OpenHealth Q&A

Get answered by medical professionals

Constant Nausea and Feeling Unwell

4/23/2025, 12:00:50 PMMale25-34

At 20 years old, and weighing 165 pounds, I am a male who doesn't smoke and has been taking modafinil. For the past five years, I've battled with persistent feelings of nausea, dizziness, and weakness on a daily basis. My troubles began at 14 when I was heavily involved with marijuana. Later, I discovered the concept of depersonalization, which seemed to echo many of my experiences. I decided to quit smoking and vaping, convinced that time would heal my condition and allow me to return to my normal self. Unfortunately, that was a misconception. Initially, my distress manifested as a sense of detachment from my body and a constant state of zoning out. However, about two and a half years ago, my symptoms evolved considerably. Now, I struggle with nausea, lightheadedness, and fatigue every single day. Despite seeking medical assistance for a couple of years, the answers remain elusive. I have experimented with various medications, including stimulants and antidepressants, yet none have alleviated my symptoms. Countless blood tests have yielded no definitive results, and heart monitors have reassured me that my heart functions normally. I underwent sleep studies, which revealed hyper apnea, leading to a prescription for a new stimulant that appears to have exacerbated my problems. An echocardiogram indicated that my heart is operating as it should, and a CT scan of my head was performed due to concerns about a potential brain tumor—stemming from my mother’s recent diagnosis with similar symptoms. Despite my efforts with supplements and exercising, I often feel worse afterward. I face a bleak uncertainty about my future. I love my physically demanding job, and I've poured an immense amount of effort into achieving it. However, every physical task seems to escalate my symptoms to an overwhelming degree, making me feel completely disoriented. Today, after climbing a pole and securing a few items at the top, I found myself sitting in my truck, battling the urge to vomit. My body is incredibly frail, and my hands tremble uncontrollably. I've spent nearly $5,000 on medical expenses just within the past year in pursuit of a solution. I'm reaching a crisis point, feeling utterly lost and hopeless. If I were to lose my job, I would risk losing everything that I have worked hard for. I desperately need to hear from anyone who might understand this experience. I endure this relentless anxiety and discomfort every hour of every day, and it seems to intensify with the slightest bit of physical activity. The prospect of my future frightens me, and I feel as though I am slowly deteriorating.

Chronic FatigueMuscle WeaknessPost-Viral Fatigue

Answers (1)

Cony

4/23/2025, 12:01:38 PM

OpenHealth AI

I'm truly sorry to hear about your ongoing struggles with nausea, dizziness, and fatigue. It's understandable to feel overwhelmed and concerned, especially after investing so much time and resources into finding a solution. Your symptoms and experiences are significant, and it's important to prioritize how to manage them effectively.

Key Points:

  1. Persistent Symptoms: Daily struggles with nausea, dizziness, and fatigue can be distressing and may impact your quality of life.
  2. Underlying Causes: While you've explored various tests and treatments, it's crucial to consider all possible factors contributing to your condition.
  3. Self-Care Strategies: There are tailored steps you can take to help manage your symptoms and improve your well-being.

Explanation:

Your symptoms, coupled with a history of marijuana use and the development of depersonalization, suggest that multiple factors might be influencing how you feel. It’s common for chronic symptoms to persist even after substance use has ceased, and they may require a multifaceted approach to manage. The fact that medications haven’t provided relief indicates that further exploration of underlying causes and alternative strategies may be needed.

Next Steps:

  1. Monitor and Document Symptoms:

    • Keep a Journal: Track when your symptoms occur, their intensity, triggers (like physical activity or specific foods), and any alleviating factors. This could help identify patterns or potential triggers.
  2. Consult a Specialist:

    • Seek a Neurologist or Psychologist: Since you've experienced symptoms linked to depersonalization and ongoing neurological issues, it might be beneficial to consult with a specialist who understands these connections. They can explore if there are underlying neurological or psychological factors contributing to your condition.
  3. Evaluate Diet and Hydration:

    • Healthy Eating: Focus on a balanced diet rich in whole foods, including fruits, vegetables, lean proteins, and whole grains. Small, frequent meals may help reduce nausea.
    • Stay Hydrated: Dehydration can exacerbate feelings of dizziness and nausea. Aim for adequate water intake throughout the day.
  4. Gentle Physical Activity:

    • Low-Impact Exercise: Instead of demanding physical tasks, try gentler activities like walking, stretching, or yoga to help your body adjust without exacerbating symptoms. Listen to your body and rest when needed.
  5. Explore Therapeutic Options:

    • Cognitive Behavioral Therapy (CBT): This can be beneficial in managing anxiety and the psychological aspects of chronic symptoms. It can also provide coping strategies for your daily challenges.
  6. Consider Alternative Remedies:

    • Mindfulness and Relaxation Techniques: Techniques such as deep breathing, meditation, or progressive muscle relaxation might help manage anxiety and physical discomfort.

