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Cause of tiredness - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
User :   Hi
User :   hello! everything i just typed disappeared. Did you get it?
User :   yes we have your question with me.
User :   Dear XXX, may i request you to login after 30 mintues to and then have "live chat with Doctors" because all doctorss are busy now !
Doctor :   Hi
User :   hello. i logged back in to see if i could get someone now
Doctor :   Yes XXX, I just read your query
Doctor :   Kindly proceed
User :   the tiredness is really starting to affect my attention levels and ability to learn because Im so groggy i feel im never fully there.
Doctor :   Since when are you having this problem
User :   are there other things health wise I should get checked out based on my symptoms that I havent yet
User :   high school
User :   within the last 12 months it has gotten progressivly worse
Doctor :   OK, may I know your height & weight?
User :   im somewhere between 5'2 and 5'3 weight around 123-125
Doctor :   What has your Doctor said about the tiredness
Doctor :   & sleeplessnes?
Doctor :   Are you with me?
User :   that it could be stress related. I just dont see it being something lasting from high school to now
Doctor :   Have you been on any medications?
User :   I have taken accutane and been off of it for 2 months. my levels of tiredness were the same before i took it , during, and now
Doctor :   Do you have any other medical problems?
User :   i do have anxiety problems when i get really stressed out but im always tired even if im stressed or not
Doctor :   Why was Accutane prescribed?
User :   i have juvenile rhuematoid arthiritis but it has been in "remission" since i was in middle school
User :   for my acne on my face
Doctor :   Ok, about your sleep problem
Doctor :   are you finding it difficult
Doctor :   to fall asleep or
User :   no it seems i fall asleep easy and stay asleep
Doctor :   are you getting disturbed/wake up frequently
Doctor :   after falling asleep?
User :   no. just my dogs around me. they are quiet at night
Doctor :   OK, then what is your sleep problem?
Doctor :   Could you explain?
User :   you mean how i feel tired?
Doctor :   You just feel it isn't adequate?
Doctor :   OK
User :   Ok for example last night I went to bed around 11. I got up at 9:30. i took a shower got ready and went to campus for business presentations today. I have been tired all day like i havent been to sleep. I played volleyball for an hour and ate dinner. Im exhausted right now like i have been awake for days
Doctor :   Ok , you might be having chronic fatigue syndrome
Doctor :   You can follow my
Doctor :   instructions & you will feel better
User :   is there something that causes that?
Doctor :   No, thats why we say its idiopathic
User :   what is that?
Doctor :   May be associated with vitamin deficiency
Doctor :   or psychological
User :   ok
Doctor :   idiopathic means- no reason known
Doctor :   You can take Tablet B Complex
Doctor :   Once a day
Doctor :   For 30 days continuously
Doctor :   Afternoon or night, after a meal
User :   what is tablet b complex?
Doctor :   It will counter any nutrient deficiencies in your
Doctor :   body
Doctor :   You said that
Doctor :   you slept from 11 to 9.30, thats a lot of sleep
User :   i read some of the symptoms and it says tingling is a symptom . My hand and foot will tingle sometimes for no reason
Doctor :   do you sleep this much everyday
Doctor :   ?
User :   and i also have chest pains sometimes.
User :   no but i usually get 7 hrs
Doctor :   & hours is adequate
Doctor :   7hours is adequate
User :   when i take naps i always have to take like 4 hr nap I cant just take a 30 minute nap
Doctor :   You are a power sleeper, thats good
Doctor :   No one can take half hour naps
User :   ok
Doctor :   How do you use Accutane?
Doctor :   what is its dose?
User :   i was taking 60 mg orally. its a pill. I have been off for two months
User :   I take B vitamins as well too but I havent seen much improvement with them
Doctor :   Are you on any other medications currently?
User :   no
Doctor :   These problems that
Doctor :   you are undergoing, could be due to Accutane
Doctor :   In which case
User :   I have had these problems since I have been in high school though. that has been 8 years ago
Doctor :   vitamin B & E
Doctor :   will be helpful in overcoming the problem
User :   8 years since i have been having the problem i mean
Doctor :   Can you tell me about your social life?
Doctor :   Whom are you living with?
User :   I spend time at my familys homes doing stuff with them. I hang out with my friends for lunch, dinner and at their places. I dont go out very often and drink.
User :   I live with m father but he works out of town.
Doctor :   Are you happy, if not for this worry?
Doctor :   Do you have any social problems?
User :   yes health wise I dont see any other problems that interfere with anything.
