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

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes sleepiness and fatigue in the evening?

Answered by
Dr. Chintan Solanki


Practicing since :2007

Answered : 2406 Questions

Posted on Thu, 1 Sep 2016 in Thyroid Problem and Hormonal Problems
Question: Helo Doctor iam very tired right now a days . Evening when i reach home i feel very sleepy all the time . Iam not able to do sex with my wife as my sex organ is not becoming thick and also very tired and sleepy . Iam diabetic and iam taking obimet sr 500 tablet . I have checked sugar 3 months back and random showed 195 . My working hours are from morning 9 to evening 8 pm . I dont have time to do any exercises
Answered by Dr. Chintan Solanki 6 hours later
Brief Answer:
diabetes can cause erectile dysfunction

Detailed Answer:
Hello XXXXX,

Thanks for writing to us.

Your symptoms of sleepiness and fatigue can be due to stress/depression or nutritional deficiency like vitamin B12 and vitamin D.

Depression/stress can cause erection problem or erection problem can lead to depression. What occurred first decides the treatment.

You do not have time to exercise and you work almost 11 hours a day. This suggests you are likely living stressful life.

I recommend going for serum B12 level, serum Vitamin D level, Serum testosterone level (total and free),fasting blood sugar, ppbs Thyroid function tests and HB1ac (to check control of diabetes for last 6 months). Revert back to me with reports.

For a while I recommend taking tetrafol plus containing pyridoxal-5-phosphate, mecobalamin and l-methylfolate (trade name tetrafol plus) is very helpful in my patients. It has shown improvement in 50-60 patients of mine with ED with diabetes. You should take it after meal twice a day. You should continue for at least 2 months. You may get this medicine over the counter as it is vitamin product.

- Sad mood, lack of interest in routine/pleasurable activities, weeping/crying spells, hopelessness, reduce appetite, excessive fatigue or weakness, lack of concentration, sleep disturbances, death wishes, suicidal ideas : among these symptoms which are there in your case and since when? Please narrate briefly.

I will be happy to help further after your response.
Dr.Chintan Solanki.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
Follow up: Dr. Chintan Solanki 14 hours later
Yes Sir iam very much disturbed sad mood , no interest in work , sometimes death symtoms appear , fatique etc appears in me and iam so much disturbed now .
Answered by Dr. Chintan Solanki 1 hour later
Brief Answer:
it is depression likely

Detailed Answer:

Thanks for information.

Your symptoms suggest that you are suffering from depression. For confirmation of diagnosis detail history and mental status examination are required to be done by a psychiatrist. I recommend consulting psychiatrist.

Treatment of depression includes both medicines and psychotherapy.

In psychotherapy I prefer cognitive behavior therapy (CBT).In mild cases only CBT is sufficient. In moderate to severe cases initially medicines and then CBT is added. And later on medicines stopped gradually.

In medicines SSRI group of drugs (fluoxetine, paroxetine, sertraline, escitalopram) are main stay of the treatment. There are other group of drugs as well with different mechanisms and excellent results.
Benzodiazepines group of drugs (clonazeapm, lorazepam or etizolam) are used initially for short duration for fast symptomatic relief.

One can stop medicines gradually after 100% recovery according to doctor's guidance.

Consulting a psychiatrist personally will surely help you to live better life.

Feel free to discuss further.

Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Medical Procedures
Lab Tests
Medical Topics ,  

Recent questions on  Obimet

doctor1 MD

hello I m 17 week pregnant, I have pcos so I m taking obimet sr500 mg earlier twice now only once and will stop this medicine on 5th XXXXXXX as my...

doctor1 MD

i have been prescribed the following 1. cobadex 2. evion lc 3. obimet sr 500 mg 4. Optisulin

doctor1 MD

my haemoglobin is low 9.7 can I take feris 50 mg tablet, I m 5 week pregnant

doctor1 MD

Hi, My age is 30yrs.2 years before I got married.Since last 4-5 months I am taking treatment on PCOD/ PCOS .The doctor had prescribed me Folinext...

doctor1 MD

I was asked to take Obimet 500mg just before concieving by my doctor . (I was not identified with PCOS) Now I am almost 4 months pregnant and I am...