Question: I feel weak all the time very fatigued all the time. I'm tired and sleepy and I get this pain in my ribs where the ribs start and stomach ends. I can't lightly exersise or have sex and if I try to I get more discomfert in the ribs and abdomen and will feel like passing out.
I've had echocardiogram brain mri chest ct with contrast cealic testing CBC thyroid test numerous ekgs all normal. Except for gyneocasmtoa incidental) this fatigue has been progressi g slowly since November.

I think about death a lot, have panic attacks from time to time, have a mild b12 defciency level 350. I have mild anxiety and list my dad and grandpa on the same day nine months ago both of which I was very close to. Also could this be a heart issue. One thing I did notice is that I was masterbating a lot like 5 times a day and than one day I tried and I stated getting shaky that was back in late December. Exersise intolerance has been going down a slight decline since November

Also my sex drive is high, I just can't do anything with it because if I try I get shakey and feel like passing out this happens if I try to exersise as well :/

I am seeing a therapist this week. But doctor can depression really cause all this pain. I can't throw a baseball without feeling like I'll pass out. When I move fast like a brisk walk or masterbate my ribs ( right around where the adrenal glands are stat to tingle and hurt) than I get shaky and feel like passing out. I was born with spinal bifida occtle had no nuerologic symptoms just schuemanns kyphosis 80 degrees (ever since 12, never felt like this) lumbar lordosis) and mild lumbar dextrosclosis i could this be the start of spinal muscular atrophy?

1 could this be a heart issue?
2could this be spinal muscular atrophy?
3 how execs fly does depression cause these feeling. I feel like I'm dying.

Thank you dr, my last question here is can depression cause you to feel like passing out with only mild exersise like walking to quickly or trying to masterbate? The slightest arosual psychically will make me shake and feel like passing out. Weather if it's thirty seconds of masterbating or ten seconds of walking fast. Can depression really cause all this?


Can cancer be a cause or blood vessel issue? I had endoscopy in XXXXXXX looked good CBC the other day that looked great. Can cancer be cause? Thank you for your time doctor it means a lot

yes I had an echocardiogram done and it came back normal. doc said the heart is suppose to pump 60-70mm per minute and mine pumped 65 so that's good. these symptoms of feeling like ill passout happens with any attempt to masterbate or walk fast for example; I can wake up in the moring with a full on erection and not feel any weaker than I generally do, but if I try to stimulate my self, no less than thirty seconds later I will feel panic and feel like im gonna fall over. but this feeling can also happen if I try to sing for awhile, even in a talking voice. ive head a chest x ray,echo cardiogram, brain mri,cartoid duplex all came back normal. several ekgs normal. the symptoms get worse with movement, and better at rest. I have a headache, my eyes feel heavy, I think of death all the time, I burp a lot and have muscle pain in my lower ribs and abdominal region. I have had social anxiety sine I was young and when my dad died I noticed that my anxiety was slowly getting worse, so I realize that there is a possibility that this can be all psychological. two things though

1. my doc orderd blood tests for b12,floate,zin,magnisum,vitimin d, and testrone,estrogen,and cortisol levels

2. I went to the hospital by ambulance because I got shakey and weak after playing basketball for about 2 minutes. the ambulance finger pricked me and took my blood glucose level which was 180, so they thought I was a diabetic, they rushed me to the hospital and did blood work and checked my blood glucose levels there, which was a halfhour later and the results said my glucose level was 93. whats going on here? was the meter in the ambulance wrong? this seems like a drastic drop for someone who is non diabetic. I had not eaten anything for two hours proior to the first reading of 180 on the finger prick test, and nothing between the blood from the vein test. the CBC with diffrental came back normal



some test results for you to review

Cortisol your value 22.9 mcg/dL 6.7 - 22.6 mcg/dL
Normal Reference Range:
AM Specimen: 6.7-22.6
PM Specimen: 0.4-9.9
tooknen at 2:35 pm

Component Results
Component Your Value Standard Range
Vitamin D, 25-Hydroxy, Total 15.6 ng/mL 30.0 - 80.0 ng/mL
This assay was performed using Roche Diagnostics Corporation reagents
and test kits. Values obtained with other assay methods or kits cannot
be used interchangeably.
NOTE:
Deficiency: <20 ng/mL
Insufficiency: 20-29 ng/mL
Optimum Level: 30-80 ng/mL
Possible Toxicity: >80 ng/mL
Most patients with toxicity have levels >150 ng/mL


omponent Your Value Standard Range
Folate, Serum 9.3 ng/mL 5.2 - 20.0 ng/mL
Reference Ranges:
Deficient < 2.5 ng/ml
Indeterminate 2.5 - 5.1 ng/ml
Normal 5.2 - 20.0 ng/ml
Component Results
Component Your Value Standard Range
Magnesium 2.1 mg/dL 1.7 - 2.8 mg/dL

Component Your Value Standard Range
Estradiol 18.2 pg/mL 23.8 - 52.2 pg/mL

Component Results
Component Your Value Standard Range
Testosterone, Serum 597.50 ng/dL 193.00 - 950.00 ng/dL

more tests pending