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"Persistent fatigue, dizziness, fever, burning in feet/hands, headaches & body pain after past blood infection & treated TB—what could it be?"
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General Medicine
Question #27695
193 days ago
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"Persistent fatigue, dizziness, fever, burning in feet/hands, headaches & body pain after past blood infection & treated TB—what could it be?" - #27695

Shifa asheen

Over the past few years, I have experienced a series of health issues, including a blood infection in 2021-2022, followed by an initial stage of tuberculosis in 2023-2024 that was treated with a two-month course of medication. Since then, I have been struggling with persistent symptoms such as severe fatigue, dizziness, weakness, feverish feelings, burning sensations in my feet and palms, frequent headaches, and body pain.

Age: 19
Chronic illnesses: None
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Doctors' responses

Avoid oily, spicy and processed foods. Regular exercise. Increase intake of raw vegetables and fruits. Dashmularishta 20ml twice with lukewarm water after meal. Tab. Guduchi 2-0-2 Shatavari kalp 15gms twice with milk

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Hello Shifa, Symptoms mentioned in your case history may be due prolonged use of antitubercular drugs . Tests needed - CBC Vit D,vit B12 levels Urinalysis BP and temperature monitoring. Treatment - 1. Giloy ghanvati -2-0-2 after meals. 2. Arogyavardhni vati-1-1-1 after meals 3. Lohasava and Vidangasava -2tsp each with 4 tsp water twice a day after meals. Follow these and don’t hesitate to reach out for any further query. Take care Regards, Dr. Anupriya

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Hello Shifa, Thank you for explaining your condition. As you have a history of blood infection (2021–2022) and initial stage tuberculosis (2023–2024) treated with a short course of medication, followed by persistent fatigue, dizziness, feverish feelings, burning of feet and palms, frequent headaches, and body pain, this indicates dhatu-kshaya (tissue depletion) with ojas (vitality) loss. Post-infectious weakness, aggravated Pitta (burning, feverishness) and Vata (fatigue, body pain, dizziness) are predominant.

🔍 Recommended Investigations

1. CBC, ESR – to check anemia, infection markers. 2. Serum Ferritin, Vitamin B12, Vitamin D. 3. Thyroid Profile (TSH, T3, T4). 4. Liver & Kidney function tests. 5. Chest X-ray (to rule out TB reactivation, if advised).

💊 Internal Medicine

Phase 1 – Agni Deepana & Ama Pachana (2 weeks)

1. Trikatu Churna – 1 g with warm water after meals, twice daily (boosts metabolism, clears ama). 2. Guduchi Ghana Vati – 2 tabs twice daily after meals (immune booster, anti-inflammatory).

Phase 2 – Rasayana & Dhatu Pushti (next 8 weeks)

1. Chyawanprash Avaleha – 1 tsp with warm milk in morning (strengthens lungs, improves ojas). 2. Ashwagandha Churna – ½ tsp with warm water or milk at bedtime (reduces fatigue, body pain). 3. Brahmi Vati (with gold, if available) – 1 tab twice daily (for dizziness, headaches, nerve strength). 4. Punarnava Mandura – 2 tabs twice daily after meals (supports blood, reduces weakness, improves Hb).

🌿 External Support

1.Abhyanga (oil massage) with warm sesame or dhanwantaram oil – whole body 15 min, 3 times a week, followed by warm water bath (reduces pain, nourishes tissues). 2.Hot foot soak with rock salt before bed – relieves burning in feet & palms.

🥗 Diet & Lifestyle

Pathya (Recommended):

1. Warm, freshly cooked, light but nourishing meals. 2. Cow’s ghee (½–1 tsp daily) for strength. 3. Dates, soaked almonds, black raisins for energy. 4. Green leafy vegetables, beetroot, pomegranate for blood enrichment. 5. Turmeric + milk (golden milk) at night for immunity & inflammation.

Apathya (Avoid):

1. Cold, stale, fermented, and deep-fried food. 2. Excess tea, coffee, carbonated drinks. 3. Overexertion, late nights, excessive screen time.

🧘‍♀️ Yoga & Lifestyle

1. Asanas: Balasana, Bhujangasana, Setubandhasana (gentle strengthening). 2. Pranayama: Anulom Vilom (10 min daily), Bhramari for stress & headaches. 3. Rest adequately, avoid overexertion. 4. Maintain regular sleep schedule (10–6 ideal).

🌸 With Kind Regards

May your strength return, your fatigue reduce, and your vitality be rebuilt. With consistent rasayana therapy, balanced diet, and lifestyle, your immunity and energy will gradually be restored.

