17 days ago.

I mentioned that I had seen the reports and some of these are already done.

Expert:  Dr. Arun Phophalia replied 17 days ago.

You may get the rest which are not done on the 14 th May.

Customer: replied 17 days ago.
We are in the Philippines where testing is costly, whereas in the UK it is free
Expert:  Dr. Arun Phophalia replied 17 days ago.

Only investigations can give you the diagnosis and your symptoms do not conclude any concrete diagnosis.

Expert:  Dr. Arun Phophalia replied 17 days ago.

You may get them in the UK when you are back there.

Customer: replied 17 days ago.
I don't want to get unnecessary tests, I would like to understand what is test is for and why that would be relevant to my head feeling cloudy
Customer: replied 17 days ago.
What are the most common causes for someones head to feel cloudy and unable to think properly and focus?
Expert:  Dr. Arun Phophalia replied 17 days ago.

The commonest causes for these symptoms are anxiety and depression.

Customer: replied 17 days ago.
Ok but if that is not the case here, then what is the next common cause please
Customer: replied 17 days ago.
Are hormone changes common at age 45 for a male
Customer: replied 17 days ago.
I have seen 4 doctors and have been undergoing tests for months and none have found anything wrong
Customer: replied 17 days ago.
Keep going for general tests is not finding the issue
Customer: replied 17 days ago.
I would like more specific advice i.e. well I can see your blood results don't show xxx, so that rules that out, therefore I would explore xxxx
Customer: replied 17 days ago.
I don't want a generic response
Expert:  Dr. Arun Phophalia replied 17 days ago.

Okay, I would opt out.

So some other expert may help you.

Expert:  AlinaK-admin replied 17 days ago.
Hello,
It seems the professional has left this conversation. This happens occasionally, and it's usually because the professional thinks that someone else might be a better match for your question. I've been working hard to find a new professional to assist you with your question, but sometimes finding the right professional can take a little longer than expected.
I wonder whether you're OK with continuing to wait for an answer. If you are, please let me know and I will continue my search. If not, feel free to let me know and I will cancel this question for you.
Thank you!
Alina-Moderator
Expert:  Dr.Shakeel Ansari replied 15 days ago.

Thank you for contacting JustAnswer for your query, this is Dr Ansari Welcomes you

Expert:  Dr.Shakeel Ansari replied 15 days ago.

If you are in Manila, you can visit St.Lukes medical centre with a neurologist and do an epilepsy workup. pertinent to your condition and renal impairment. May not need a exhausted list of investigations.

Expert:  Dr.Shakeel Ansari replied 15 days ago.

You can reach me any time if need more information on your issues.

https://www.justanswer.co.uk/medical/expert-dr-ansari/