What Causes Drowsiness And Tiredness?
Detailed physical examination and investigations
Detailed Answer:
Hi young man.
You are just 32 years and are suffering for the past 4 years.
You have a typical problem of feeling drowsy, eyes getting dull and tired every evening - sugar tests are normal.
The probable/ possible cause can be a general disorder for which you have to undergo a thorough physical examination by a MD Physician and have detailed investigations of all sorts.
I would suggest you the following:
Blood tests for -CBC (complete blood counts), Thyroid function tests (FT3, FT4 and TSH), Kidney functions (Urea and Creatinine), Liver function tests, Quantiferone gold test for Tuberculosis, Malaria, Typhoid (Widal)
Urine- Routine, microscopy, culture and sensitivity
Stool- routine, microscopy, occult blood.
X-ray of the chest.
Ultrasonography of the abdomen.
All these test are conducted to rule out or finding the cause of your symptoms.
At the same time one has to consider psychological causes, stress and anxiety as a causative factor.
Till you get the results, you can start multi-vitamin capsules containing Ginseng twice daily, Iron if the hemoglobin is low.
You have to get off the duty for some days for a rejuvenation and change of the atmosphere.
Once the reports are there , it is possible that a cause is found and then you can get an appropriate treatment to correct the causative factor / disease.
I hope this answer will help you to get the root cause and get a proper treatment to be fit and fine.
Please feel free to ask for more if you need to. You may please rate this answer if you liked this.
Wishing you an early detection of the disease and a curative treatment.