– Dr. Sumi

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Hello, The following medications will help you to get better: 1. Indukantha kashayam 20ml----0----20ml by adding 80ml of boiled cooled water at 0600AM and 0600PM. 2. Chyavanaprasham(AVS,Kottakkal) 1 tsp with warm milk at bed time Use the above two for 45 days and get back for follow up.

When you are on the above medications- 1. Avoid raw food. 2. Eat freshly cooked warm food. 3.If you are non vegetarian please avid red meat. 4. Drink warm water which is boiled with small piece of fresh ginger-one liter a day(please see to it that, it is not spicy) 5. Go to bed at the same time everyday. Take care, Kind regards.

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Kindly check CBC, thyroid profile, vitamin D. These can be due to nutritional deficiency.

1. Drakshadi kashaya 15 ml + 45 ml lukewarm water twice daily before food. 2. Mandoora vataka 1 at after lunch with buttermilk. 3. Krimighna vati 1-1-1 after food to detox body for 1 month.

if you didn’t like to have kashaya took draksharishta 5 ml + dasamoolarishta 5 ml just after food.

Drink enough water everyday. Don’t overstress

Keep calm Warm regards Dr. Shaniba

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Why tuberculosis treatment for only two months ?? Once check cbc with esr crp LFT rft thyroid profile lipid profile urine routine CXR pa view and us abdomen to know the exact cause

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HELLO SHIFA,

You mentioned suffering from -persistent fatigue and weakness -burning in feet and hands -dizziness and body pain -feverish feeling -headaches These symptoms began after recovering from a blood infection and TB. In Ayurveda, this tell us that

WHAT’S REALLY HAPPENING IN YOUR BODY -your immunity is weakened from past infections and strong antibiotic treatments -your nervous system (vata dosha) is disturbed- causing dizziness, fatigue, pain and burning sensations -your metabolic fire (agni) is weakened, so nutrients are not being fully absorbed- causing tiredness and poor strength -toxins (ama) might have built up in the body due to poor digestion and past infections -your plasma and blood tissues (rasa and rakta dhatu) have become weak or imbalanced, leading to burning and inflammation This is called “Ojas kshaya with vata-pitta dushti” in Ayurveda

TREATMENT GOALS -rebuild immunity and strength (increase Ojas) -calm the nervous system (balance vata) -cool and purify blood and tissues (balance pitta) -support digestion and metabolism (strengthen agni) -eliminate residual toxins (remove ama) -reduce nerve burning and inflammation -improve energy and mental clarity

INTERNAL MEDICATIONS

1) ASHWAGANDHA CHURNA= 1 tsp with warm milk at night for 3 months =builds strength, improves sleep, calms nerves

2) SHATAVARI KALPA= 1 tsp with milk twice daily for 3 months =nourishes tissues, especially useful for women

3) CHYAWANPRASH= 1 tsp in morning daily =rasayana-improves immunity, energy, and lung health

4) BRAHMI VATI= 1 tab twice daily for 3 months =calms mind, helps with dizziness, anxiety, and brain fog

5) AMRITARISHTA= 20 ml with water after meals for 2 months =fights chronic inflammation, builds immunity

6) MAHAMANJISTHADI KASHAYA= 20 ml with warm water twice daily after meals for 2 months =blood purifier, reduces burning and pitta

7) DHANWANTARAM KASHAYA= 15 ml twice daily after meals with water for 3 months =strengthen nerves, useful in pain and weakness

EXTERNAL TREATMENTS

1) OIL MASSAGE= BALA TAILA =daily or alternate day full body massage then warm water bath =strengthens nerves, relieves pain balances vata

2) FOOT MASSAGE = At night with warm sesame oil or GHEE =relieves burning in soles, improves sleep

3) NASYA= 2 drop of Anu taila in each nostril in morning =calms nervous system, clears sinuses, relieves headaches

DIET

EAT FOODS THAT - -are warm, freshly cooked, and easy to digest -are mildly spiced, not too hot or cold -are rich in healthy fats like ghee, which nourishes the nerves -are high in iron, B12, calcium to rebuild strength

FOODS -moong dal khichdi with ghee -milk boiled with turmeric, ashwagandha or dates -boiled vegetables with cumin, turmeric , ginger -fresh fruits = pomegranate, ripe bananas, grapes, apples -soups dal, vegetables -whole grains= rice , wheat roti with ghee

AVOID -leftovers and reheated food -cold drinks, ice cream, and carbonated drinks -junk food and fried foods -excess salt, red chillies, green chillies -excess caffeine coffee, energy drinks

