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Tiredness, back pain, cough, exhaustion in-spite of sleeping well. Causes for symptoms?

For the past month I have been finding it very difficult to stay wake past 7:00 PM and even when I wake up 8-12 hours later I m still extremely tired. I also have very bad back pain and it almost never goes away. I ve also had a cough for the past 5-6 months. I thought it was just over sleep but even when I sleep the recommended amount of time I still feel exhausted. I was wondering if this just a simple cold or is it something worse?
Asked On : Sun, 3 Feb 2013
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General & Family Physician 's  Response
excessive sleeping and chronic tiredness could have a broad range of causes. This could range form psychiatric (depression), chronic fatigue syndrome to organic causes. Tiredness and an associated back pain should be examined keenly. The back pain causes are very diverse from disc compression, inflammatory causes, mechanical compression, infectious causes and at times some tumours. The chronic cough you present with needs a very keen attention too. Coughing for over three weeks with an associated fatigue always deserves an exclusion of pulmonary tuberculosis. A chest X ray, sputum examinations and tuberculin skin tests depending on the skin. Spinal TB with history of this chronic pain pain through raised erythrocyte sedimentation rates and specific images that could revealed by the MRI of the back are worth considering too.
I suggest you meet your internist for at least a chest X ray, sputum tests, tuberculin skin test, markers of inflammation measurement and an MRI of the back to be done. Other options depending on the clinician s appreciation shall be helpful in bringing out a definitive diagnosis.
Thanks and hope this helps,
Luchuo, MD.
Answered: Sun, 3 Feb 2013
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