What causes depression and fatigue post pregnancy?
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Hello. I am asking on behalf of my wife. She has had a difficult time in the last 15 months. She became pregnant in August 2012. Its her second pregnancy. all throughout her pregnancy she would have dizzy spells. sometimes as many as 4-6 per day. sometimes she would simply have to sit down or lie down on the floor as she simply could not stand up. Various blood tests and scans were done but the cause of the dizziness and weakness was not found. She was diagnosed as having a low thyroidand low vitamin d. she was given tablets for this but though teh thyroid and vitamin d levels got better her health was still the same. Other things that would happen were would be that she would go into a state where she could not hear people talking to her. She also had pains in her back, Legs (especially knee and ankle joints) and she was getting more and more depressed by her situation. Since giving birth 6-7 months ago she still has problems. She is always tired. Her legs and arms remain weak. she feels depressed. she easily loses her temper and easily gets frustrated. Her eyes always feel tired and she feels she can't think as quickly as she used to. In the last month she has a new symptom - she gets a sudden sharp pain in her thigh 3-6 times daily. Its like someone with a pin has pricked her or an insect has taken a bite. It happens on the back of her thigh just above the knee joint. Before all this she was very active and had lots more energy and stamina.
Posted Thu, 13 Feb 2014 in Mental Health
Answered by Dr. Saatiish Jhuntrraa 2 hours later
Brief Answer: It could be a depressive Disorder Detailed Answer: Hello The symptoms you are describing can be due to depression associated with anxiety especially dizziness, pains,sad mood,tiredness, feeling that thinking has slowed down. The episodes where she would not seem to hear people talking to her can be due to episodes of depersonalization (kind of anxiety ). Before this, whether she had euthymic phase or was unusually elated, excess energy and had reduced need to sleep? I think she probably has Depressive Disorder (Unipolar or Bipolar), depends on so many factors. I would like to know more details about her symptoms when she is ill as well as when you think she was well, did you feel any changed behavior? I can try to help you. Hope this is helpful DR SAATIISH JHUNTRRAA
Follow-up: What causes depression and fatigue post pregnancy? 1 hour later
Hello Thanks for your answer. Your suggestion of a Depressive Disorder is something I will look into. However what about the physical symptoms - back pain - especially in the lower back, joint pains especially the knees and the ankles. Also what is concerning is what has happened recently - she gets a sudden sharp pain in her thighs just above the knee - it is as if someone has pricked her with a pin or an insect has just bitten. It makes her whole body jolt when it happens.
Answered by Dr. Saatiish Jhuntrraa 6 hours later
Brief Answer: Pain is a very common symptom of Depression Detailed Answer: Hello Thanks for the query. Physical symptoms especially pain in various body parts is extremely common manifestation of Depressive Disorder. There are other physical symptoms also like tiredness,increased heart beat,giddiness, itching,,tingling, frequent urination, constipation and many other can be presenting symptoms of Depressive Disorder. this is supposed to be due to reduced level of a chemical norepinephrine in central pain pathways. There is a separate entity called Fibromylgia where different kinds of pains, including the one's you are telling , may be the predominant symptom and antidepressants may form basic treatment modality. If there is a back pain and symptoms suggesting depressive Disorder, I prefer to prescribe Vitamin D, Back strengthening exercises and SNRI like Desvenlafaxine or Duloxetine. You should consult your doctor before starting any medicine Good Luck DR SAATIISH JHUNTRRAA