YOGA (mild but regular practice_ -vajrasana= improves digestion -bhujangasana= relieves fatigue, energizes spine -shavasana= daily relaxation -viparita karani= great for circulation and nervous system

PRANAYAM -Nadi sodhana= balances vata pitta -Bhramari= soothes nervous system -Anulom vilom= enhances oxygenation and calms mind

HOME REMEDIES

1) Burning sensation releif -soak feet in warm water with rock salt + a few neem leaves for 15 minutes daily -apply coconut oil + camphor gently to feet and hands before sleep

2) Fatigue booster drink -boil 10 raisins + 2 dates + a pinch of cardamom in a cup of milk. drink warm

3) For dizziness and weakness -mix 1 tsp amla juice + 1 tsp honey, take on empty stomach

4) Immunit boost -mix turmeric + black pepper (1:1/4 ratio) in warm milk before bed

-Your symptoms are very real and commonly sen after serious infections like TB or sepsis -Recovery takes time. The body may take 6 months or more to rebuild energy, immunity, and nerve health -Ayurveda works slowly but deeply, nourishing tissues and balancing the body system without side effects -You must stay consistent with medications, diet and daily practice -Don’t ignore your mental health- use meditation, good sleep hygiene, and calming medication supports

DO FOLLOW

HOPE THIS MIGHT BE HELPFUL

THANK YOU

DR. MAITRI ACHARYA

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Hello shifa,

*Please share details of your reports for further advice and treatment…

*Which medicines had you taken? *Tell me about your bowel habits too… *Appetite?

Take care😊

Kind Regards, DR.ISHA ASHOK BHARDWAJ.

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Hi shifa this is Dr Vinayak as considering your problem…has you are having long term issue have lot patience to get cure from your problem… Rx-Sitophaladi churna 1/2tsp with warm water twice after food Narasimha rasayana 1tsp with milk early morning empty stomach… T.arogyavardini vati 1-0-1after food Mahanarayana taila Abhyanga all over body before bath

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Hello Shifa Thank you for sharing your history 🙏 At age 19, with past blood infection, TB treatment, and now persistent fatigue + weakness + burning sensations, but dont worry we are here to help you out😊

✅SUGGESTED AYURVEDIC REMEDIES

✅ INTERNAL MEDICATION

These help restore strength & immunity after chronic illness

1 Chyawanprash Avaleha – 1 tsp morning & evening with warm milk.

2 Ashwagandha Lehyam 1 tsp at bed time follwed by warm. water – for fatigue, strength, and muscle recovery.

3 Brahmi Vati (with gold, if available) – 1 tab morning & night for memory, headache & stress.

✅ DIET MODIFICATION

✅ Include Warm, light but nourishing foods – moong dal khichdi, ghee, dates, soaked almonds, figs, seasonal fruits. Milk with turmeric at night. Fresh vegetable soups, especially bottle gourd, pumpkin, drumstick. Cow’s ghee (½–1 tsp daily).

❌ Avoid Junk food, excess spicy/oily/fried food. Carbonated drinks, excess tea/coffee. Late nights & irregular eating.

✅ HOME REMEDIES

👉Morning drink: Warm water + 1 tsp honey + ½ tsp turmeric.

👉Foot burning: Soak feet in lukewarm water with a pinch of rock salt for 10 min daily. Apply coconut oil + camphor massage at night.

👉Headache relief: Apply Brahmi oil on forehead.

✅ LIFESTYLE AND YOGA TIPS -

Gentle yoga- Balasana, Shavasana, Vajrasana after meals. Pranayama- Anulom Vilom & Bhramari for calming nerves & improving oxygenation. Adequate rest (7–8 hrs sleep, early bedtime).

👉Your body has gone through serious infections & treatments at a young age, so the energy loss, weakness, and burning sensations are signs of deep depletion of immunity

👉 With proper diet, herbal support, and rest, your energy, stamina, and digestion can improve within 2–3 months

🌸 Be gentle with yourself, your body is in a healing phase

Wish you a healthy Life😊

Warm Regards Dr Snehal Vidhate

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​Based on the symptoms described—persistent fatigue, dizziness, fever, burning in feet and hands, headaches, and body pain—after recovering from a blood infection and tuberculosis (TB), an Ayurvedic perspective would likely consider these to be symptoms of a Dhatu Kshaya (tissue depletion) and an imbalance of the three doshas (Vata, Pitta, and Kapha). The previous severe illnesses and their treatments may have significantly weakened the body’s systems, leading to these lingering issues.

