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Feeling always totally tired since many
I have quit alcohol recently.but after that always feeling totally tired and energy less..which doctor to see and how I will cure permanently.. kindly suggest.my age 37..I am a pre diabetes stage.. recently diagnosed..
Answers (21)
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First, well done on stopping alcohol - that is the single best thing you have done for your health at 37 with a recent pre-diabetes diagnosis. The tiredness and low energy after quitting are real and expected: for the first several weeks the body readjusts its sleep architecture, blood sugar handling and mood chemistry, and alcohol also depletes B1 (thiamine), B12, folate, magnesium and vitamin D. On top of that, pre-diabetes itself causes post-meal energy crashes, and a fatty liver or mild anaemia is common in someone with a drinking history. So this is usually a mix of withdrawal-recovery, nutritional deficiency and insulin resistance - not a sign that quitting was wrong. It typically improves over 4-12 weeks, and correcting the deficiencies speeds it up.
Next Steps
1) See a general physician or internal medicine specialist first - not a specialist for each symptom. Carry these tests: HbA1c, fasting and post-meal blood sugar, complete blood count, liver function tests, kidney function, TSH, vitamin B12, vitamin D, serum electrolytes and lipid profile, plus an ultrasound of the abdomen to look for fatty liver. 2) Diet: three regular meals with protein at each (eggs, dal, curd, paneer, chicken), stop sugar and refined carbohydrates, and do not skip breakfast - post-meal sugar swings are a big cause of your afternoon exhaustion. 3) Exercise 30-40 minutes a day, 5 days a week; brisk walking plus light weights twice a week reverses pre-diabetes better than any tablet at your stage. 4) Sleep 7-8 hours with a fixed schedule; alcohol withdrawal disturbs sleep for a few weeks. 5) Take supplements only after the reports - thiamine, B12 and vitamin D are commonly needed after quitting alcohol, but the dose should be individualised. 6) Recheck HbA1c and liver tests in 3 months; with weight loss of even 5-7% pre-diabetes is frequently reversible - that is the "permanent cure" you are asking about. I would be happy to go through your reports on a Practo online consult, or you can visit me at Synergy Multispeciality Hospital, Miraj.
Health Tips
Please do not restart alcohol to "feel better" - the relief is temporary and it will worsen both the fatigue and the sugar levels. If you develop tremors, sweating, confusion, palpitations, chest pain, breathlessness, yellowing of eyes, black stools or unexplained rapid weight loss, get checked the same day rather than waiting for reports.
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
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I appreciate your decision of quitting alcohol.
It's common to experience pack of energy when you stop addictive foods or alcohol. It's temporary. Brain and body is adjusting to the current lack of alcohol. Give sometime for your self.
Check vitamin B12, D . And use supplements based on reports.
Next Steps
feel free to consult me on practo for further evaluation and management
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Needs vitamin analysis & diabetic checkup
Kindly consult for further advice
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Consult me via Practo.
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Consult psychiatrist
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Consult physician
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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ADV-LFT ,USG of W/A
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Psychiatrist
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Hey i understand,it’s amazing that you quit alcohol please keep going .
The symptoms that you are experiencing can be cuz of withdrawal of alcohol or nothing at all ,the key to quitting alcohol is to stay consistent with the belief of you can do it and also understand that alcohol is not controlling you .
In terms of consultation i would recommend you to see Md Internal medicine and an endocrinologist for a detailed assessment.
Next Steps
You can book with me on Practo to clarify any doubts or i can treat you as well for the withdrawal symptoms
thank you
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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It’s better u consult psychiatrist
They are best for this
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Meet Psychiatrist
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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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. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for further evaluation. Kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
Book some online therapy sessions
Will help you a lot
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