How to reduce vitamin b12 defficiency - #9442

hello Kindly get an chest xray done for ruling out any causes of lung issues. No need of other investigations. start taking injection Optineuron once a week for 4 weeks then once in a month. Sompraz D tablet in empty stomach daily for gastric problem.

Your symptoms—breathlessness, fatigue, blurry vision, tingling hands, confusion, and anxiety—could be linked to your B12 deficiency, as low B12 levels can affect the nervous system and cause neurological symptoms like tingling, confusion, and even mood disturbances. Additionally, gastric issues, vomiting, and loss of appetite might be related to gastritis, acid reflux, or even stress-induced digestive problems. If your B12 deficiency is significant, it can also lead to anemia, which might explain the breathlessness and fatigue. It’s important to get your B12 levels checked and consider supplementation (oral or injections, depending on severity). Since stress and anxiety can also contribute to your symptoms, managing stress through proper sleep, hydration, and a balanced diet rich in B12 sources (dairy, eggs, fish) may help. If symptoms persist, consulting a doctor for a full blood test, including hemoglobin and vitamin levels, along with an evaluation of your gastric health, would be the best step forward.

I'm really sorry you're dealing with these symptoms. They can be overwhelming and concerning, especially when they're happening all together. The symptoms you're describing—breathlessness, fatigue, blurred vision, tingling of hands, confusion, anxiety, and gastric issues like vomiting and loss of appetite—could potentially be related to several conditions. It’s important to approach these symptoms holistically and rule out serious underlying health concerns. Here are some possibilities: ### 1. **Anxiety and Panic Attacks** - Many of your symptoms, like breathlessness, fatigue, confusion, blurred vision, tingling of hands, and anxiety, can be linked to **anxiety disorders** or **panic attacks**. These can manifest physically and emotionally, causing a vicious cycle of symptoms. - **Overthinking** can lead to a constant state of hyperarousal in the body, which increases physical symptoms like heart rate, shallow breathing, and confusion. - **Gastric problems** such as nausea, loss of appetite, and vomiting can also occur with anxiety or stress, as the digestive system becomes sensitive during emotional distress. ### 2. **Blood Sugar Imbalance or Hypoglycemia** - **Low blood sugar** (hypoglycemia) or issues related to **blood sugar regulation**, like **insulin resistance**, can cause symptoms like fatigue, confusion, blurred vision, and tingling in hands. Vomiting and loss of appetite could also be part of this issue. - It's crucial to monitor your blood sugar levels, particularly if you have a history of **PCOS**, which can affect insulin sensitivity. ### 3. **Vitamin or Mineral Deficiencies** - Deficiencies in **B vitamins**, particularly **B12**, or **electrolytes** (like potassium, calcium, and magnesium), could cause **fatigue**, **blurred vision**, **confusion**, **tingling**, and **anxiety-like symptoms**. A lack of these essential nutrients can interfere with nerve function and overall energy levels. - A **complete blood test** can check for deficiencies in these areas. ### 4. **Thyroid Dysfunction** - **Hypothyroidism** (underactive thyroid) could lead to symptoms like **fatigue**, **confusion**, **anxiety**, **breathlessness**, and **gastrointestinal issues**. Thyroid problems are common in women, especially those with **PCOS**. - A **thyroid function test** can help check if your thyroid levels are within normal ranges. ### 5. **Dehydration or Electrolyte Imbalance** - **Dehydration** can lead to dizziness, confusion, fatigue, and even blurred vision. It can also cause gastrointestinal symptoms like nausea and loss of appetite. - **Electrolyte imbalances**, particularly low sodium or potassium, can also cause similar symptoms. ### 6. **Gastrointestinal Issues** - Since you're experiencing **gastric problems** (vomiting, loss of appetite, and nausea), it might be connected to issues like **gastritis**, **GERD**, or even **peptic ulcers**, which can cause physical discomfort, loss of appetite, and sometimes confusion. - **Irritable Bowel Syndrome (IBS)** or **infections** like **H. pylori** could also be contributing to the gastric symptoms. ### 7. **Neurological Causes** - The **tingling of the hands** and **blurred vision** could be signs of nerve involvement. Conditions like **neuropathy** (damage to the nerves), **multiple sclerosis**, or **vitamin B12 deficiency** can manifest in these ways. However, these conditions are less common and typically require further investigation by a neurologist. ### 8. **Heart or Lung Issues** - Breathlessness and fatigue, especially if they come on suddenly, could indicate **heart** or **lung-related problems** such as **asthma**, **COPD**, or **heart disease**. These would require medical attention, particularly if you have a history of any cardiovascular issues. ### 9. **Medication Side Effects** - If you’ve been on any medications (antibiotics, hormonal treatments, etc.) recently, some of these medications can cause side effects that affect your mental state, digestive system, and overall well-being. ### What You Should Do: Given the variety of potential causes, **it’s very important to consult with a doctor** as soon as possible for a thorough evaluation. Here are some steps you can take: 1. **Blood Tests**: Get a complete blood count (CBC), thyroid function tests, vitamin and mineral levels (particularly B12 and electrolytes), and glucose levels checked. This will help rule out deficiencies, thyroid issues, or blood sugar imbalances. 2. **ECG or Chest X-ray**: If breathlessness persists, consider a heart and lung evaluation, such as an ECG or a chest X-ray, to rule out any cardiovascular or pulmonary issues. 3. **Mental Health Check**: If anxiety or stress is a factor, consider seeking guidance from a therapist or counselor to explore techniques for managing anxiety, such as cognitive-behavioral therapy (CBT) or relaxation exercises. 4. **Hydration**: Ensure you're drinking enough fluids, especially water, to prevent dehydration. Electrolyte solutions can also help if you think your levels are imbalanced. 5. **Diet**: Pay attention to your diet to ensure you're consuming enough nutrients. A healthy diet can help support your energy levels and digestion. I strongly recommend reaching out to a healthcare provider soon so they can assess your condition, perform the necessary tests, and guide you through treatment options based on the root cause of your symptoms.

Kailash, you're 20 and for the past 20 days you've been experiencing multiple troubling symptoms like breathlessness, fatigue, blurred vision, tingling in hands, confusion, overthinking, anxiety, gastric issues, vomiting, loss of appetite, and sleeplessness. These symptoms could be related to an anxiety or stress-related condition, especially since overthinking and anxiety are prominent. Anxiety often presents with both mental and physical symptoms like breathlessness, fatigue, tingling, stomach upset, and sleep issues. However, we also need to rule out any medical causes such as vitamin deficiencies, thyroid imbalance, neurological issues, or digestive disorders. A detailed evaluation—both medical and psychiatric—is important to reach the correct diagnosis. Once we understand the root cause, treatment can be tailored with therapy, lifestyle support, and medication if needed. I suggest booking an audio or video consultation to discuss your symptoms in detail and start a proper treatment plan to help you feel better. Dr Aman Shaba Consultant Psychiatrist 7992489808