
What Causes Extreme Fatigue?

The minimum tests will be sugar, TSH, CBC
Detailed Answer:
Hi,
Welcome to HCM
Thanks for posting the question. I understand your concerns
There is no simple test to say whether you are having cancer or not. Cancer is a rare cause for tiredness. So don't worry.
The minimum tests needed for are
Random blood sugar
TSH
Complete blood count
Chest X-ray
If you can afford little bit more additionally you can do
HbA1c
Serum Iron studies
Peripheral smear
Serum Vitamin D and B12
Ultrasound abdomen
Lipid profile
Liver function tests
You can consult a GP and have a physical examination done to look for any swelling
Hope I have answered your questions. If you have any further queries I will be happy to help you.
Regards,
Dr Ajish TP [MD,DM]
Consultant Endocrinologist


Why would I need a chest xray? What would that see? Is there anything with my foot that might be related to this problem. It seems weird that I would have bone pain randomly begin at the same time of extreme tiredness. At some points I can't walk on it at all, it feels like it's broken and I have to limp around, but I never injured it or did anything to it.
Is there any way to get a doctor on here order the lab tests? I don't have the money to see a regular doctor, especially if I have to pay for some labs.
See detailed answers
Detailed Answer:
Hi,
Welcome back. Good day.
The answers to your questions are
1. The blood cell tests to detect cancers are for blood cancers and lymphoma- the complete blood count and peripheral smear will give you a clue.
2. Chest X ray will show if you have enlarged lymph nodes in chest seen in lymphoma. Lymphomas and leukaemias are associated with none pain and nerve pains in lower legs
3. No idea on where you can get a doctor to prescribe the lab test. The initial test I have suggested is not that expensive. please check if you can do it in a local lab without prescription.
Regards
Dr Ajish TP

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