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Do you have muscle pains, fatigue / tiredness, mood disturbances like depression and anxiety, sleep disturbances?
Were any investigations done for weakness, lack of energy?
Hello,Episodes of fatigue or tiredness (or persistent symptoms) need to be classified in;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.Fibromyalgia, lupus, sleep disorders are the other disorders which should be looked for your symptoms.Following investigations are essential;1) Complete blood count, 2) Erythrocyte sedimentation rate, 3) Thyroid function tests, 4) Muscle enzymes; 5) Anti-nuclear antibodies (ANA)6) Adrenal function test7) Anti-dsDNA 8) Anti-Sm 9) Anti-SSA (Ro) or Anti-SSB (La) 10) Coombs test 11) Anti-histone
Fibromyalgia is a chronic condition, which may have following of the manifestations;1) widespread muscle pain, "myalgia," 2) excessive tenderness in many areas of the body3) fatigue, 4) sleep disturbances, 5) headaches, 6) mood disturbances, such as depression and anxiety.A consultation with either a rheumatologist or a clinical immunologist would be prudent. You may seek a referral if necessary by your primary care physician after the preliminary investigations.Please feel free for your follow up questions.Dr. Arun
Yes. This aspect also should be considered and depression can cause your symptoms of lack of energy and no desire to do anything.
Your primary care physician should consider referring you to a specialist to explore this aspect.
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