Medical

Have Medical Questions? Ask a Doctor Online!

Ask a Doctor,
Get an Answer ASAP!

Medical

I suffer from severe fatigue and low mood for probably 20

Customer Question
Hi, I suffer from severe...
Hi, I suffer from severe fatigue and low mood for probably 20 years ( male and 35 yrs old) gps have mainly blamed depression on it but I think it is the other way round. My blood tests were all good, do you have any ideas on what it could be, what more can be done re tests as it must be something rare? All common causes have been eliminated thanks Peter
Submitted: 4 months ago.Category: Medical
Show More
Show Less
Ask Your Own Medical Question
Answered in 3 minutes by:
6/24/2017
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago
Dr. Arun Phophalia
Category: Medical
Satisfied Customers: 36,119
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
Verified

Hello! My name is***** to JustAnswer. I'm reviewing your question now, and will post back with the reply momentarily.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

Hello Peter,

Let me first give you the common cause of chronic fatigue and then we will discuss it further;

Thyroid disease

Connective tissue diseases

Chronic anemia

Neoplastic disease

Chronic infections like Epstein Barr virus

Endocrine diseases (Addison disease).

Chronic fatigue syndrome

Myasthenia Gravis.

You would need following investigations:

Complete blood count (CBC)

Liver function tests

Thyroid function tests

Erythrocyte sedimentation rate (ESR)

Serum electrolyte level measurement

Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer

IgM/IgG human herpesvirus 6 (HHV-6) titer

IgM/IgG C pneumoniae titer

Autoimmune panel

Anemia panel.

Please feel free for your follow up questions.

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

Thanks for using Just Answer.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

There is a chronic condition called fibromyalgia which has fatigue as a significant manifestation with depression. Following investigations are advised for it:

1) Thyroid-stimulating hormone

2) 25-Hydroxy vitamin D level: Low levels can cause muscle pain and tenderness

3) Vitamin B-12 level: Very low levels can cause pain.

4) Iron studies including iron, total iron binding capacity, percent saturation, and serum ferritin

5) Magnesium: Low levels can lead to muscle spasms, which are common in fibromyalgia; magnesium supplementation can also improve symptoms in some fibromyalgia.

6) The erythrocyte sedimentation rate (ESR)

7) Antinuclear antibody (ANA)

8) Rheumatoid factor

9) Sleep studies

10) Antipolymer antibody assay; present in approximately 50% of patients with fibromyalgia. This biologic marker may provide conclusive evidence for a subgroup with fibromyalgia.

Was this information helpful to you? I would be glad to answer any further questions.

It is privilege assisting you.

Please let me know if you have further queries or unanswered questions.

Please consider a positive 5 star rating if this interaction has been satisfactory, as this is the only way we experts are credited and compensated for the time and work. You are not charged again for giving a rating.

The rating button is on the left upper side of this thread.

Thank you.

Wishing you all the very best in life.

Ask Your Own Medical Question
Doctor: Dr. Arun Phophalia, Doctor replied 4 months ago

Was this information helpful to you? I would be glad to answer any further questions.

Best wishes,

It was my pleasure to help you.
If I have answered all your questions, Please rate my response Excellent (click on the 5th star).
Please bookmark my profile for fast, reliable authentic answers!
This is the link to my profile:

http://www.justanswer.com/medical/expert-drarunphophalia/

Ask Your Own Medical Question
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 36,119
36,119 Satisfied Customers
Experience: MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist

Dr. Arun Phophalia is online now

A new question is answered every 9 seconds

How JustAnswer works:

  • Ask an ExpertExperts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional AnswerVia email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction GuaranteeRate the answer you receive.

JustAnswer in the News:

Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.

What Customers are Saying:

I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me.

Susan O.USA

I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much

Corrie MollPretoria, South Africa

I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well!

ClaudiaAlbuquerque, NM

Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion.

KevinBeaverton, OR

Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
I feel better already! Thank you.

ElanorTracy, CA

Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem.

JulieLockesburg, AR

You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions.

John and StefanieTucson, AZ

< Previous | Next >

Meet the Experts:

Family Physician

Family Physician

Doctor

2,592 satisfied customers

Emergency Medicine and Family Practice for over 26 years

Dr. Ketch

Dr. Ketch

Board Certified Physician

76 satisfied customers

Medical Degree, Former Assistant Professor at School of Medicine at Yale University

DrRussMD

DrRussMD

Board Certified Physician

51,160 satisfied customers

Internal Medicine--practice all of internal medicine, all ages, family, health, prevention, complementary medicine, etc.

Dr Basu

Dr Basu

Experienced Specialist

20,734 satisfied customers

MD

Dr. David

Dr. David

Board Certified Physician

224 satisfied customers

Treat children/young adults, former chief resident, multiple publications

Dr. D. Love

Dr. D. Love

Doctor

17,064 satisfied customers

Family Physician for 10 years; Hospital Medical Director for 10 years.

Dr Chip (M.D.)

Dr Chip (M.D.)

Doctor

13,486 satisfied customers

20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.

