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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 34993
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
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I feel sick all the time i have head aches every day my neck

Customer Question

i feel sick all the time i have head aches every day my neck and shoulders are super tight my eye lids feel so heavy all day long i started working out but id feel so drained when i didnt even do anything. i have ibs and a bad back w/ 2 hernited disks i feel embassed to really complain to my doctor or should i say keep complaining cause i feel like everything wrong im a mother of five and just want to feel better for them. for the muscle tighting she given me relaxers they did nothing and alergy meds for the heavy eyes and tried depressive meds for the tried ness none worked. i take allergy meds daily and some times migrane meds w headache gets that bad and a painbill some times for the back but thats all anyone who might have an idea im open
Submitted: 6 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 6 years ago.


Since when are your symptoms?

Do you have chronic fatigue or tiredness, muscle pains/tenderness, sleep issues?

Were any investigations done?

Have you consulted a specialist?

Dr. Arun

Customer: replied 6 years ago.
they sent me to allergy doctor he said i had some allergy but nothing that bad give me alegra, nasonex , my muscle back neck and shoulder are always tight and tender i have truble getting to sleep but i feel tired all the time not sleepy but drained very heavy eyes and bad headaches w/ my doctor says is from te tension in my neck and shoulders and weak i have to force my self to do stuffive had the headaches since about 13 and the heavyness had sinus surgery when i was younger to remove scar tissue from sinus infection the tired ness has gotten alot worse lately last year or 2
Expert:  Dr. Arun Phophalia replied 6 years ago.

The first thing to consider by your physician would be fibromyalgia. 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 body
3) fatigue,
4) sleep disturbances,
5) headaches,
6) mood disturbances, such as depression and anxiety.

Laboratory studies and investigative work up like following are done to help rule out diseases with similar manifestations and to assist in diagnosis of certain inflammatory diseases that frequently coexist with fibromyalgia;

1) Complete blood cell (CBC) count and differential count,
2) Basic metabolic panel,
3) Urinalysis,
4) Thyroid-stimulating hormone: Hypothyroidism has many similar clinical features with fibromyalgia, especially diffuse muscle pain and fatigue.
5) Creatinine phosphokinase (CPK) to rule out inflammatory myopathies
6) Erythrocyte sedimentation rate (ESR)
7) Antinuclear antibodies (ANAs): Many patients with SLE have comorbid fibromyalgia.
8) Rheumatoid factor
9) Sleep studies

If fibromyalgia, lupus, sleep disorders etc can be 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.

Dr. Arun