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Circulatory problems where they come from

Dear Sir or Madam,

I am reaching out to you because I am feeling desperate as I am unable to find a solution to my health issues.

The problem is as follows:

Until April 2014, I was perfectly healthy, active, in good condition, and had no health problems other than childhood asthma. I am in my early 30s, male. At that time, I spent 3 months traveling in the tropics in Central Africa (from March to the end of May 2014). I am 1.79m tall and weighed 74kg. Before the trip, I had a thorough check-up including blood pressure, EKG, blood tests, all of which came back normal. I also received necessary vaccinations such as yellow fever, rabies, etc.

In early May 2014, I came down with what seemed like a flu, but without coughing and runny nose, instead I had diarrhea, and no fever (I have never had a fever in my life, not even as a child). I felt very weak, unwell, and had a sore throat, but no pus. Since my travel companions were experiencing similar symptoms, although some also had fevers up to 40 degrees, I thought it was a kind of summer flu or food poisoning.

We rested for a few days and felt better. However, I noticed that after lying down for 4 days and getting back on my feet, I still felt a bit weak for another 14 days. I felt dizzy after walking for a while, but it was bearable. I attributed it to the aftereffects of the infection. However, my travel companions were back to feeling great.

At the end of May, during dinner, I fainted. I suddenly felt strange, heard ringing in my ears, lost consciousness, and had a seizure. I was described as extremely pale. However, I felt fine afterwards, regained color, and attributed it to the exhausting day, warm weather, or lingering effects of the infection. Overall, the 3 months were very stressful with little sleep (sometimes only 5 hours for weeks, being on the go all day in tropical weather, etc.).

In the following days, I still felt unsteady on my feet and weak. I flew back home. I told my general practitioner the story, and they conducted a blood test and stool sample, all of which came back normal. The doctor said it may have been due to a mineral deficiency from the infection and diarrhea. No EKG or further tests were conducted.

In June 2014, I still had short episodes of weakness, which would go away immediately when lying down and elevating my legs. From July 2014, I felt healthy again, except for feeling dizzy after exercise (not during exercise).

In November 2014, I experienced health issues again, with a tonsillitis that did not respond to antibiotics until January 2015. In retrospect, it was suggested that it might have been EBV, but without a swab, it could not be confirmed. I only had swollen lymph nodes and a sore throat, but no fever.

I continued to work throughout this time, as I am the type of person who only stays home when absolutely necessary.

By February 2015, I started experiencing mild dizziness and paleness in the face during exertion or physical activity. At that time, I did not pay much attention to it. However, in February 2015, I also started experiencing slight vision problems. I noticed that while watching TV, fast-moving images were blurry, especially in 3D movies or films shot with shaky cameras.

This is the background of my health issues. If you have any further questions or need additional information, please let me know.

Thank you for your attention.

Dr. med. Frauke Gehring

Good day,

Unfortunately, the link is not working, so I will refer to the information you have provided here. Firstly, the acute onset from perfect health and the issues that clearly arose within the context of an infection speak strongly against a psychological cause. Of course, going through such a story can have a psychological impact, but in my opinion, that is secondary. Neuroborreliosis is at least a logical explanation, as antibodies were also found in the cerebrospinal fluid. Beyond the given therapy, treating with antibiotics as titers decrease may not be beneficial. The dizziness can be explained by neuroborreliosis and should be treated with specialized physiotherapy. Whether to also administer low-dose Sulpiride, which is effective against dizziness and also has antidepressant effects, should be discussed with local colleagues. Since you are healthy cardiologically, I recommend gradually and regularly exerting yourself. Perhaps consider having an endoscopy to investigate the symptoms and iron deficiency. Be sure to test for blood in the stool! It is possible that there is an unnoticed gastric ulcer causing bleeding and weakening you. Please address the iron deficiency, as it can cause fatigue and chills. Have patience, and things should improve. I wish you all the best!

Warm regards, Dr. Höllering

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Experte für General medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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