These are all signs of perimenopausal syndrome. All women have them, just that few of them are a bit more hypersensitive to these symptoms. Don't worry. Firsg of all, along with pulse and BO, monitor her temperature as well. For mood swings and altered taste, it is a mixed approach. 1. Ask her to add more fibre based stuff in her diet. 2. Ask her to have plenty of water. 3. Take tab pantoprazole 40 mg before breakfast for next 3 to 5 days. 4. Start Cap Isoflavanoids 1 cap per day for next 30 days. 5. Eat more of soyabean. 6. Meditation and regular exercises will gradually show effect and will be helpful in long run. Kindly share feedback online.

Would advise you to consult ... without a proper history and examination difficult to assess her condition. Need her to show to a doctor.

Please mention her age Her BP and pulse rate is quite normal Might be she is dehydrated and tired Give her fluids and juices Is her periods flow normal (i.e as usual) or increased ?

Need detailed history and evaluation for better treatment

What’s her age ? Proper history required .