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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 31330
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I recently found a lump on the right side of my neck. It turned

Resolved Question:

I recently found a lump on the right side of my neck. It turned out to be a growth on my right thyroid gland. After biopsy; it's not cancer.
My question is , could this be why I have had a lost of energy? I feel like my git up and go; got up and left.
What does the thyriod gland do? Will my energy return after
Submitted: 5 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 5 years ago.



A lost energy can be related to the thyroid gland. But if your thyroid blood levels are normal (thyroid function tests; T3, T4, TSH), some other cause should be looked for the lost energy. Following investigations are needed to assess the cause;


1) Complete blood cell (CBC) count and differential count,
2) Basic metabolic panel,
3) Urinalysis,
4) Thyroid-stimulating hormone: Hypothyroidism can cause diffuse muscle pain and fatigue.
5) Creatinine phosphokinase (CPK) to rule out inflammatory myopathies
6) Erythrocyte sedimentation rate (ESR)
7) Antinuclear antibodies (ANAs)
8) Rheumatoid factor
9) Sleep studies

10) Adrenal function tests.


Fibromyalgia, lupus, sleep disorders etc are the diagnostic consideration for the fatigue or lost energy. If these are ruled out, other consideration would be;

1) chronic fatigue syndrome; unexplained, persistent or relapsing fatigue with unrefreshing sleep, muscle pain, concentration problems, headache, sore throat etc.

2) idiopathic fatigue; it does not meet the above criteria.

A consultation with either a rheumatologist or a clinical immunologist would be prudent for an evaluation.

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


Dr. Arun

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