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Suggest Treatment For Extreme Fatigue, Sweating And Abdominal Bloating
Question: I've been trying to find out why I get fatigues for the last five years. Because of them I had to retire early. They seem to happen each day usually in the morning when I start to move around. Sometimes they happen around 6 or 7 pm if I haven't eaten yet. First I break out in drenching sweats, then I feel kind of bloated or itchy inside of my abdomen, then my eyes burn and get blurry, nausea and headaches happen, and then I get clobbering fatigues. Sometimes when this happens I feel slight pain in my shoulders and hips where I probably have garden variety arthritis. A weird thing is that sometimes my sinuses also drain and this can be sort of stingy. When the fatigues are especially strong, my brain gets foggy and it's hard to think. It seems to get worse when I've been in the sun too long.
I do not have diabetes, multiple sclerosis, or Lyme disease (tested and ruled out). I have no allergies. My sinus cat scan showed normal sinuses. I have no severe pain so fibromyalgia was ruled out. I think chronic fatigue was ruled out also because of the lack of pain.
Ive probably been tested for most everything blood test wise and I can get lab results if you wish. The only "abnormality" that I recall was a slightly elevated glucose.
I understand that most doctors dread the next tired old lady they have to see, which is probably why I'm talking to you. Im a very active person, an artist and I love my life. Im not sitting around wanting another pill. It would be just very nice to know how to change my life so that I could hike and kayak more often.
I do not have diabetes, multiple sclerosis, or Lyme disease (tested and ruled out). I have no allergies. My sinus cat scan showed normal sinuses. I have no severe pain so fibromyalgia was ruled out. I think chronic fatigue was ruled out also because of the lack of pain.
Ive probably been tested for most everything blood test wise and I can get lab results if you wish. The only "abnormality" that I recall was a slightly elevated glucose.
I understand that most doctors dread the next tired old lady they have to see, which is probably why I'm talking to you. Im a very active person, an artist and I love my life. Im not sitting around wanting another pill. It would be just very nice to know how to change my life so that I could hike and kayak more often.
Brief Answer:
Fatigue
Detailed Answer:
Sorry to learn about your bothersome symptoms.
I understand you have undergone plenty of blood tests but I am still listing several here in order to be sure there are no potential causes of fatigue we are missing.
Thyroid problems and vitamin D deficiency can cause fatigue too.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
DXA Bone Density
None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
Fatigue
Detailed Answer:
Sorry to learn about your bothersome symptoms.
I understand you have undergone plenty of blood tests but I am still listing several here in order to be sure there are no potential causes of fatigue we are missing.
Thyroid problems and vitamin D deficiency can cause fatigue too.
When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:
CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your last 3 months' glucose average). Also known by other names such as GlycoHemoglobin or Glycated Hemoglobin or A1c
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH (checks your thyroid)
Free T4 (this too checks your thyroid)
25 hydroxy Vitamin D levels (ideal range 40 to 60 ng/ml = 100 to 150 nmol/liter)
DXA Bone Density
None of these tests require any fasting and can be done at any time of the day Correct diagnosis and treatment requires the opportunity to examine the patient so you must see an endocrinologist in-person.
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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