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What Cause Severe Fatigue?

Posted on Wed, 25 May 2016

Question: Hello!

I asked a question earlier:
queryId=251977

I've also done the TB x-ray and blood test, CEA and PCT as you asked for but all came back normal. Also ultrasound of abdomen was normal. Also vitamin d and creatinine was tested and normal. Doctors couldn't find anything at the hospital.

What can be done next?

Answered by Dr. Drkaushal85 (8 hours later)

Brief Answer:
Get done repeat IgA, IgM, lymphocytes and Ferritin levels.

Detailed Answer:
Thanks for your question on Health Care Magic.
I can understand your concern.
Sorry for the late reply. I was a bit busy today.
It's strange that your all reports are normal.
In my opinion, you should get done repeat IgA, IgM, lymphocytes and Ferritin levels to see whether these are still elevated or not.
Please let me know
1. Do you still have those fatigue episodes?
2. Do you have fever at present?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (27 minutes later)

Yes still have fatigue episodes.
No fever.

Answered by Dr. Drkaushal85 (12 minutes later)

Brief Answer:
Do you have stressful life?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
It's strange that your all reports are normal and you still have symptoms.
Do you have stressful life?
Please reply me answer of above asked question, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (51 minutes later)

Not much stress no.

Answered by Dr. Drkaushal85 (48 minutes later)

Brief Answer:
Have you done any blood reports in march?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your.
I have to go through your reports again.
Report you have attached in current query is of mid February.
And it shows normal lymphocytes and Ferritin levels.
So please let me know
1. Have you done any blood reports in march?
2. When did you get these tests, PCT, CEA etc?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Drkaushal85 (11 hours later)

1. Tests done in March:
https://dl.YYYYY.com/u/0000/2016-03-16%20medical%20trust.pdf
IgM and IgA were high both in Nov and on 13 Feb, so I guess it's rather safe to assume that they may still be especially as symtoms have not gone away.
2. PCT, CEA was done 14 Feb:
https://www.YYYY.com/s/uo0ls05yr623lge/Screenshot%202016-03-19%2007.41.08.png?dl=0

Answered by Dr. Drkaushal85 (2 hours later)

Brief Answer:
When is your last episode?

Detailed Answer:
Thanks for your follow up question on Health Care Magic.
I can understand your concern.
I must say your case is very atypical and strange.
Immunoglobulins, immune system and blood cells are mainly related to bone marrow.
So at a final resource, you should definitely get done bone marrow test.
Please let me know
1. Have you ever undergone bone marrow test?
2. When is your last episode? Was it in February?
3. What you do when episode occur? Is there some kind of aura or warning symptoms before starting of episode?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar