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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Good day. I have such problem like a fatique within

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Dr. Mahboob Ur Rahman

General & Family Physician

Practicing since :2012

Answered : 2039 Questions

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Posted on Sat, 26 Jan 2019 in Brain and Spine
Question: Good day. I have such problem like a fatique within all day long that lasts for more than 10 years. I have visited a several therapists and neurologists, I have no problem with thyroid glands that can cause tiredness. I have migraine with aura and also cyst at pineal glands that has been found while looking for a problem with headache and fatique. No one doctor could find the reason of fatique. Thank you.
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Answered by Dr. Mahboob Ur Rahman 1 hour later
Brief Answer:
It seems chronic fatigue syndrome

Detailed Answer:
Hi and Welcome to Ask A Doctor service.
I have read your question and here is my advice.
I am sorry to hear of your problem and I can understand its impact.

While there are many diseases that can cause fatigue and these must be ruled out.. These include low haemoglibin, hypothyroidism, metabolic disorders, CNS disease, chronic kidney or heart disease, malabsorption like celiac, etc. We would work a full panel of labs besides detailed examination and history to rule out if any organic disease is causing this. If your tests are already done, Kindly upload the reports so that I am better able to help.

Besides these, drugs, and psychiatric disease may also cause fatigue .
However the above mentioned causes most probably would have been ruled out in your case. The point is that if this exists for 10 years, it's unlikely to be for any serious disease.

One common syndrome, which fits here well is the chronic fatigue syndrome. I understand how distressing it could be but the good point is that it not going to be a serious condition. This also is associated with chronic headaches. So I feel you may be suffering from CFS .

Let me be honest to say that the management of Chronic fatigue syndrome has never been very rewarding nor we know exactly mechanism of the disease. The most effective therapy for it (if any) is cognitive behavioural therapy. There is little role for low dose anti-depressent. Graded exercise program also have a role. So it's quite a long term program and may not be of great reward.

Best luck .

Hopes I have answered your question.
I will be glad to answer any further question about this. kind Regards Dr Rahman. .
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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