Question: Good morning Sir, I am a 53 yr w/f. I am having episodes of debilitating fatigue to the point that I cannot even carry on my normal activities. My labs are normal except for hypothyroidism which I take 60mg Armour Thyroid. My labs indicate I'm post menopausal with lowT levels. I have constant dry mouth,inflamed salivary ducts and swollen lymph nodes in my neck and I found one behind my left patella. I've had labs to r/o Sjogren's, IgG, SS-B,SS-A. All were negative. A CT with contrast of head and neck was negative/normal.
I have 2 lumps I can feel and my ENT can feel along my inner lower jaw. He thinks may be duct stones. I'm thirsty all the time but bs is normal. I have severe transient joint pain, wt. gain and hair loss. This has been going on for well over a year but I did not c/o before because I'm an RN and have retired after a 30 yr career working in a State Prison and heard my share of whiners. I never wanted to be one so I just brushed it off but now the fatigue and pain is robbing me of days spent in bed. My brother has RA. My sleep is a mess but I attribute that to working 15 yrs of nightshift and many 16 hr mandatory shifts. I am on Adderall 30mg, Nexium,Estradiol (X last 4weeks as a trial to see if helps),Topamax for migraine prophylaxis, Wellbutrin,Prozac,Celebrex as well as the prior mentioned Armour Thyroid.
I will have severe episodes then I will have 4-5 days of energy. Then it starts all over again. The aches, fevers, fatigue and at times insomnia. Having worked in a prison I asked the physician to have an HIV and Hepatitis panel added every time I had lab drawn. I don't understand how I can feel good then drop off so quickly that I'm too weak to get out of bed. The smallest of task is monumental.