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Electromyogram, muscle biopsy to rule out muscle disorder, excessive fatigue - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
User :   Do I have a muscle problem?
User :   I am experiencing a lot of fatigue lately doc
Doctor :   ok
User :   actually its not lately its been there for a long while
Doctor :   can you eloborate on it
User :   I wanted to know if I have a muscular disorder
Doctor :   ok
User :   well I have a lot of conditions but I am not able to narrow down on the fatigue
Doctor :   muscular disorder are
User :   I have b 12 deficiency for which I took4 vitcofoil injections and was on Neurobion tabs
Doctor :   familial in most cases
User :   ok
User :   please go on
Doctor :   some are neurological
Doctor :   did the injections improved the condition
Doctor :   muscle disorders commonly causes
Doctor :   fatigue t end of the day
Doctor :   the*
User :   I have fatigue at the end of day
User :   I suspec familial issue in my dad and paternal grandmother
Doctor :   the severity is worst
Doctor :   that the person cannot do the normal things
User :   I have fatigue nearly throughout the day and as you said exactly that severity at the end of day
Doctor :   what kind of symptoms they had? can you eloborate
User :   well when I first googled the symptoms I thought it was Mysthenia Gravis or something
User :   I have already taken an EEG and acetykcholene receptors test
User :   both are clean
User :   but I still keep suspecting there is an issue
Doctor :   then it rules out the
Doctor :   the mysthenia gravis
Doctor :   the familial causes are unlikely
User :   to begin with I have eyelids which are drooping
Doctor :   since your able to type
User :   people think I am sleepy all the time
Doctor :   the wekness is too severe
Doctor :   weaknes*
Doctor :   drooping eyelids
Doctor :   not neccessarily means
Doctor :   myasthenia gravis
User :   and then if I sit at a place for too long a while I get a lot of muscle unease
User :   its like I have to stretch or I feel very uneasy
Doctor :   even the eyelids problem can present with the drooping
User :   and I have tears a lot
User :   I am sorry?
Doctor :   for what?
User :   eyelids problem can be present with drooping as in? I didnt understand
Doctor :   like muscle weakness due to loss of nerve supply
User :   doc please elaborate
Doctor :   which can happen following injury
Doctor :   or nerve involvement
Doctor :   in infections like
Doctor :   botulinum infections
User :   ok
Doctor :   its a bacteria
Doctor :   or due to stress.
User :   other than that even if I get sufficient sleep I feel fatigued throughout the day I feel like I am older than my age
Doctor :   May i know your occupation
User :   business. Its a sedentary lifestylr
Doctor :   Do you have difficulty in writing?
User :   not exactly
Doctor :   or lifting a cup of coffee?
Doctor :   ok
User :   no difficukty there
User :   difficulty
Doctor :   I dont think the weakness is muscular disorder
User :   ok so what is it and how to get rid of it
Doctor :   since you told about tears
Doctor :   i rather think of eye causes
Doctor :   like bacterial infection
User :   but sir what about faigue
User :   fatigue
Doctor :   fatigue can be due to the stress
User :   there is noting stressful I can honestly think about right now
Doctor :   ok
Doctor :   in case if you want rule out muscle disorder
Doctor :   i suggest you to run some test
Doctor :   EMG( electromyogram)
Doctor :   muscle biopsy
User :   ok sir
User :   thank you
Doctor :   do you any query?
Doctor :   have*
User :   no
User :   thanks you
Doctor :   ok
Doctor :   thanks for consulting me
Doctor :   bye for now.
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