Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
175 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 depression and fatigue along with muscle pain?

I was diagnosed with cat scratch disease in a swollen lymph node in 2005. I had no symptoms other than the swollen lymph node. I have since had 3 additional lymph nodes removed. 2 cultured as necrotic cells and the latest (Feb 2017) as a granuloma. Symptoms over the past 12 years have included periods of depression and fatigue, joint and muscle pain, tingling or shock-like feelings in my hands and fingers, intermittent blurred vision along with other things. I had a rheumatic panel completed at my physical which showed a mildly elevated CCP. Being that the Bartonella bacteria is associated with both Lyme Disease and Cat Scratch Disease, should I be tested for both along with the referral to the Rheumatologist?
Mon, 13 Aug 2018
Report Abuse
General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

It looks like you are already suffering from rheumatic musculoskeletal pain which is further triggered by the tick bite causing Lime's disease. Visit ER, get examined and treated for the tick bite so that the joint pain and swellings do not accelerate. You need to get your nerve function tests done, nerve damage is a cause of pain and get treated for fibromyalgia. Yes, see a rheumatologist. Stress from fibromyalgic pain causes anxiety, fatigue and depression. You need medications and proper clinical treatment, get treated. Do not let depression complicate to bipolar problems, dysthymia or SAD.

Hope I have answered your query.
Let me know if I can assist you further.
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on

Related questions you may be interested in

doctor1 MD

For approx., 12 to 18 mths I have been losing wt ( appro 50 lbs) with diarrhea. Also nausea after eating. was having abd pain but no longer have...