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What Causes Extreme Fatigue When Diagnosed With GERD And Fatty Liver?

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Posted on Tue, 23 Jan 2024
Question: I am a 42 year old female who has been experiencing extreme fatigue I have recently had a complete physical with blood work and full cardiac work up I have also been diagnosed with gerd and fatty liver my question is can this fatigue be related to my fatty liver and how can I lessen the severity of the fatigue
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (25 minutes later)
Brief Answer:
Thoughts on this

Detailed Answer:
Hello,

Were you able to see my response to your question previously?

Fatty liver is not responsible for fatigue.

As your fatigue began after an infection with mono, it may be a recurrent or chronic EBV infection. An EBV panel that includes both IgG and IgM (the latter is for current infection) would be helpful as would a thorough autoimmune antibody panel. I imagine you have had thyroid tests and CBC with peripheral blood smear but don't know if you have had the tests I just mentioned. An infectious disease/immunology specialist from a university would be a good choice and even better would be someone who specializes in CFS, but you may need to travel to find the latter.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Bonnie Berger-Durnbaugh (1 hour later)
Thanks for your response unfortunately I was not able to see response I have been tested for all of the above I live right outside of NYC have seen specialist years back was of little value guess I’ll just have to ride out this most current wave or seek homeopathic dr thanks for your assistance
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Thoughts on this

Detailed Answer:
Just so you know, what I wrote in my first response was:

"Fatty liver does not typically cause symptoms at all. Sometimes, if severe, it can interfere with the rate of breakdown of some medications causing those to be higher than normal in the blood stream. But fatty liver will not cause chronic fatigue symptoms.

If you have had CFS for 22 years, have you seen any CFS specialists or university infectious disease specialists? CFS is a diagnosis of exclusion, meaning ever other possible cause has been ruled out. CFS may have many different causes which express with common symptoms, so whenever possible, it's important to find any underlying cause and specific lab/test abnormalities which can point us in the direction of what to do about it."

I am sorry you have been suffering so long. I imagine you have tried graded exercise and other CFS mainstays. I also imagine that you have connected with your CFIDS group or association in New York as patients often know who the best practitioners are for this in a given area.

Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Causes Extreme Fatigue When Diagnosed With GERD And Fatty Liver?

Brief Answer: Thoughts on this Detailed Answer: Hello, Were you able to see my response to your question previously? Fatty liver is not responsible for fatigue. As your fatigue began after an infection with mono, it may be a recurrent or chronic EBV infection. An EBV panel that includes both IgG and IgM (the latter is for current infection) would be helpful as would a thorough autoimmune antibody panel. I imagine you have had thyroid tests and CBC with peripheral blood smear but don't know if you have had the tests I just mentioned. An infectious disease/immunology specialist from a university would be a good choice and even better would be someone who specializes in CFS, but you may need to travel to find the latter.