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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Fatigue

10 years ago I got very tired and couldn t fall asleep. To my surprise I couldn t sleep for next 3 months. It went back to normal right after (9 hours a day of non interrupted sleep). I forgot about incident until I got it again after starting new exercise (lasts couple months and I stopped exercising right away). Now every time I moved a little too much or try to add something to my usual walking (that is all I can do without penalty) I get 3 months of sleepiness and then I sleep very well. I know it is not psychological - because at the beginning I didn t even know what it is until i saw the pattern recently. I am 52, have regular periods now, healthy. It is getting wrose - I could clean the house - and get it now... Please help.
Fri, 3 Jan 2020
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General Surgeon 's  Response
Hello,

Since you are now free of cancer and your blood work is fine, we can rule out certain common conditions.

1. Anemia - but I assume your hemoglobin is good as its commonly included in the blood work.

2. Hypothyroidism - A thyroid profile with TSH and free T4 will confirm it.

3. Heart condition - certain cancer medications cause sligjt weakening of the heart muscles - called cardiomyopathies.

This holds true if you get breathless on walking certain distances or climbing up the stairs or have swelling of the feet. Do get an Echocardiogram if not already done.

4. Chronic fatigue syndrome - it is quite common. It is not a psychiatric condition, but a physical one.

The exact cause and how it works are not known but cognitive behavioural therapy has shown promising results. Also, alternative medicine and acupuncture claim to have treatment.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr. Iven Romic Rommstein, General Surgeon
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Suggest Treatment For Severe Fatigue

Hello, Since you are now free of cancer and your blood work is fine, we can rule out certain common conditions. 1. Anemia - but I assume your hemoglobin is good as its commonly included in the blood work. 2. Hypothyroidism - A thyroid profile with TSH and free T4 will confirm it. 3. Heart condition - certain cancer medications cause sligjt weakening of the heart muscles - called cardiomyopathies. This holds true if you get breathless on walking certain distances or climbing up the stairs or have swelling of the feet. Do get an Echocardiogram if not already done. 4. Chronic fatigue syndrome - it is quite common. It is not a psychiatric condition, but a physical one. The exact cause and how it works are not known but cognitive behavioural therapy has shown promising results. Also, alternative medicine and acupuncture claim to have treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Iven Romic Rommstein, General Surgeon