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What causes fatigue? - Online Doctor Chats

Date : 28-Feb-2014
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User:Hi, I've read that fatigue is a symptom of heart disease in women, is the fatigue constant or does it come and go?
Doctor:Dr. XXXXXXX here
Doctor:Fatigue is seen in multiple conditions.
Doctor:If you just have fatigue and no other associated symptoms especially chest pain, palpitation, breathing difficulty, limb swelling
User:but how is it as a symptom of heart disease or heart failure?
Doctor:I wouldn't suspect a heart disease as the primary cause.
Doctor:As I described, if you also have other symptoms of breathlessness, chest ache, limb swelling, palpitation
User:well my mom has been feeling weak for the past few months.
User:with some dizziness
Doctor:I would perform a clinical examination to record the central venous pressure, heart examination and ausculation along with EKG, routine hemogram, echocardiogram and if needed a angiogram to confirm the heart disease.
Doctor:May I know your mom's age?
User:she's 53, she also has high blood pressure.
Doctor:Is she dizzy and weak always or is it an on and off phenomena?
User:on and off. she also recently took a blood test and was told everything is fine.
Doctor:Did a doctor examine her before doing the test?
User:she told me only a blood test was done.
Doctor:When was the last time you saw her?
Doctor:Is she able to perform her routine activities?
User:she's with me now.
Doctor:Especially climbing flight of stairs?
User:she does but she feels weak doing them.
User:her legs mainly is weak
Doctor:If she is able to perform routine activities and able to easily climb two flights of stairs without much difficulties, I would not put a heart problem as the first possibility.
Doctor:Weakness and dizziness may be due to other reasons
Doctor:which can be sorted by detailed clinical examination supported by investigations.
Doctor:If you can detail me the results of blood test, may be I can look into it and guide you further.
Doctor:You there?
User:i don't have them nor do i think she does either.
Doctor:When was it done?
User:about two weeks ago
Doctor:If the doctors were not worried about the results, I would suggest you not be concerned about it.
Doctor:Since the weakness and dizziness is an on and off and she is able to perform routine work
Doctor:you do not worry about heart disease now.
Doctor:Please get her blood pressure verified.
Doctor:Make sure if they have tested her blood sugar and cholesterols.
Doctor:Encourage her to drink plenty of fluids and eat fresh fruits and vegetables.
Doctor:If the weakness and dizziness continue to bother her, I would urge you to visit a local MD.
Doctor:He/she needs to evaluate her.
Doctor:The first possibility that needs to be ruled out is anemia.
Doctor:The next in line is electrolyte and hormone disturbance
Doctor:including menopause related events.
Doctor:Hope I am clear to you.
Doctor:You there?
Doctor:Are you there?
User:sorry for the delay and thank you for your suggestions.
Doctor:I am glad that my informations were helpful.
Doctor:I wish you and your mother good health.
Doctor:Thanks for consulting me.
Doctor:Bye for now.
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