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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shoulder Pain Along With Nausea, Fatigue And Dizziness?

I wonder if any of these things are linked. 50-80% of the time I suffer from back, neck and shoulder pain; nausea; extreme tiredness and dizziness. I also have toenail fungus, white coating of the tongue and a recent thing has been chest pains (specifically at night), followed by my entire body tensing (almost locking) and shaking uncontrollably. I can walk around in this state and my body doesn t stop shaking. I m female, 20s, not pregnant and not on medication.
Fri, 31 Aug 2018
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General & Family Physician,  's  Response
Hi,

The only thing that can cause most of your symptoms is anxiety.

Because you get these shakiness of body and chest pain at night, presence of dizziness and tiredness with body pains very likely you are having all these due to anxiety.

I would recommend you to talk to your doctor and see the possibility of being examined for anxiety and taking treatment and also the possibility for counseling.

Being active and trying to exercise regularly, going for walks and trying to do things you like and not allowing over-timing, having friends you can trust and share are all important as well.

Your doctor may choose to do some tests first to rule out other conditions like TSH to rule out thyroid problems or EEG if you lose your consciousness with the episodes of shakiness and a general metabolic profile (lipids, fasting sugar, creatinine and electrolytes, ALT, AST, CBC and ERS) to make sure you are otherwise doing well.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Shoulder Pain Along With Nausea, Fatigue And Dizziness?

Hi, The only thing that can cause most of your symptoms is anxiety. Because you get these shakiness of body and chest pain at night, presence of dizziness and tiredness with body pains very likely you are having all these due to anxiety. I would recommend you to talk to your doctor and see the possibility of being examined for anxiety and taking treatment and also the possibility for counseling. Being active and trying to exercise regularly, going for walks and trying to do things you like and not allowing over-timing, having friends you can trust and share are all important as well. Your doctor may choose to do some tests first to rule out other conditions like TSH to rule out thyroid problems or EEG if you lose your consciousness with the episodes of shakiness and a general metabolic profile (lipids, fasting sugar, creatinine and electrolytes, ALT, AST, CBC and ERS) to make sure you are otherwise doing well. Hope I have answered your query. Let me know if I can assist you further.