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Suggest Treatment For Fatigue, Muscle Pain And Memory Issues

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Posted on Mon, 5 Oct 2015
Question: ok would not cancel but any and all feedback at all has has help I suffer from fatigue and lack of energy I ger acute muscle and joint pain daily memory problems wich just getting all the time i'm sensitive to temp changes especially cold like anything under 70 degrees is cold pain gets worse seems like always week and tired i'm on pain meds (morphine,oxycodone)been on lortabs and one you spray up your nose cause when i fist started having problems getting worst in 2004 was having migraine like headaches and when it started to get cold it started in my back and spread the colder i got (I was a auto mechanic for years) the harder it was to move then slowly started causing memory problems I just figured the head pain cause it.
doctor
Answered by Dr. Rakesh Madhyastha (4 hours later)
Brief Answer:
Hypothyroidism

Detailed Answer:
Hello

Thanks for the query and the detailed history.

From the information given it looks like a few organic causes might have lead to your present condition and it needs to be ruled out.

On your next visit to your doctor please get the following tests done

1. Thyroid function test
2. Vit D
3. Vit b 12
4. Complete blood count
5. Fasting blood sugar

Hypothyrodism, Low Vit D, Low Vit b12, anemia and diabetes can all lead to similar symptoms.

However I would like to point out that some of the tablets you are on also lead to low energy, especially oxycodone and morphine. Please speak to your doctor about it.

I also suggest you to do the following

1. Have a regular sleep and awake cycle. Get atleast 8 hours of undisturbed sleep.
2. Eat food at regular intervals. Carbohydrates gives us energy and a 'feel good factor', make sure your diet is not devoid of it
3. Exercise, atleast 30 minutes a day
4. Take up an interesting hobby.

I hope I was of help, if you have any further queries please get back to me

Regards
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Rakesh Madhyastha (15 hours later)
ok you suggest to get off pain meds I was on them cause i could do anything without, i was suffering also from sciatic nerve pain had one disc remove last october also whas given pain meds just so I could work espcially in the winter the cold would stop me in my tracks.stiff and sore all over. I have two bad spots in my back they fixed one by removing disk still have another spot in my tail bone area was known about 2 1/2 years before they finally did something about it i've tried to do get off some pain med but the results i would still just hurt more i know i've had blood test on about everything only came up two that was out of range colesterol just a little high. and my testosterone was only 60 said should be around 300 to 400 so I i'm getting testosterone treatment also was on pain med off and on do to the sensitivity to cold temperature go would stop me from working pain was unbearable also from migraine headache which also started in 2004 they gave me Butorphanol Tartrate spray up the nose because the migraines were also unbearable after months of head pain lesson no more spray so to say the last ten years haven't been able to do much manage to hang on to my job till 2010 just could work because of the pain that is when they diagnose me with fibromyalgia I tried to lesson the amount of pain meds but it becomes unbearable so the cold joints and muscle pain and weakness keeps me from doing much of anything still looking for help

just to let you know I do try to eat regularly and take muilty vitamins add extra E,C,D3,CQ10,magniusm,joint health meds I do some exercise may not be as much as I like I do yard work any exercise or work I do if I push to hard pay for in pain and weekend for a few days I been trying to help myself seems like not getting anywhere.
doctor
Answered by Dr. Rakesh Madhyastha (8 hours later)
Brief Answer:
Check testosterone level

Detailed Answer:
Hello

Thanks for getting back to me with the details. I understand it must be very difficult for you especially during the winter months.
Here are my suggestions

1. Many of my patients have tried accupunture and they have had relief from pain, especially back pain. They were able to taper down their pain medications well. I recommend the same to you.
2. You mentioned that you were low on testosterone, please get the testosterone levels checked again. Low testosterone often leads to the symptoms you are currently facing, dosing might need readjustments accordingly. Endocrinologists are the specialist you must be seeing for this .


Regards
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Rakesh Madhyastha

Nephrologist

Practicing since :2009

Answered : 4364 Questions

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Suggest Treatment For Fatigue, Muscle Pain And Memory Issues

Brief Answer: Hypothyroidism Detailed Answer: Hello Thanks for the query and the detailed history. From the information given it looks like a few organic causes might have lead to your present condition and it needs to be ruled out. On your next visit to your doctor please get the following tests done 1. Thyroid function test 2. Vit D 3. Vit b 12 4. Complete blood count 5. Fasting blood sugar Hypothyrodism, Low Vit D, Low Vit b12, anemia and diabetes can all lead to similar symptoms. However I would like to point out that some of the tablets you are on also lead to low energy, especially oxycodone and morphine. Please speak to your doctor about it. I also suggest you to do the following 1. Have a regular sleep and awake cycle. Get atleast 8 hours of undisturbed sleep. 2. Eat food at regular intervals. Carbohydrates gives us energy and a 'feel good factor', make sure your diet is not devoid of it 3. Exercise, atleast 30 minutes a day 4. Take up an interesting hobby. I hope I was of help, if you have any further queries please get back to me Regards