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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Extreme Fatigue,chills And Dark Circles Overnight?

I ve been told by doctors that I have a sluggish liver. I woke today with chills and extreme fatigue. There are dark circles under my eyes and the whites are off-white. Several hours ago I took two milk thistle capsules, am on my third cup of dandelion tea, and feel slightly better. Do you have any suggestions for diagnosis and treatment?
Mon, 17 Oct 2016
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General & Family Physician 's  Response
Hi welcome to the health care magic

Milk thistle powder usually prescribed in case of cirrhosis like liver condition as a supplement

Here you might have chronic hepatitis as well..

So your detail report needed to conclude sluggish liver cause...
-Serum SGPT, SGOT
-Total bilirubin
-Serum albumin and total protein
-viral marker by ELISA for hbsag and anti hcv

According to report further treatment guided

If cirrhosis present than TIPSS like procedure or liver transplantation useful

So post your above reports after being done..

You can consult gastroenterologist for examination

Hope this will help
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What Causes Extreme Fatigue,chills And Dark Circles Overnight?

Hi welcome to the health care magic Milk thistle powder usually prescribed in case of cirrhosis like liver condition as a supplement Here you might have chronic hepatitis as well.. So your detail report needed to conclude sluggish liver cause... -Serum SGPT, SGOT -Total bilirubin -Serum albumin and total protein -viral marker by ELISA for hbsag and anti hcv According to report further treatment guided If cirrhosis present than TIPSS like procedure or liver transplantation useful So post your above reports after being done.. You can consult gastroenterologist for examination Hope this will help