​ ​From an Ayurvedic standpoint, the symptoms you’re experiencing can be attributed to specific imbalances:

​Persistent Fatigue and Weakness: This is a key sign of Dhatu Kshaya, specifically the depletion of Rasa Dhatu (plasma) and Ojas (the essence of all tissues, responsible for immunity and vitality). A severe illness like TB, which is often called “Rajayakshma” (king of diseases) in Ayurveda, is known to profoundly deplete Ojas and the body’s strength.

​Dizziness (Brahman): This symptom is typically linked to an aggravation of Vata dosha, particularly Prana Vayu, which governs the nervous system and mental functions. Vata imbalance can be exacerbated by tissue depletion and weakness.

​Feverish Feelings and Burning Sensations (Daha): These are classic signs of an aggravated Pitta dosha. Pitta, which governs metabolism and heat, becomes imbalanced, leading to sensations of internal heat, inflammation, and burning, especially in the extremities like the feet and palms. This can also be a result of the body trying to fight off residual toxins.

​Headaches and Body Pain: These symptoms point to a severe Vata imbalance. Vata is responsible for all movement in the body, including nerve impulses and blood flow. When Vata is aggravated, it can lead to pain, stiffness, and discomfort throughout the body and specifically in the head.

​Possible Causes from an Ayurvedic Viewpoint ​The combination of the previous illnesses and their treatment is crucial to understanding the current state. ​Blood Infection: In Ayurveda, a blood infection would be seen as a severe imbalance of Rakta Dhatu (blood tissue) and an accumulation of Ama (toxins) and Pitta. ​Tuberculosis (Rajayakshma): This disease is considered to be one of the most debilitating conditions, causing significant depletion of all seven Dhatus (tissues) and a severe reduction in Ojas. The two-month course of medication, while necessary, may also have had a Vata-aggravating effect on the system, which can cause dryness, joint pain, and nerve-related symptoms. ​Recommended Ayurvedic Approach ​An Ayurvedic treatment plan would focus on a three-pronged approach to address the root causes of these persistent symptoms.

​Rebuilding the Dhatus and Ojas: The primary goal would be to nourish and strengthen the body. This involves a Vata-Pitta pacifying diet that is warm, nourishing, and easy to digest. Foods rich in healthy fats, proteins, and carbohydrates are recommended. Rasayana (rejuvenative) herbs

​Balancing the Doshas: ​Vata: The focus is on grounding and nourishing. This can be achieved through oil massage (Abhyanga) with warm sesame oil, Panchakarma treatments like Basti (medicated enemas), and incorporating a regular, calming routine. ​Pitta: The treatment aims to cool and soothe the system. A diet that avoids spicy, sour, and fermented foods is important.

​Detoxification (Ama Pachana): Gentle detoxification is needed to clear any residual toxins that may be contributing to the symptoms. This can be done through light, easily digestible meals and herbal formulations that support liver function and improve digestion.

Treatment 1) ashwagandharishta 10 ml after food 2 times

2) bhunimbadi kashaya 10 ml before food with water 2 times

3 tab smritisagar rasa- 2 tab 2 times a day .

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1.Guduchighana vati 2 tab thrice daily 2.Ashwagandha capsules 2 cap twice daily with milk 3.Balarishta 20 ml with 20 ml water twice daily 4.Chandanasava 20 ml with 20 ml water twice daily

Add fruits and green leafy vegetables to your diet Add desi ghee Add more proteins,calories and micronutriennts to your diet

Hope you will get well soon…

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Start with Chyavanprash 2tsp in the morning before breakfast with milk Suthshekhar ras 1-0-1 after food with water Amla ghanvati 1-0-1 after food with water Giloy ghanvati 1-0-1 after food with water Ashwagandha churan 0-0-1tsp at bedtime with water Do pranayam lom -vilom bhastrika bhamri kapalbhati 10 mins daily twice.

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The symptoms you are experiencing may be related to the residual effects of your past infections and treatment or potentially a new imbalance. According to Ayurveda, prolonged weakness, fatigue, and other symptoms like burning in feet/hand indicate an imbalance of vata and pitta dosha, possibly also involving depleted dhatus (body tissues) and low ojas (vitality).

Focus on strengthening your digestive fire (agni) and nourishing your dhatus. Start by including warm, cooked foods that are easy to digest in your diet, such as kitchari (a mix of rice and mung dal), with spices like ginger, cumin, and turmeric to support digestion. Sip on warm water regularly to aid digestion and detoxification while avoiding raw, cold foods and heavy, oily meals which might imbalance vata and pitta further.

