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Suggest Treatment For Persistent General Weakness And Fatigue

Posted on Thu, 21 Jan 2016

Question: I am feeling very tired and even for a small walk and work using laptop. All my blood , sodium potasium , platelets with in limits. Recent health check up reports are normal for treadmill test, ecgs, lungs amd all other reports. With weakness making me more worried. Taking multi vitamin tablets as precribed by docotor . But still weekness is there . Please help

Answered by Dr. Dr. Prasad J (2 hours later)

Brief Answer:
Make sure a few more medical conditions are ruled out...

Detailed Answer:
Hi,

I am glad you had been investigated for easy fatiguability. I hope tests for anemia, hypothyroidism, blood sugar and nutrient especially vitamin and minerals are ruled out. If not, I will consider to tests these too. They can be easily tested using a blood sample.

If all medical parameters are ruled out, tiredness could be due to inappropriate sleep, lack of good nutrition or an underlying pyschological disturbance. Improving sleep and diet will be the first step of management. If it doesn't help, you may consider discussing about psychological conditions.

Hope this helps. Let me know if you need clarifications.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (1 hour later)

Dear doctor,
Thank you for your reply.
I din't know which test is for anemia, vitamins and minarals. Thyroid test , sugar, sodium, potashiam test were done are in normal range. When i took IV FLUIDS last wrrk , i felt better. But now again i am feeling the fatigue. Please help

Answered by Dr. Dr. Prasad J (11 minutes later)

Brief Answer:
Improve diet, water consumption as well as sleep...

Detailed Answer:
Hi,

Complete hemogram which has specific tests such as Hb; MCV; MCHC as well as hematocrit is a fair indicator of anemia. Besides these tests for vitamin b12, calcium and vitamin D are known tests of nutrients. I assume these were tested and found normal too.

In this context, it isn't appropriate to take IV fluids every day. Instead, I suggest you to eat a balanced diet filled with good fruits and vegetables. Drink sufficient amount of water. Add some exercises. And make sure you sleep well for 6-8 hours. These changes should improve and help the fatigue.

If they don't, then as I mentioned earlier psychological problems such as underlying depression / anxiety should be looked for.

Hope its clear now. Will be pleased to guide you further.

Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Prasad J (1 hour later)

Dear doctor, thank you very much. One important thing i forgot to tell you. I am having left hand pain. During health check up TMT PASSED and others also eco test notmal. But yesterday night during sleep my hand got numbness and i woke up ans after some time it has become normal. This happened twice. Earlier when i had left hand mussle pain, doctor took ecg and it was normal . This was last week. I am also worried if rhis. Coming to weakness sure i will follow your instructions. Thank you in advance.

Answered by Dr. Dr. Prasad J (14 hours later)

Brief Answer:
The numbness episode isn't concerning...

Detailed Answer:
Last nights episode is most likely due to a pinched nerve which occurs commonly upon lying on a wrong posture. It isn't a serious or concerning problem.

Follow the changes suggested earlier and see if it makes difference.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar