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What causes severe fatigue, dizziness and shortness of breath?

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Posted on Mon, 16 May 2016
Question: extreme fatigue, bed to couch, makes up my day. Dizziness, shortness of breath, an effort to even take a shower. Cant cook. Too much work. Help. I am calling from Canada, how will this work?
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Answered by Dr. Shehzad Topiwala (44 minutes later)
Brief Answer:
Fatigue

Detailed Answer:
Very sorry to note how you feel lately.

I strongly suggest you seek prompt medical care. If I were you I would go to the emergency to get vital signs checked like pulse and blood pressure among other things.

Once stable, further evaluation would be in order to determine the cause of your symptoms.

When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination:

CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts)
Electrolytes (Sodium and Potassium in particular)
HbA1c (Glycosylated Hemoglobin = your 3 month glucose average)
Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase)
Kidney function tests (BUN, Creatinine)
TSH
Free T4
Anti Thyroid Peroxidase (TPO) antibodies
Anti Thyroglobulin antibodies
25 hydroxy Vitamin D
Serum Cortisol at 8 am
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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What causes severe fatigue, dizziness and shortness of breath?

Brief Answer: Fatigue Detailed Answer: Very sorry to note how you feel lately. I strongly suggest you seek prompt medical care. If I were you I would go to the emergency to get vital signs checked like pulse and blood pressure among other things. Once stable, further evaluation would be in order to determine the cause of your symptoms. When I see someone like you in my practice, I typically order the following blood tests in addition to a detailed physical examination: CBC (Complete Blood Count, also known as Hemogram; includes Hemoglobin, WBC and Platelet counts) Electrolytes (Sodium and Potassium in particular) HbA1c (Glycosylated Hemoglobin = your 3 month glucose average) Liver function tests (SGOT , SGPT, Albumin, Bilirubin, Alkaline Phosphatase) Kidney function tests (BUN, Creatinine) TSH Free T4 Anti Thyroid Peroxidase (TPO) antibodies Anti Thyroglobulin antibodies 25 hydroxy Vitamin D Serum Cortisol at 8 am