< Previous | Next >

Related Medical Questions
Can I take 5000u of vitamin D if I have plaque in arteries
Can I take 5000u of vitamin D if I have plaque in arteries will it cause more plaque buildup … read more
Dr Uzair
Dr Uzair
FCPS (R) General Surgery
M.B.,B.S. FCPS
3,658 satisfied customers
I've been asked to test for thyroid antibodies because my
I've been asked to test for thyroid antibodies because my TSH was high (6.5). Does it mean that I am suspect of Hashimoto's disease or is this test done for some other reasons? Thank you.… read more
Dr. D. Love
Dr. D. Love
Doctor
Doctoral Degree
17,064 satisfied customers
What are symptoms of vitamin D toxicity? He prescribed a
Yes. He prescribed a vitamin D supplement because it was low. … read more
Dr. David
Dr. David
Radiation Oncology Attending Director
Post-Doctoral Degree
13,033 satisfied customers
If vitamin d is low at 15, and 5,000 units are taken every
hi...if vitamin d is low at 15, and 5,000 units are taken every day for 2 months, would that be enough to restore vitamin d to a normal level? thank you....… read more
Dr.Sawhney
Dr.Sawhney
Post-Doctoral Degree
6,246 satisfied customers
Thyroid globulin antibodies of 845. what does that mean,
thyroid globulin antibodies of 845. what does that mean … read more
DrRussMD
DrRussMD
Board Certified Physician
51,160 satisfied customers
My doctor wants me to take Vitamin D, 50,000 units, 1 pill a
My doctor wants me to take Vitamin D, 50,000 units, 1 pill a week. I also take Levetiracetam 750 mg 2 times a day, Lamital 200 mg 3 times a day and Clorazepate 15 times a day 3 times a day. I this too… read more
Richard Han
Richard Han
Pediatrician
Post-Doctoral Degree
235 satisfied customers
I have been having a lot of fatigue and lupus/autoimmune
I have been having a lot of fatigue and lupus/autoimmune type symptoms but my blood tests overall come back normal recently I had a sed of 3, which I know they usually look at it being high, but is th… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,619 satisfied customers
Positive RNP and Negative antibodies, but Positive ANA, No
Positive RNP and Negative smith antibodies, but Positive ANA … read more
Dr Basu
Dr Basu
Experienced Specialist
Doctoral Degree
20,734 satisfied customers
I took 1,000 mg vitamin D at night, at around 9 pm,
I took 1,000 mg vitamin D at night, at around 9 pm , remembering that I hadn't taken any for days. aNow something is going on. My bp is up and my sleep is being disrupted. Did I make a mistake taking … read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
If calcium is normal, could a low vitamin d of 15 cause a
hi...if calcium is normal, could a low vitamin d of 15 cause a high pth test of over 130? if not, what could? is that considered secondary hyperparathyroidism? thank you...… read more
skindoctor2000
skindoctor2000
Master's Degree
1,163 satisfied customers
Regarding Vitamin D levels, what does 250H mean? Yes, my
Yes, my endrocronoligist and he had advised me to stop taking Vitamin D. He wants me tested again in four months. This will be my third testing. … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,619 satisfied customers
Is it possible for a UTI to 'kickstart' another Autoimmune
Hi there Is it possible for a UTI to 'kickstart' another Autoimmune condition? I have lichen planus, had a UTI a few weeks ago and now having aches in my hips and groin.Is it possible the UTI kicked o… read more
DR. EHTISHAM
DR. EHTISHAM
Consultant Physician& Rheumatologist
Doctoral Degree
1,351 satisfied customers
I have questions about vitamin D synthesis. I am a 39
Hello. I have questions about vitamin D synthesis.I am a 39 year-old female, and have had over 50 skin biopsies so far, but all of the results have been negative for cancer so far. I have fair to medi… read more
Dr. K.
Dr. K.
Staff physician
517 satisfied customers
I rented a room in a home for 3 years and had low vitamin D
I rented a room in a home for 3 years and had low vitamin D moisture in my rectum the home owner had two dogs I have tickets bites can I file a medical claim on his home insurance? … read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,619 satisfied customers
Due to my low vitamin D, I have been trying to sunbathe
Due to my low vitamin D, I have been trying to sunbathe about 30 minutes a day for the past 2 weeks. I'm not sure if it's due to that but I am developing what looks like tiny blisters on my pinky fing… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
My recent blood test showed that my Vitamin D levels were
My recent blood test showed that my Vitamin D levels were low. Is it possible to raise my vitamin D with sun exposure as well as eating fish? I started to take 5,000 IU of Vitamin D3 and I started bre… read more
Dr. Arun Phophalia
Dr. Arun Phophalia
Doctor
36,119 satisfied customers
Medical history if vitamin d deficiency and 12 deficiency.
Hello medical history if vitamin d deficiency and b 12 deficiency. Recently having intermittent generalized itching.… read more
Dr. Ravoof
Dr. Ravoof
Doctoral Degree
1,880 satisfied customers
Is it possible for someone with negative thyroid antibody
Is it possible for someone with negative thyroid antibody count to reverse autoimmune condition by strict diet and exercise alone. Went from levothyroxine to armour back to the other one and wondering… read more
Dr. Phil, MD
Dr. Phil, MD
Internal Medicine Physician
Doctoral Degree
2,619 satisfied customers
Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Disclaimer: Information in questions, answers, and other posts on this site ("Posts") comes from individual users, not JustAnswer; JustAnswer is not responsible for Posts. Posts are for general information, are not intended to substitute for informed professional advice (medical, legal, veterinary, financial, etc.), or to establish a professional-client relationship. The site and services are provided "as is" with no warranty or representations by JustAnswer regarding the qualifications of Experts. To see what credentials have been verified by a third-party service, please click on the "Verified" symbol in some Experts' profiles. JustAnswer is not intended or designed for EMERGENCY questions which should be directed immediately by telephone or in-person to qualified professionals.

Show MoreShow Less

Ask Your Question

x