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What causes severe fatigue, depression and chronic back pain with tooth infection?

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 3079 Questions

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Posted on Tue, 6 Sep 2016 in Hypertension and Heart Disease
Question: been very fatigued lately. might be depressed as i have had some tooth infections and recent removals of teeth. also some chronic back pain. no energy and irritable most of the time.
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this clinical symptomatology:

- a chronic infection (especially considering your tooth infections)
- chronic anemia
- chronic inflammation
- vitamin D or vitamin B12 deficiency
- thyroid dysfunction
- adrenal gland dysfunction

For this reason, I recommend consulting with your attending physician and performing some tests:

- a resting ECG
- complete blood count
- inflammation tests
- thyroid hormone levels
- cortisol plasma levels
- blood electrolytes
- vitamin B12 and vitamin D levels

If all the above tests result normal, you should consider chronic fatigue syndrome or depression as the possible cause of your symptoms.

In such case an antidepressant (like duloxetine, paroxetine, sertraline, etc.) would be helpful.

Otherwise, treating the possible cause (if revealed by the above tests) would help relieve your symptoms.

Hope you will find this answer helpful!

Kind regards,

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