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What causes chronic fatigue?

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Posted on Tue, 8 Jul 2014
Question: Hi my name is XXXX and I am 28 yr, I have been having chronic fatigue for about 4 years, ( in those 4 years I have seen different doct, I guess because I didnt have insurance they didt take me seriously and tell me I have stress) I have done lab test and the doctors say it shows up good, I do have IBS, the problem is when I go to the bathroom to do number 1 and 2 I feel an extreme fatigue with headache and palpitation, and notice my hair falls I can walk and have to lay down it last for a few hours. It feels like a low blood sugar or low blood pressure, my bp usually is 100 or less, I am under weight but I have always been very petit e my weigh is 95 around there. I would like to know what can I do to bust my energy couse I work and more thing, I am planing to see a doctor soon, this time I can do other test rather than just blood work. I have been researching and a few things comes out thyroid imbalance, celiac desease... I do get hypoglycemia when I dont eat on time and most of the time when I eat it feel like I didnt eat like not absorbing the nutrients for me to feel the energy everyone feel after eating.
Now I have insurance, is there any test that you would sugest.
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Answered by Dr. Albana Sejdini (3 hours later)
Brief Answer:
Following tests recommended...

Detailed Answer:
Hi XXXX

I have gone through your medical history and understood your concerns.

You may ask the doctor to run the following tests:
- whole blood work: to exclude anemia or other blood related problems
- fasting blood glucose and measuring the levels of insulin in blood
- pancreas/liver/kidney function tests
- thyroid profile
- urine analysis
- examination of stool for ova/parasites
- vaginal swab testing
- abdominal ultrasound
- colonoscopy
- measuring the electrolytes and vitamins in blood
- EKG, cardiac echo

Depending on the tests results, specific treatment strategy will be prescribed. Your doctor would ask to run other tests after physical examination.

To my opinion, from what you are describing, being fatigue might be related to:
- work overload/anxiety
- not taking enough nutrients (not consuming healthy foods/drinks)
- lack of physical activity
- consumption of alcohol/smoking or other drugs
- medications (sleeping/anxiety pills) you might be taking

Hope it helped! Let me know if I can assist you further!
Dr.Albana
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Albana Sejdini

General & Family Physician

Practicing since :2006

Answered : 6739 Questions

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What causes chronic fatigue?

Brief Answer: Following tests recommended... Detailed Answer: Hi XXXX I have gone through your medical history and understood your concerns. You may ask the doctor to run the following tests: - whole blood work: to exclude anemia or other blood related problems - fasting blood glucose and measuring the levels of insulin in blood - pancreas/liver/kidney function tests - thyroid profile - urine analysis - examination of stool for ova/parasites - vaginal swab testing - abdominal ultrasound - colonoscopy - measuring the electrolytes and vitamins in blood - EKG, cardiac echo Depending on the tests results, specific treatment strategy will be prescribed. Your doctor would ask to run other tests after physical examination. To my opinion, from what you are describing, being fatigue might be related to: - work overload/anxiety - not taking enough nutrients (not consuming healthy foods/drinks) - lack of physical activity - consumption of alcohol/smoking or other drugs - medications (sleeping/anxiety pills) you might be taking Hope it helped! Let me know if I can assist you further! Dr.Albana