Ashwagandha can be significantly beneficial owing to its adaptogenic properties; take a half teaspoon with warm milk in the evening, as it helps in strengthening the immune system and reducing fatigue. Chyawanprash, a herbal jam, is also advised, one teaspoon in the morning for enhancing immunity and vitality.

Managing your daily routine is essential; ensure you are getting sound sleep, retire by 10 pm as rest will help in pacifying vata. Yoga postures like shavasana (corpse pose), along with pranayama practices such as nadi shodhana (alternate nostril breathing) can reduce anxiety and dizziness.

Furthermore, due to your history, continue monitoring your health with a healthcare provider. Get your vitamin levels checked (like B12 and D) and ensure they are well supplemented if deficient, as these can contribute to fatigue and neuropathic pain, resembling burning in palms and feet.

If symptoms persist or worsen, immediate consultation with a medical professional is crucial to rule out any immediate health concerns that require further intervention. Detoxification therapies such as panchakarma may be considered under professional supervision as they can offer systemic purification and balance doshas safely after the immediate concern has been medically reviewed.

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Your constellation of symptoms suggests an underlying imbalance, potentially related to your past infections and treatment history. In Siddha-Ayurvedic terms, these symptoms might be rooted in an imbalance of the doshas, particularly an aggravation of Vata and Pitta, leading to ama (toxin accumulation) and weakened agni (digestive/metabolic fire). This could explain the fatigue, dizziness, and energy disturbances.

Firstly, focus on dietary adjustments to pacify Vata and Pitta while enhancing agni. Incorporate warm, cooked, and easily digestible foods like moong dal (green gram), rice, and ghee, avoiding processed, fried, and very spicy foods. Turmeric and ginger are beneficial for their anti-inflammatory and digestive properties—consider a warm ginger tea with a pinch of turmeric daily.

Hydration is crucial. Lukewarm water can aid in maintaining smooth digestion and should be consumed throughout the day. Herbal teas such as ashwagandha can help bolster energy levels, while brahmi may assist in reducing mental fatigue and dizziness.

For the burning sensations in your extremities, consider soaking feet and hands in cool water with some sandalwood powder or rose water, which can balance Pitta. Regular abhyanga (self-oil massage) with cooling oils like coconut or sunflower oil can soothe the nervous system and alleviate body pain.

Ensure adequate rest and a consistent sleep schedule, as Vata balance thrives on routine. Gentle yoga or pranayama (breath work) can calm Vata and rejuvenate energy levels, done early morning or late afternoon when the sun is low.

If you observe no relief within a few weeks or symptoms worsen, consult with a healthcare provider. Persisting issues with exhaustion, burning sensations, and dizziness could require more detailed medical investigation to rule out complications or deficiency states that might need urgent addressing. Always prioritize safety alongside Siddha-Ayurvedic practice.

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HELLO SHIFA,

You’re describing a post-infectious chronic fatigue like state with neuropathic symptoms (burning feet/hands), low immunity, and generalised weakness after sepsis and TB. -Ojas kshaya = depleted vitality/ immune energy -vatapitta prakopa (aggravated vata and pitta-> burning, dizziness, pain) -Ama =residual toxins from infection/medications-> fatigue, feverish feeling, headaches

1) LIFESTYLE -ensure regular sleep -avoid late nights -light yoga and pranayam= anulom- vilom, bhramari for fatigue and headaches -avoid junk, spicy, very oily food-> take warm, freshly cooked meals

2) DIET -strengthening foods= milk, ghee, dates, raisins, moong dal khichdi, seasonal fruits -Avoid= cold drinks, leftover food, excess tea/coffee, sour and fermented items

3) INTERNALLY -Ashwagandha churna= 1 tsp with warm milk at night-> energy, strength

-Guduchi decoction = 45ml daily for immunity and feverish dfeelings

-Shatavari = 1 tsp with warm milk in morning-> soothe burning and pitta

-Triphala at night= 1 tsp with warm water clears ama, supports digestion

4) TONICS

-Chywanprasha= 1 tsp daily morning= rejuvinative

-Brahmi vati= 1 tab at night for mental fatigue and headaches

5) EXTERNAL THERAPIES -warm sesame oil massage= reduces fatigue, body pain

-Head massage= for headaches and dizziness

THANK YOU

DR. HEMANSHU MEHTA

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Shifa Check again TB test and blood infection test.

And Start 1) Tab. mahasudarshan ghanvati 2 goli subha sham khane ke baad 2) Tab. Amrita gugulu 2 goli subha sham khane ke baad 3) syp. Balya mahakshaye 15ml+15ml lukewarm water subha sham khane ke baad 4) gudha+ hatitki (total adha chamch) churan ratme sote smya garm pani ke sath

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