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Constant Fatigue
Always exhausted, smelly farts, gas trouble, always hungry. I did endoscopy and colonoscopy few motnhs ago. Nothing was there. I don't know what to do.
Answers (16)
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Good morning madam
I am from CHENGALPATTU
You can consult online for your problem
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Assessment of vitamin d3 b12 t3t4tsh mg crp cbc esr.
Tab nexpro RD40 ONE IN EMPTY STOMACH FOR ten days.
Mucain gel 10ml without water nothing by mouth till 30min can be taken 3to4 times. Aristozyme gold tab o e hr before lunch n dinner for 2 weeks.
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Likely ‘small bowel bacterial overgrowth’.
Either:
Take a 10 days course of Tetracycline 250mg capsules twice a day along with Metronidazole 400mg three times a day.
Or:
Breath test to confirm this and then take the antibiotics.
All the best.
www.jgsr-health-education.in
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Please also get a Complete Health Checkup package done from a reputed Laboratory in your area and consult a General Physician with all the reports.
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Your symptoms of persistent exhaustion, excessive gas with foul-smelling flatulence, and constant hunger despite normal endoscopy and colonoscopy suggest that the problem is more likely functional or metabolic rather than structural disease of the stomach or intestines.
Common possibilities include:
• Gut dysbiosis / IBS (Irritable Bowel Syndrome) – imbalance of gut bacteria can cause foul gas, bloating, and irregular digestion.
• Carbohydrate malabsorption (like lactose intolerance or FODMAP sensitivity) which produces smelly gas due to fermentation in the colon.
• Small Intestinal Bacterial Overgrowth (SIBO) – can cause bloating, fatigue, and excessive gas despite normal endoscopy.
• Vitamin deficiencies (especially B12, Vitamin D, iron) which may explain persistent fatigue.
• Blood sugar fluctuations or thyroid problems, which may cause excess hunger and low energy.
Since your endoscopy and colonoscopy were normal, serious diseases like ulcers, tumors, or inflammatory bowel disease are less likely, which is reassuring.
Next Steps
It would be reasonable to evaluate a few common underlying causes:
1. Basic blood tests
• CBC
• Thyroid profile (TSH)
• Vitamin B12
• Vitamin D
• Fasting blood sugar / HbA1c
2. Stool examination
• To rule out parasitic infection or malabsorption.
3. Consider SIBO breath test if symptoms mainly include gas, bloating, and foul smell.
4. A short trial of probiotics and digestive support (after physician advice) may help if gut flora imbalance is suspected.
Health Tips
• Try a low-FODMAP diet for 2–3 weeks (reduce onion, garlic, beans, cabbage, artificial sweeteners).
• Avoid excess dairy temporarily to see if symptoms improve.
• Eat smaller frequent meals instead of large meals to reduce gas formation.
• Include curd/yogurt, fermented foods, and fiber gradually to improve gut microbiome.
• Reduce carbonated drinks, very oily food, and processed sugar, which worsen bloating and gas.
• Maintain regular sleep and hydration, as gut function is closely linked to lifestyle patterns.
If the fatigue and digestive symptoms continue despite dietary changes, a deeper evaluation of gut health and metabolic causes may be needed.
You can also share your recent blood reports or symptom pattern, and I can guide you more specifically during an online consultation if needed.
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Any family medical history of diabetes? Wat about food habits? Haemoglobin levels? Kindly consult with me on 94 two six eight six 78 nine six.
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Due to mild gastritis. Take some soft and more fibrous diet .avoid spicy food and drink more water.avoid street food as much as you can. Take ppi before food and consult me on practo for further management and evaluation.
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Take small frequent meals, avoid fatty, spicy food, take more of fresh green vegetables and fruits, drink more water.
Take syp Maalox plus, 5m.l. every 8hours for 10 days.
Syp digeplex 5m.l. morning and evening for 10 days.
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
I understand your concern. However, giving specific medical advice without a proper evaluation may not be safe or accurate. A brief consultation will allow me to understand your symptoms, medical history, and any reports you may have, so I can guide you properly. Please feel free to consult me here and I’ll be glad to assist you.
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Dr. Saarika
General Physician
4 yrs exp
Chennai
Since your colonoscopy and endoscopy are normal, the fatigue may be due to causes like anemia, vitamin deficiency (B12/Vitamin D), thyroid issues, diabetes, or general weakness.
It would be better to do some basic blood tests such as CBC, thyroid profile, Vitamin B12, Vitamin D, iron profile, blood sugar, LFT and RFT.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Kamal Kumar
General Physician
7 yrs exp
Rewari
Possible Cause:
Your symptoms of constant exhaustion, excessive gas with foul-smelling flatus, and frequent hunger despite normal endoscopy/colonoscopy may be due to functional dyspepsia, IBS, food intolerance (especially lactose/gluten), gut flora imbalance, or vitamin deficiencies (B12, Vitamin D, iron).
Advice:
• Eat small frequent meals and avoid overeating.
• Reduce foods that increase gas (beans, cabbage, onion, carbonated drinks, excess dairy).
• Try a low-FODMAP diet for some time.
• Take a probiotic for 2–3 weeks.
• Ensure adequate sleep, hydration, and regular exercise.
• Check blood tests if not done: CBC, Vitamin B12, Vitamin D, Thyroid profile.
Consult a doctor if symptoms persist, weight loss occurs, or there is persistent diarrhea/abdominal pain.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Have bland diet
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.