Conversation: The conversation between human and AI assistant.
[|Human|] My question is not actually for me. I m trying to find some help for my fiance. He is 22 years old. 5 11 and roughly 195 lbs. Almost daily, he will randomly experience waves of nausea, vomiting, fatigue, headache, and body aches. He vomits usually a few times per week and has gone to multiple doctors. They ve tested things like WBC count and looked at the possibilty of diabetes. Everything has come back normal. He works a lot, chews, and has a history of neurocardiogenic dysodinomia. The way he is always exhausted even after a week off work to rest and the fact that he throws up so often can t be entirely normal right? Any advice would be helpful as we have no clues right now!
[|AI|]  Hello, Typically, the symptoms of cycles of nausea and vomiting suggest problems directly in the GI tract, HORMONES that may be cyclically abnormal, or a Central Nervous reaction to some metabolic or physical derangement. When I say hormones I'm not just talking about THYROID products.  In his case, I would be checking BLOOD SUGARS before and after meals and directly measuring for insulin levels which can be way too HIGH and cause these symptoms.  There is something called POSTPRANDIAL HYPOTENSION which could be mistaken for some type of cardiogenic dysautonomia as well or at least make it difficult to tell them apart at times.  I would also recommend provocative A Chat Doctor.