<s>[INST] I have a slight indention just left of sternum in my upper abdomen just medial of my heart. I have had constant nausea without vomitting although feel as though I am having to consciously control myself from vomiting for several weeks. I have been having some shortness of breath but not severe and extreme fatigue. The fatigue has latest greater than a month along with occasional heart flutters frequent and severe headaches, joint pain, irritability, decrease in concetration and memory, and recently some tingling in my chin and lips. I am at a loss with this but the nausea and fatigue is for sure getting the best of me. I am anemic and just had labs drawn but don t have results yet any thoughts? [/INST] Hello, The nausea that you have can be related to gastritis or hiatus hernia. Being anemic also causes headache and other symptoms. You can start treatment after blood results. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal Orthopedic Surgeon </s>