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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 35727
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I am having extreme morning fatigue every few days. What

Customer Question

I am having extreme morning fatigue every few days. What could be causing this? My blood pressure?
JA: How long have you been dealing with this? Any other symptoms?
Customer: About a month. I have some lightheadedness.
JA: Anything else in your medical history you think the doctor should know?
Customer: I suffer from migraines, anxiety, depression, back pain, and SIADH syndrome.
Submitted: 2 months ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 2 months ago.

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

Expert:  Dr. Arun Phophalia replied 2 months ago.

What is your age?

Do you have fever, body aches, loss of appetite, weight loss?

Customer: replied 2 months ago.
Customer: replied 2 months ago.
Expert:  Dr. Arun Phophalia replied 2 months ago.

Following causes are commonest for morning fatigue and lightheadedness;

1) Sleep disorders like obstructive sleep apnea.

2) Electrolyte issues

3) Medications.

Other causes to look for are;

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.

Customer: replied 2 months ago.
Are you still there?
Expert:  Dr. Arun Phophalia replied 2 months ago.

Yes, were you able to see the answer above?