Brief Answer:
I would recommend Thyroid function test and few other answers.

Detailed Answer:
Hi, I did review your concern.
I can understand you are going through a rough patch as far as health is considered.

1)Such an array of multiple problems can be seen in thyroid problems. Have you noticed any swelling in your neck? Even if not, I would recommend a thyroid function test including TSH, Free T3 and Free T4.

2)Another possiblity is that some of the problems you are having can be explained by perimenopause which is a normal transition from normal fertility to menopause and we see many female patients at this age with few of these symptoms. I would recommend you to consult a gynecologist and discuss about options of hormonal replacement therapy. Generally this is just a passing phase and you wont need much therapy.

3)What i am concerned about is the rash. can you send me a picture of how it looks. Have you noticed any joint aches recently?Women at this age can develop certain autoimmune disorders and they can manifest as rash, dry mouth and tongue, headache,joint ache,sore neck and fatigue. Tests include ANA, and autoimmune markers blood tests which are easily done in every lab and simple to do.

4)Lastly It could be something like a fibromyalgia where in there is severe sore neck and shoulders and improper sleep and fatigue and flu like symptoms. There is no specific test for fibromyalgia but there is an examination test where the doctor will check tenderness at certain points on your body.
5) For reflux at night i would advice you to take omeprazole capsules OD every night 30 minutes before dinner and do not go to sleep immediately after food and eat less spicy food and use 2-3 pillows at night for few days.
6) Few other questions-
-has anyone noticed you snore at night when you sleep or move about your leg when you sleep? this could be indications of obstructive sleep apnea- a commonly undiagnosed condition causing poor sleep and all other concomitant symptoms of fatigue, headache, sore neck and excessive day time sleepiness.

please continue iron tablets and repeat complete blood test after 21 days to see any improvement in your hemoglobin and any other abnormality in your other blood cells.
I hope this helps.
Let me know if you have any more questions or concerns. Please provide me feedback on questions and test results.
Wish you healthy and happy life ahead.
Yours sincerely,
Dr. Parth Desai

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Brief Answer:
It could be asteatotic eczema

Detailed Answer:
Hi I did review your follow up query.
It could b asteatotic eczema which is commonly seen in females of your age.
It causes dryness of skin of legs and results in red linear and polygonal lesions and some itching.

I would recommend you to
avoid soaps in that area for some days
decrease temperature of water that you use for bathing(do not keep it very hot)
Also use a petrolleum based jelly on the lesion to keep it hydrated.
use air humidifiers available in the market.You are probably staying in an area thats very dry.
I hope this helps.
Let me know if you have any more questions or concerns.and also provide me feedback of your test reports and your health.
Wish you healthy and happy life ahead my friend.

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