### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I m 27 years old, 240 pounds, have severe fatigue, inability to lose weight even though I spent the majority of my life at average or below average weight and in very good condition. I have digestive issues that mimic stomach ulcers along with severe diarrhea and vomiting that sometimes contains blood for which I take Protonix. H. Pylori negative. I have pretty severe joint aches, specifically in my feet, hands, elbows, ankles, and knees, severe fatigue, strange hair growth...lol...lichen something on my tongue, high blood pressure ONCE and then normal everytime after that and high triglycerides, I m sure weight related. So NOW I ve been noticing this very strange fizzing, crackling sound that I can also feel that starts right at the base of my skull and moves upward into my head that s been going on for a year (that I ve noticed). Sometimes it s accompanied by a really strange pain, not AWFUL pain, but mild pain that shoots up from that area into the back of my head that lasts for about 30 seconds to a minute. I ve been going to the doctor once a month trying to figure all of this out and I m getting very frustrated. All of this started, mostly with the hair growth on my chin, breasts, and legs, during my second pregnancy. I ve had three children. I currently have an IUD which has been in place for 2.5 years. Oh, I also have high white blood cell count and have for about a year to a year and a half, high sed rate, and a temperature of 101 F constantly. Can you help me? What could this fizzing sound be and is it related to ALL of this other nonsense I ve been dealing with?

### output:

Hi, I think there are several issues that need to be dealt with the weight gain, hair growth, joint pains, skin lesions can be all related to some endocrinology (hormonal issues). Sometimes, when the hormonal levels in our body are disturbed it can lead to such symptoms. Even the persisting high-grade fever and raised white blood count needs to be investigated. The sound which you are experiencing could be related to your navigability, low hemoglobin or lack of proper sleep. Hence, I feel that the problems being multiple and of long duration must get relax and must get yourself fully investigated. Get hormones checked - thyroid (TSH, T3, T4), serum cortisol, sodium, potassium, fasting blood sugar. Once the reports are there, something further can be planned. Take care. Hope I have answered your question. Let me know if I can assist you further. 