User :   no. Im very outgoing and fun. i make friends very easily
Doctor :   OK
Doctor :   About the tests
Doctor :   Have you done a blood sugar test done?
User :   to be honest im not sure if they did or not. I want to say they checked everything they could. Ill have to call and ask
Doctor :   Ok, never mind, Ill come back to that later.
Doctor :   Do you smoke or chew tobacco/drink alcohol/Any illicit drugs. If yes how much/how often and how long you have?
User :   no. rarely do i drink. I like red wine but i only drink it like once every two months or so
Doctor :   Thats a healthy lifestyle, you are having
Doctor :   How often do you get
Doctor :   the chest pains?
User :   I feel like I try pretty good to be healtyh and I dont understand why I cant figure this out
User :   I havent been getting them here lately. It depends on how stressed i am if i get them. They are very sharp on the left side of my chest.
User :   sometimes they happen randomly if im not stressed. I went to the doctor for it and they gave me an ultrasound, xray, and a stress test on the treadmill
Doctor :   Is it associated with some kind of Panic or anxiety?
User :   I believe they are but then again sometimes they are on random days when Im not stressed
Doctor :   what sports do you play?
Doctor :   How often & for how long?
User :   i dont play any sports. i have a volleyball class at my college.
User :   they are a sharp quick pain like im being stabbed in the chest
User :   they sometimes take my breath
Doctor :   You said that you exercise routinely
Doctor :   may I know for how long
Doctor :   & what kinds of exercise?
User :   yes atleast 3-5 days. Usually an hour. i have never had chest pains when I work out. Not one
User :   I jog. I also do weight resistance training and things like that
Doctor :   Do you get fevers often?
User :   no
Doctor :   OK
Doctor :   There is practically no reason for your symptoms
User :   exactly what i think
Doctor :   Ok, tell me what part of the day
Doctor :   do you feel this tiredness?
Doctor :   Is it at the end of the day?
User :   all day. as soon as i wake up. i feel like i never wake up
Doctor :   Do you consume coffee?
Doctor :   or Tea?
Doctor :   Or any other energy drink?
User :   coffee sometimes and energy drinks when im exhausted. they dont work
Doctor :   OK
Doctor :   Then this thing must be in your mind
Doctor :   dont you think so?
Doctor :   Since all your tests are normal
User :   i try to wake up and do things to stay energetic but it doesnt happen
Doctor :   The only significant test that you haven't
User :   i try to stay positive and think im awake. i dont know im confused about it as well
Doctor :   mentioned to me is
Doctor :   blood glucose level
User :   ok. ill call my doctor and see if that was included. if it was is there anything else i could have them re check
Doctor :   You can get a Fasting Blood glucose level & a Postprandial level
User :   what is postprandial
Doctor :   Two hours after food/breakfast
User :   ok.
Doctor :   Whatever this test is going to show
Doctor :   for now let us assume that it is Psychological
Doctor :   I know you have tried enough
Doctor :   but just give it another shot
Doctor :   Take the B complex & Vitamin E supplements as I told you
Doctor :   Along with that
Doctor :   Increase the exercise & do it everyday
User :   is there a certain kind that are better? we sell then in the chiropractors office i work in.
Doctor :   You mean the Vitamins?
Doctor :   Or exrecise?
User :   the vitamins
Doctor :   Both the Tablets as well as powders are equally good
User :   ok
Doctor :   Also make sure that you replace the water, salts & calcium that you would lose
Doctor :   following exercise
Doctor :   That is, keep the diet healthy
User :   ok
Doctor :   A companion for exercise, could help you forget the tiredness
Doctor :   A friend or family
Doctor :   or even a dog
User :   i have a trainer. i go to the gym alone too but 3 days i am with him
Doctor :   That will do, hope you have told him your problem?
User :   could anxiety be a cause as well ?
Doctor :   Yes
User :   yes he knows. when i work out i have energy though.
Doctor :   Thats also part of the cause when I said its in the mind
User :   ok.
Doctor :   The type of chest pain you ndescribed
Doctor :   is related to anxiety
User :   thats what the heart doctor told me. is there a way to get better rest without medication?
Doctor :   You can try yoga/meditation
User :   thats a good idea.
Doctor :   Or just exercise much more rigorously
User :   ok. i appreciate all your information and advice
Doctor :   Is there any thing else I can help you with?
User :   no i think i am going to try the advice and go from there ! thank you
Doctor :   Please fill the feedback form say done when done.
Doctor :   Thanks for consulting me. Bye for now. Please refer your friends to our service.
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