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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for severe fatigue

Hi. I am chronically ill, with a multitude of symptoms in the past two years. I came down with what I thought was viral illness and severe fatigue in 2015, and never recovered. I have been plagued with weakness, exercise intolerance, migraines, nausea, abdominal pains, tingling in the arms/hand at times, heat/cold intolerance, chemical sensitivities, heart palps, pericarditis, neck pain, back pain, dizziness, lightheadedness, high blood pressure/fast pulse at times, scalp pain, rashes at times, itchy ankles, visual issues (despite normal vision exam), lower than normal base temp, swollen glands at times, brain fog, neuro symptoms-memory issues, etc. There are more symptoms, but I can t remember everything at the moment.. Quality of life has plummeted severely. I have had many tests done and am not sure of the root of this. My t cells were recently tested and result was 529. My brain MRI showed small spots on the frontal lobe, I believe, and it was thought to be vascular changes. What does all of this sound like? And what conditions should I have ruled out? I am open to any and all ideas! Thanks.
Tue, 12 Dec 2017
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Dentist 's  Response
As per your query you have severe fatigue . Well the symptoms you mention in query can occur due to may reasons like acute sinusitis ,diabetes, type 2 , mumps , multiple sclerosis . Low blood pressure and sleep apnea can also cause such symptoms. I would suggest you to consult cardiologist for proper examination . Doctor order ECG ,valsalva maneuver and tilt table test . Doctor may prescribe antiemetic drug along with fludrocortisone and recommend to take more salt and drink more fluid . Doctor may also refer you to ENT specialist if there is problem related to ear like otitis media or meniere's disease . Doctor may prescribe antiemetic drug along with antibiotics and recommend vestibular therapy .

Hope your concern has been resolved.

Get Well Soon.

Best Wishes,
Dr. Harry Maheshwari
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Suggest treatment for severe fatigue

As per your query you have severe fatigue . Well the symptoms you mention in query can occur due to may reasons like acute sinusitis ,diabetes, type 2 , mumps , multiple sclerosis . Low blood pressure and sleep apnea can also cause such symptoms. I would suggest you to consult cardiologist for proper examination . Doctor order ECG ,valsalva maneuver and tilt table test . Doctor may prescribe antiemetic drug along with fludrocortisone and recommend to take more salt and drink more fluid . Doctor may also refer you to ENT specialist if there is problem related to ear like otitis media or meniere s disease . Doctor may prescribe antiemetic drug along with antibiotics and recommend vestibular therapy . Hope your concern has been resolved. Get Well Soon. Best Wishes, Dr. Harry Maheshwari