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Have tiredness and sleeping disorder. Taking multivitamin medicine. What can be the cause?

I am a 19 year old girl. Healthy weight (54kg), I eat 6 times a day with medium to small serving sizes. I dont eat alot of carbs, and I avoid anything artificial (flavours, sugars, colours, preservatives, etc). I dont wat fatty or oily foods, almost everything I do is home made. I eat alot of fish, protein and fruits and vegies.

Anyways, last few months, I have had a chronic fatigue kind of thing. I thought it was food related. But doctors disagree. I feel weak, tired, little strength in my legs and struggle falling asleep despite how exhausted I feel. I was doing a fair bit of exercise but now Im lucky to do sport because it leaves me so tired.

What I am really enquiring about is an empty feeling I have in my stomach and throat almost all the time, especially after I eat. I never feel full and its driving me insane because I have eaten enough but I still feel a 'hollow feeling', I also feel it more in my chest and throat than anything else and air often rises in my throat. I have no idea how to fix this and not a clue whats causing it. I dont have much dairy, less than I used to and I feel like I am doing all the right things, food wise. I also take a multi vitamin, but that doesnt help?

In all honesty it feel likes I have a deficiency or my body is craving something, or like my body is burning up the nutrients I need leaving me tired and exhausted and unsatisfied. But I have tried everything and I cant seem to figure it out.

Any advice would be greatly appreciated.
Asked On : Tue, 30 Apr 2013
Answers:  1 Views:  55
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General & Family Physician 's  Response
Thanks for choosing health care magic for posting your query.
I have gone through your query in detail.
From the descriptions that you have given, the two most common presentation for your agecould be
1) hypothyroidism
2) Depression
Both of theseconditions can mimic each other and present with changes in the diet and sleep habbits with fatigue and chronic feeling of emptyness. You should meet a psychiatrist who can assess you for depression. You should also insists for a thyroid level tests and look for hypothyroidim. In case if you have a hypothyroidim, your TSH levels will be higher than they are stated as normal.
in case if it is depression, then you need to egt it treated with either talk therapy or medications like escitaloptram, fluoxetine, citalopram etc.
Good diet and regular exercise will also help you.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
Wish you good health,
Dr. Pooja Reddy M.D.
Answered: Thu, 2 May 2013
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