Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

165 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What causes fatigue, forgetfulness and chronic insomnia in an elderly patient?

Answered by
Dr. Olsi Taka


Practicing since :2004

Answered : 3360 Questions

Posted on Tue, 8 May 2018 in Brain and Spine
Question: Approaching 80 years of age, insulin dependent 30 years (on pump) sx: slowly increasing weakness, mild forgetfulness, chronic insomnia (treated with Trazodone and Ambien), Generakky ADL done with out incident...chronic fatigue.
Answered by Dr. Olsi Taka 1 hour later
Brief Answer:
Many possibilities.

Detailed Answer:
I read your question carefully and I understand your concern.

The answer is not straight forward as those symptoms are not that specific, meaning that they can be caused by many different causes, perhaps there may be more than one cause at play. May be due to small vessel disease in the brain (more common with age and diabetes), stroke, diabetic neuropathy, altered liver and kidney function, non adequate control of blood glucose, thyroid dysfunction, nutritional deficiencies, chronic infections, anemia etc.

So some tests need to be done. To start with some routine blood tests (perhaps you've already had some of those recently) such as blood count, HbA1c, liver and kidney function, electrolyte panel, thyroid function, vitamin B12 deficiency. If any of the above issues are found of course should be addressed accordingly.

If no major anomalies are revealed then a neurological exam would be indicated for neurological signs (reflexes and sensory changes, motor weakness, mental state test to check for cognition etc) which could indicate peripheral neuropathy or neurological deficits due to a minor stroke which should then be further explored through peripheral nerve studies and/or brain imaging.

I remain at your disposal for other questions.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,  

Recent questions on  Thyroid dysfunction

doctor1 MD

My husband has had an onset of the following starting in late July: Difficulty choosing words / difficulty speaking. Lack of depth perception/misjudging motions with hands and feet. Started out with him telling me when he closes his eyes...

doctor1 MD

I am having right side muscle cramps while lying down

doctor1 MD

I had a complete hysterectomy in April 2010 due to severe and chronic endomitriosis. I have had 4 surgeries previously due to the endomitriosis and it would come back more severe each time. I am not able to take HRT becasue of my endomitriosis, a history of clotting in my family & my mother breast cancer was a result of years of her HRT. I recently have noticed weight gain, swelling in joints & limbs, fatigue and other symptoms of thyroid dysfunction. I just recently had blood work done which came back in the lower range of normal for thyroid function. My question is how is that treated if I cannot take HRT

doctor1 MD

I have developed extremely dry, itchy skin this winter. Despite constantly moisturizing, It has caused me to scratch myself nearly raw. I have changed bodywash, laundry detergent. I use no colognes or body sprays. I have no pets, no history of food allergies. I am treating with Benadryl lotion and Cortisone ointment and it has helped

doctor1 MD

Hi. I m 18. I ve had several heart tests done, including stress test, 24 hour heart monitor, ekg, echo, and blood work. They all came by good. But, every time I take a nap, I wake up with a pounding heart, and it s so strong it s like the pulse is in my eyes, sometimes I feel nauseous also. I do have anxiety, and worry about everything..

doctor1 MD

my wife advised to take the Yamini21,hosit and mefoline for irregular periods .last week in thyroid test there is positive Th level observed. my Que. is Thyroid increase due to these medicine? or will wait for sonograohy to check starting of ovulation