Feeling lost and hopeless is a heavy burden to carry, especially when your health interferes with your passions and profession. It’s crucial to stay engaged with your healthcare team and advocate for a comprehensive plan that considers your holistic well-being. You're taking important steps by seeking support, and there is hope for improvement. Please continue to reach out for assistance and stay hopeful as you navigate this journey.

Related Questions

Troubled Legs After a Half Marathon?

I'm a 28-year-old male, standing at 6 feet 2 inches and weighing around 80 kilograms. After completing a half marathon last December in a respectable time of 1 hour and 28 minutes, I have found it increasingly difficult to match that pace due to persistent discomfort in my legs. Initially, at the start of this year, I faced considerable challenges with my speed; my legs would feel exceptionally heavy and fatigued. Now, as we reach April, I’m still coping with significant soreness in my legs. Despite taking a break from running for the past three weeks in hopes of recovery, the aching persists as though I had just finished a full marathon. I've undergone various blood tests and an ECG, all of which returned normal results without any red flags. Has anyone encountered similar symptoms or provided care for someone in a like situation? Appreciate any insights, thank you!

Chronic FatigueMuscle WeaknessPost-Viral Fatigue
Male25-34
2 days ago

Excessive Fatigue and Uncertainty: Seeking Insights

Hello everyone, I'm reaching out in hopes of finding some clarity. I’m a 14-year-old girl without any diagnosed health conditions, although I did have my adenoids removed as a child, and I experience some hearing loss due to fluid behind my left eardrum. Despite getting as much as 12 hours of sleep, I still wake up feeling drained. Even a brief 5-minute walk can leave my feet sore—not from my footwear but from fatigue. In public, I often have to lean on my mother or link arms with someone to keep moving. At school, I manage to push through, but I don't have to walk far there. It's not due to poor health habits either. I struggle with ARFID, which means I don’t get a balanced diet, yet even after eating a healthy plate of vegetables, I still feel sluggish. While I spend a fair amount of time on my devices, I also enjoy reading, writing, and occasionally doing art, and these activities don’t seem to enhance my energy levels significantly. Interestingly, I feel most energized while at school, even though I wake up earlier on those days. I suppose it's the motivation of participating in class that drives me. On weekends, however, it’s a struggle just to get out of bed; everything feels overwhelmingly taxing. I don't consume coffee regularly, and even when I do, I don't notice a boost in my energy. I have a sweet tooth, but my weight remains normal to slightly above average—about 65 kg and I’m 5 feet 5 inches tall. I’ve had my iron levels checked and they're within normal limits, though there was something else that prompted my doctor to prescribe me medication, the specifics of which I can't recall at the moment. Despite taking these tablets for several months, I didn’t notice any improvement. I also had low vitamin D levels since my low energy kept me from going outside much. I didn’t consistently take the supplements, but I doubt they would have made a notable difference anyway. My mental health might play a part, as I’ve dealt with anxiety and mood swings for a long time. I took an evaluation in a health app that suggested I might have depression and although I got a better score when I retook it this year, it still indicates I could be struggling. My brother suspects I may be neurodivergent, possibly indicating OCD or autism. I’ve seen various counselors, which has been helpful, but my energy levels remain a concern, leading me to suspect a potential medical issue. Recently, while walking through some hallways that felt somewhat cramped, I experienced dizziness, which was new for me. Additionally, my menstrual cycle was regular for over a year, but suddenly I had cycles that lasted 45 days and missed my period for three months, with only light spotting in between. I just got my period last week, and there’s no possibility I could be pregnant. I question whether these developments have any connection to my fatigue. I engage in occasional exercise and until recently, I attended dance classes twice a week, but took a six-month break due to burnout. My family often tells me that my fatigue ruins our trips because I'm unable or unwilling to participate fully, constantly expressing that I’m too tired or sleeping in past breakfast. I would appreciate any insights you might have regarding possible causes for my fatigue that I could discuss with my doctor. I recently had blood work done to check for ovarian cysts due to my missed periods, and I believe they’re testing for other things as well. If anyone has any ideas—whether it could be a rare condition or subtle signs of something more serious (as I tend to be a bit of a hypochondriac)—please share. This exhaustion and moodiness have persisted for years, but I tend to think my mood issues are separate, even though they may contribute. Thank you for taking the time to read my lengthy message; there's just a lot weighing on my mind. Any advice or thoughts would be greatly appreciated!

