Hello doctor, I feel pain in my lower abdomen. The throat is always filled with a cough and no energy. I diagnosed earlier and the doctor said that I have lower levels of vitamin D. What should I do? Height 175 cm and weight 65 to 68 kg.
Hello. It sounds like you have several things going on at once. First off, I do not believe that any of your symptoms are due to low vitamin D, probably 1/3 of the entire population has a low vitamin D level.  The most common cause of lower abdominal pain, especially if it is crampy in nature, is constipation. If you have had an issue in that area I would consider using a Fleet's enema or Dulcolax (Bisacodyl) suppository, as well as taking a daily fiber supplement such as Metamucil. Drinking at least six glasses of water a day, taking a walk for at least 20 minutes a day, and cutting back on milk and meat products.  The next most common cause of lower abdominal pain is irritable bowel syndrome. People with irritable bowel syndrome are usually sensitive to certain foods, usually ones that are greasy or high in fat content. Other causes of lower abdominal pain include prostate infection, diverticulitis, appendicitis, and muscle strain. If you are noticing that it hurts in your abdomen to move, cough, or go over bumps in the road in a vehicle, or if you are having a fever, or if you are feeling dizzy when you stand up, I would recommend seeing a doctor immediately. As far as your throat symptoms and cough, most common cause is allergic rhinitis, which causes postnasal drip to irritate your throat and cause a cough; treatment is an antihistamine and using an air filter machine with a HEPA filter, as well as hypoallergenic (plastic) mattress and pillowcase covers to protect against exposure to dust mites. In general, any products containing lactose have been found to make phlegm and mucus thicker, so you may wish to pay attention to that element of your diet. There are hundreds of causes for "no energy", including a low thyroid, poor sleep or diet, stress, depression, anxiety, a low blood count, a heart condition, a lung condition, or any physical or emotional stress on the body.