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What Causes Chronic Fatigue,dry Skin,anxiety,depression And Neck Pain?t

Posted on Sat, 19 Jul 2014

Question: Hello Dr.
I have chronic fatigue and dryness of the skin, anxiety, depression and pain in the neck and the weight of the head and in the cooler sides.
I checked consultant underground, blood vessels, nerves and brain, and several doctors
Blood tests are all good.
I feel as impaired concentration and memory for two seconds I do not know what is the reason Is it organic or psychiatric illness.
Any advice Dr

Answered by Dr. Jonas Sundarakumar (8 hours later)

Brief Answer:
Likely to be a non-organic cause.

Detailed Answer:
Hello and thanks for your query.

I understand that you must be going through a difficult time due to your multiple symptoms. Now, considering the nature of your symptoms and the fact that all relevant medical tests have turned out negative, it is very likely that the cause of your symptoms is non-organic (i.e.) a functional or a psychological cause.

Conditions like chronic fatigue syndrome or fibromyalgia or anxiety disorders are well known to result in such symptoms which you are experiencing. Now, this does not mean that 'everything is in his head' and that you are simply imagining the symptoms. It has been found that psychological disorders are associated with certain neuro-chemical imbalance in the brain and this can cause the person's pain threshold to get lowered and he can become 'hypersensitive' to sensory stimuli, and therefore can have pain, discomfort and other abnormal sensations. The underlying anxiety also causes a person to become more worried as to why his problems are undiagnosed after multiple tests, and then this worry / anxiety itself then starts worsening the symptoms more. Soon this becomes a viscious cycle, leaving the person with more symptoms and suffering.

The symptoms of transient impaired concentration and memory lasting for a few seconds also point to a psychological cuase rather than an organic illness.

So, my advise to you would be to consult a psychiatrist in your place for a detailed evaluation, so that further management of your problems can be planned accordingly.

Wish you all the best.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist

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

Follow up: Dr. Jonas Sundarakumar (4 hours later)

Hello Dr.
As I mentioned to you that I have reviewed a psychiatrist and my values that I have anxiety disorder
He described to me a medicine called Entapro (Escitaopran20mg)
Are you in favor of Dr. Description explained by you in advance that this drug Sinfni note that what you said about me is true, because I started thinking negative direction of my health.
Advice me Dr
What else you advice me, is there any test needed or you sure about my situation that I have an anxiety .

Answered by Dr. Jonas Sundarakumar (2 days later)

Brief Answer:
In favour of Dr's prescription...

Detailed Answer:
Hi,

Escitalopram is an anti-depressant and anti-anxiety medication, which has been proven effective in the treatment of a variety of anxiety disorders. So, I am in favour of your doctor's prescription for Escitalopram for your problems.

You don't need any further tests since you have already had the necessary tests and they are all normal. In my opinion, your symptoms appear to be most likely due to an anxiety disorder and you needn't worry about the possibility of any serious medical / organic cause.

I would suggest that you also try CBT (Cognitive Behaviour Therapy) which is a form of psychological therapy, very effective for anxiety and negative thoughts. You can also practice relaxation techniques like JPMR, breathing exercises, yoga, etc. which can also help in reducing your symptoms.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Jonas Sundarakumar (27 hours later)

Thanks Dr
What about the poor memory and lack of concentration and dispersion are of anxiety, fear or is it that there are also other reasons is there what activates it.
And my final question I'm good when I woke up from sleep and suddenly I see myself to think about the negative Is this confirms the presence of anxiety.

Answered by Dr. Jonas Sundarakumar (3 days later)

Brief Answer:
These symptoms are also due to anxiety and fear...

Detailed Answer:
Hi again,

The symptoms that you have mentioned like poor memory, lack of concentration, etc. are very commonly seen in anxiety disorders. So, these symptoms are due to anxiety and fear and not due to any other medical / neurological problem.

Secondly, the fact that you feel good when you wake up but then feel worse as you go into a negative mode of thinking confirms that your symptoms are only anxiety-related.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist

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

Follow up: Dr. Jonas Sundarakumar (10 minutes later)

Thank you Dr.
The last question I have before closing the conversation.
I get that sometimes hesitate to call one of the people I discuss it internally so that his name not say that name.
Is this also of anxiety and fear.
Is it supports the need to take psychiatric treatment.

Answered by Dr. Jonas Sundarakumar (1 hour later)

Brief Answer:
Likely to be social anxiety...

Detailed Answer:
The symptom that you have described can be due to social anxiety. This is a type of an anxiety disorder and can be treated with the help of psychological therapy like CBT (Cognitive Behaviour Therapy) and sometimes, certain medication can also be helpful.

Regards,
Dr. Jonas Sundarakumar MBBS., DPM., MRCPsych.(U.K.)
Consultant Psychiatrist

Note: For further guidance on mental health, Click here.

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