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17 Jan 2006

Is malabsorbtion my mystery illness?
Dear Doc, I have been suffering from persistent nausea for 3 months. Of most concern are the neurological aspects: a flu-like fogginess in the head, odd low-level headaches and 'twinges' in the head, reduced ability to concentrate, and periods of giddiness as if having stepped out of an elevator. Now I have developed agoraphobia and panic attacks along with a general anxiety giving rise to palpitations and insomnia. An ultrasound scan was inconclusive as was FBC. (am having further blood tests now) This mind-fog and more subtle abdominal discomfort dates from 10 months ago when (recovering from a heavy cold) I had a very bad cycle accident. Nothing broken but it was a serious, agonizing, trauma with whiplash to head/neck and sprains, cuts and heavy bruising to knees, wrists, ankles and ribs. The pain was such that it made me nauseous; simultaneously I began to suffer the 'mind-fog' symptomt.
After a couple of weeks, trying to get back into fitness I took a cycle ride during which, on having a drink of water, I experienced a giddy and feverish episode, which in turn effected a rising sense of panic - my stomach seemingly going into a 'stress- epicentre mode'. This happened a number of other times to the effect that I don't cycle any more. Is it possible that this trauma, centered as it was on unrelated areas of my body, could have had some deliterious effect on my stomach/GI tract via neurological pathways? And could the stomach now be a factor in this ongoing psycholgical distress? I'd be most grateful for any advice. PW, Bristol UK
Answer 428 views

01 Jan 0001

Dear Piers
I am sorry to hear about your accident and what appears to be an anxiety-related reaction. However, it is essential that you consult a medical dr for a full physical and neurological assessment (don't know how you organise this in the UK, but insist that you have all the examinations and tests) to eliminate any underlying physical problem as a result of your accident (nerve damage, etc). If your symptoms are due to a stress reaction (and this is perfectly feasible seeing that you are no longer able to cycle), then the psychological reaction can easily trigger gastrointestinal symptoms and/or the mind-fog you describe. Such a problem needs to be treated by a clinical psychologist or a psychiatrist- once again I don't know how accessible such treatment is in the UK, but try to get expert help to rid you of these symptoms.
Holding thumbs that you can pinpoint what is going on.
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