Chronic FatigueMuscle WeaknessVitamin Deficiency
Male25-34
2 days ago

Experiencing Leg Cramps After Epidural Steroid Injection?

Greetings everyone! I am a 31-year-old female who has been living with a left leg injury for the past 4.5 years. Specifically, I suffered a tibial plateau fracture that was surgically repaired with plates and screws. I typically manage the leg cramps I experience in the affected leg using a muscle relaxant and being careful not to strain it too much. While I am able to walk and stretch to ease the discomfort when cramps occur, they can sometimes persist for over ten minutes. Recently, I was diagnosed with degeneration in my back, particularly at the L3-L4, L4-L5, and L5-S1 levels. On March 31st, I received an epidural steroid injection which has been quite beneficial. However, ever since that procedure, I have been plagued by frequent cramps in both legs and my hips, as opposed to just the left one. These cramps strike multiple times throughout the night and even during the day, and they don’t seem to respond well to hydration, walking, or the muscle relaxants I usually rely on. When the cramps do hit, I find that the only relief comes from straightening my leg and keeping it as still as possible—any movement or pressure only seems to aggravate the situation. Is this a common side effect following such an injection? Should I address this issue with my physical therapist or physician? I’m not particularly upset about it, but the soreness from these intense and prolonged cramps is certainly bothersome.

Muscle WeaknessVitamin DeficiencyBurnout
Male25-34
2 days ago

Concerns Surrounding My Bowel Movements

Hello, I'm a 21-year-old woman from Italy without any significant health issues in my past. I want to start by mentioning that I have been diagnosed with OCD, anxiety disorder, and emetophobia. Nearly two months ago, on February 26th, I experienced a short episode of diarrhea, involving just a handful of trips to the bathroom that morning, after which things returned to normal. In response, I began consuming probiotics and taking measures to restore balance to my gut health. Following that incident, I dealt with small, pebble-like stools for about three weeks. Unlike constipation, these were not difficult to pass; they simply appeared as small fragments. During this time, I did have normal stools on several occasions, which I would classify as type 4. However, since my minor episode of diarrhea, I have developed a fear of being out for extended periods, concerned that it may happen again. I underwent an ultrasound, which revealed no abnormalities, and I've had blood tests done to investigate potential deficiencies or food allergies. I expect to receive those results shortly. For the past week, my bowel movements were normal (type 4), but as I prepared for a university lecture today, I woke up after a typical bowel movement, felt intense anxiety, and then experienced nugget-like stools. I have started seeing a therapist to address my anxiety, who noted that these issues could be related to my OCD, which was undiagnosed for over two decades. We are employing EMDR techniques to tackle my newfound anxieties, although there is still much ground left to cover. Ever since the brief diarrhea episode, my perspective on my gut health has shifted dramatically. I previously struggled with constipation and had no issues with food other than that. Now, I worry that I might have developed some form of IBS over these past two months. My therapist, however, suggests that these symptoms merely indicate the impact of my anxiety on my digestive system. Consequently, I have become fixated on this issue, which was not common for me before. I would appreciate some insight or reassurance. Beyond the occasional pebble-like stool, I have not been experiencing other concerning symptoms. Sometimes, I feel discomfort in my lower abdomen, specifically around the groin area, primarily during periods of anxiety. However, aside from that discomfort, everything seems to be normal.

Chronic FatigueAnemiaBurnout
Male25-34
2 days ago

17-Year-Old Experiencing Extreme Fatigue and Body Discomfort Seeks Guidance

Hello, I'm a 17-year-old female, standing at 169 cm (5'6") and weighing 64 kg (141 lbs). I don’t engage in smoking or drinking, and I'm not taking any medications. For months now, I've been feeling unwell, yet despite multiple tests confirming that everything is "normal," I can't help but feel that something is amiss. My fatigue is relentless; no matter how many hours I sleep—sometimes even 8 or 9—I awaken feeling completely unrested. Every day is plagued by persistent aches throughout my body, deep-seated pain in my head, bones, and joints. Moreover, I often experience intense burning sensations in my hands and feet, making it challenging to perform simple tasks like holding my phone or standing for extended periods. After a day at school, I'm left utterly exhausted, unable to focus on studying—my mind just goes blank. The moment I arrive home, it’s as if my energy vanishes entirely. Even my attempts to push through this fatigue end up making everything worse. I can hardly recall a single day in recent months where I felt like my usual self; it feels like I'm in a constant state of discomfort and weariness. Although my lab results indicated that everything seems "fine," I definitely do not feel fine. I sense that there is an underlying issue, yet it seems as if no one is taking me seriously.

Chronic FatigueMuscle WeaknessPost-Viral Fatigue
Male25-34
2 days ago