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Suggest Treatment For Fatigue,shortness Of Breath And Muscle Weakness

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Posted on Fri, 14 Oct 2016
Question: Hello,

I have extreme fatigue, sometimes sleeping 18 hours a day; not every day, but I could sleep at least 12 hours a day.
I also have muscle weakness on exercise, Shortness of breath, & possible neuropathy in my feet & legs.
I have been diagnosed with: monomylic amyotrophy in my right hand, obesity, high blood pressure, high cholesterol, fatty liver disease, asthma, past Breast cancer with lumpectomy & chemo & radiation. Past back surgeries(2), past pneumonia (2), past broken back, past bruised ribs & ACL, torn rotator cuff, several ruptured discs.
What could cause all these symptoms? I'm worried.
doctor
Answered by Dr. Bruno Mascarenhas (36 minutes later)
Brief Answer:
Your Symptoms could be due to Vitamin deficiency

Detailed Answer:
Hi,

Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you.

Past History Includes
1. monomylic amyotrophy in my right hand,
2. obesity,
3. high blood pressure,
4. high cholesterol,
5. fatty liver disease,
6. asthma,
7. past Breast cancer with lumpectomy & chemo & radiation.
8. Past back surgeries(2),
9. past pneumonia (2),
10. past broken back,
11. past bruised ribs & ACL,
12. torn rotator cuff,
13. several ruptured discs.

Your Complaints are
1. Extreme fatigue, sometimes sleeping 18 hours a day; not every day, but could sleep at least 12 hours a day.
2. Muscle weakness on exercise,
3. Shortness of breath, &
4. possible neuropathy in my feet & legs.

Question : What could cause all these symptoms? I'm worried.
Answer : Your Symptoms could be due to Vitamin deficiency. I would suggest you to first try 30 days course of Vitamins B Complex and Vitamin C along with other Neural enhancers and check for improvement. if there is no improvement after 30 days, we have to do Nerve Conduction Studies and further evaluation

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.

-oOo-

PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback.

PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Bruno Mascarenhas (25 minutes later)
I forgot to mention. I have also been regularly taking a stress B Complex, vitamin B12 & vitamin B 6 for more than 3 years

This seems to be a simplistic answer considering the multitude of symptoms & medical background I described.

I have also had at least two nerve conduction studies done.

Considering the shortness of breath, fatigue, muscle weakness, & fatty liver disease, as well as high blood pressure, obesity & high cholesterol, I am thinking my symptoms could be related yo congestive heart failure.

I'd like to have a more detailed & thoughtful answer from an actual medical expert. It seems that very little medical knowledge would actually be necessary to answer with such a simple conclusion.
doctor
Answered by Dr. Bruno Mascarenhas (1 hour later)
Brief Answer:
Please mention all details to save time

Detailed Answer:
Dear Sir

Welcome Back

I have offered my remarks for all your comments and queries one by one


1 : Comment : //I'd like to have a more detailed & thoughtful answer from an actual medical expert. //
1 : Expert Remark : I am an actual medical expert and the answer was of course thoughtful. But it was based on the information provided to me. It was your mistake of not giving full information. And In absence of full information, I cannot do much

2 : Comment : //It seems that very little medical knowledge would actually be necessary to answer with such a simple conclusion. //
2 : Expert Remark : I have to disagree
One needs very high levels of medical knowledge to answer with a simple conclusion
To write miles and miles, you do not need much knowledge.

3 : Comment : //I forgot to mention. I have also been regularly taking a stress B Complex, vitamin B12 & vitamin B 6 for more than 3 years//
3 : Expert Remark : This is YOUR mistake
In absence of this information, I had narrowed down on the most common cause of your symptoms
Had you been thoughtful and had given a detailed information at the beginning, my time would not have been wasted

4 : Comment : //I have also had at least two nerve conduction studies done. //
4 : Expert Remark : Again, it was your mistake of not giving a detailed information at the first instance and hence My time has been wasted

5 : Comment : //Considering the shortness of breath, fatigue, muscle weakness, & fatty liver disease, as well as high blood pressure, obesity & high cholesterol, I am thinking my symptoms could be related yo congestive heart failure.//
5 : Expert Remark :

Shortness of Breath, Fatigue, Muscle Weakness can occur in
1. Anemia
2. Hypotension due to Autonomic Neuropathy which can be a fallout of your Cancer or Cancer Treatment
3. Congestive Cardiac Failure which can be a fallout of your Cancer or Cancer Treatment

Fatty Liver can be due to Obesity and High Cholesterol
High Blood Pressure can also cause Congestive Cardiac Failure

6 : Question : What could cause all these symptoms? I'm worried.
6 : Answer :

Your Symptoms can be due to
a. A New cancer / Recurrence of your previous cancer
b. Autonomic Neuropathy
c. Anemia
d. Congestive Cardiac Failure

To Proceed
You need to do

1. Blood Hemoglobin
2. ECG and ECHO
3. PET Scan

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Best Wishes for Speedy Recovery
Let me know if I can assist you further.
Take care.




Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
default
Follow up: Dr. Bruno Mascarenhas (8 hours later)
Thank you for your replies to my questions.
doctor
Answered by Dr. Bruno Mascarenhas (1 hour later)
Brief Answer:
You are Welcome.

Detailed Answer:
After all your doubts have been cleared, kindly Close this Question

In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Bruno Mascarenhas

Neurologist, Surgical

Practicing since :2000

Answered : 812 Questions

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Suggest Treatment For Fatigue,shortness Of Breath And Muscle Weakness

Brief Answer: Your Symptoms could be due to Vitamin deficiency Detailed Answer: Hi, Welcome to HealthCareMagic.com I am Dr.J XXXXXXX Anto Bruno Mascarenhas. I have gone through your query with diligence and would like you to know that I am here to help you. Past History Includes 1. monomylic amyotrophy in my right hand, 2. obesity, 3. high blood pressure, 4. high cholesterol, 5. fatty liver disease, 6. asthma, 7. past Breast cancer with lumpectomy & chemo & radiation. 8. Past back surgeries(2), 9. past pneumonia (2), 10. past broken back, 11. past bruised ribs & ACL, 12. torn rotator cuff, 13. several ruptured discs. Your Complaints are 1. Extreme fatigue, sometimes sleeping 18 hours a day; not every day, but could sleep at least 12 hours a day. 2. Muscle weakness on exercise, 3. Shortness of breath, & 4. possible neuropathy in my feet & legs. Question : What could cause all these symptoms? I'm worried. Answer : Your Symptoms could be due to Vitamin deficiency. I would suggest you to first try 30 days course of Vitamins B Complex and Vitamin C along with other Neural enhancers and check for improvement. if there is no improvement after 30 days, we have to do Nerve Conduction Studies and further evaluation Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Best Wishes for Speedy Recovery Let me know if I can assist you further. Take care. -oOo- PS 1 : After all your doubts have been cleared, kindly (a) Close this Question (b) Rate my Replies and (c) Give your Feedback. PS 2 : In the future, for continuity of care, I encourage you to contact me directly in HealthCareMagic at http://bit.ly/askdrbruno