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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Feel Very Tired. Have Anxiety, Depression. Some Memory Loss. Brain Test Seems Normal. Problem?

Around June 11th my husband went to the dr. and was very tired and stuffy. We thought it was a sinus infection. He was using the sweeze bottle nettie pot and was getting a lot of brown, yellow, thick stuff. The dr. then noticed his left gland was swollen. It's also a little red. It's been this way. It might have gone down some, but it's hard to tell. He seems to be tired a lot but has a lot of other things going on. C-pap machine needs adjusting the #. We've been working o that for a few years. He actually wakes up tired. He does have anxiety and depression as well. He also has some memory, focus issues. He's been checked out and they say his brain checks out fine after several tests.
Wed, 17 Jul 2013
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Psychiatrist 's  Response
Hi,

From the history you have provided, your husband went to the doctor for fatigue and stuffiness of nose along with nasal discharge. Yes this can be a sign of a sinus infection. You have not mentioned which gland was found to be swollen.

He also uses CPAP. Reason for using it? Obstructive sleep apnea? If it needs adjusting then do get it done as soon as possible. There may be difficulty in adjusting the mask or it may lead to dryness of airway. The humidification needs adjustment.

If he has symptoms of anxiety and depression then an evaluation by a psychiatrist would be beneficial. He may need to be started on antidepressants depending on what examination reveals. Psychiatric disorders usually do not show up on tests.
Waking up tired and not feeling refreshed by sleep and easy fatiguability are one of the few symptoms of depression.

Hope this helps,
Dr A Rao
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Psychiatrist Dr. Dr.Nehal's  Response
Hi,
Thanks for using healthcare magic.

His tiredness might be due to
- As a symptom of anxiety -depression
- As a symptom of viral infection or sinus infection
- Physical causes like vitamin b12 or D deficiency or thyroid dysfunction

If he has persistent tiredness even before sinus infection, you should take him to psychiatrist for detailed evaluation and management. Doctor , after ruling out physical causes make offer 2 options as a treatment.

1) Antidepressant drugs like duloxetine or desvenlafaxine
2) Stress management, counselling and psychotherapy

Meanwhile he may get benefit by doing relaxation exercise like yoga, meditation and breathing exercise.

Thanks.
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Feel Very Tired. Have Anxiety, Depression. Some Memory Loss. Brain Test Seems Normal. Problem?

Hi, From the history you have provided, your husband went to the doctor for fatigue and stuffiness of nose along with nasal discharge. Yes this can be a sign of a sinus infection. You have not mentioned which gland was found to be swollen. He also uses CPAP. Reason for using it? Obstructive sleep apnea? If it needs adjusting then do get it done as soon as possible. There may be difficulty in adjusting the mask or it may lead to dryness of airway. The humidification needs adjustment. If he has symptoms of anxiety and depression then an evaluation by a psychiatrist would be beneficial. He may need to be started on antidepressants depending on what examination reveals. Psychiatric disorders usually do not show up on tests. Waking up tired and not feeling refreshed by sleep and easy fatiguability are one of the few symptoms of depression. Hope this helps, Dr A Rao