Brief Answer:
Much can be done, no worries as yet

Detailed Answer:
Hi and thanks for the query,

I understand it really can be disturbing, but I think there is lot that can be done to bring about a tremendous improvement in your quality of life. Imbalance could have various causes, spanning psychological/psychiatric (depression), ENT causes like ear problems, problems with the balance centre of the brain called the cerebellum. IN your case, I do think it is mainly psychological. It might be of utmost importance for you to change the vision or the perspective from which you see life or daily living. I suggest a more positive and lively impression of things. Support from a psychologist could be very helpful. Association with friend, discussing with loved ones, exercise have offered some help to many. But the opinions of your psychologist and psychiatrist are usually very helpful.

Tiredness and sores are often seen in some inflammatory conditions like lupus or mixed Erythrocyte Sedimentation Rate, a marker of chronic inflammation could be helpful. A complete blood count to estimate hemoglobin levels to assess anemia is important to understand the origin of the fatigue. The count shall also tell us about the platelet count. Platelets are very important in the blood clotting process. Assessment of the clotting profile with Prothrombine time and Vitamin K levels are very useful. Lack of any of these factors could lead to supplementation.

I suggest you book an appointment first with an internist for a complete clinical review and in depth investigation. The psychologist/psychiatrist input, in my opinion, could be very helpful. Feel free asking follow up questions in case you have any specific concerns. I shall be glad to offer my little contribution. Wishing you good health and kind regards.

Bain LE, MD

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