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What Causes Tiredness And Shaky Feeling With Normal Test Results?
Question: I have been feeling very tired and shaky for some months now. My pulse rate is generally between 80 and 105.
I am 52, male, living near London in the UK.
Urine Tests:
PH 5.5
Protein Neg
Glucose Neg
Ketone Neg
Blood +
Urobilinogen Normal
WBCs <1 Cells / UL
RBCs 35 Cells / UL
Casts Not seen
Epithelial cells Not seen
Crystals Not seen
Organisms Not seen
Urine culture No bacterial growth
MYCOPLASMA GENITALIUM DNA (PCR) Not Detected
Toxoplasma Negative
BLOOD TESTS
HAEMOGLOBIN 154 g/L
HCT 0.452
RED CELL COUNT 4.71 x10^12/L
MCV 96.0 fL
MCH 32.7 pg
MCHC (g/L) 341
RDW 12.5
PLATELET COUNT 197 x10^9/L
MPV 11.2 fL
WHITE CELL COUNT 6.4 x10^9/L
NEUTROPHILS 73.6% 4.71 x10^9/L
**** LYMPHOCYTES**** 18.6% 1.19 x10^9/L
MONOCYTES 6.7% 0.43 x10^9/L
EOSINOPHILS 0.8% 0.05 x10^9/L
BASOPHILS 0.3% 0.02 x10^9/L
ESR 5
STI TESTS ALL NEG
HIV NEG AT 4 MONTHS
I am 52, male, living near London in the UK.
Urine Tests:
PH 5.5
Protein Neg
Glucose Neg
Ketone Neg
Blood +
Urobilinogen Normal
WBCs <1 Cells / UL
RBCs 35 Cells / UL
Casts Not seen
Epithelial cells Not seen
Crystals Not seen
Organisms Not seen
Urine culture No bacterial growth
MYCOPLASMA GENITALIUM DNA (PCR) Not Detected
Toxoplasma Negative
BLOOD TESTS
HAEMOGLOBIN 154 g/L
HCT 0.452
RED CELL COUNT 4.71 x10^12/L
MCV 96.0 fL
MCH 32.7 pg
MCHC (g/L) 341
RDW 12.5
PLATELET COUNT 197 x10^9/L
MPV 11.2 fL
WHITE CELL COUNT 6.4 x10^9/L
NEUTROPHILS 73.6% 4.71 x10^9/L
**** LYMPHOCYTES**** 18.6% 1.19 x10^9/L
MONOCYTES 6.7% 0.43 x10^9/L
EOSINOPHILS 0.8% 0.05 x10^9/L
BASOPHILS 0.3% 0.02 x10^9/L
ESR 5
STI TESTS ALL NEG
HIV NEG AT 4 MONTHS
Brief Answer:
Considerations
Detailed Answer:
Hello and thanks for the query.
In general, your test results are basically normal. There is nothing there which would likely contribute to shaky feeling or fatigue.
It might be reasonable to check thyroid function as this can sometimes contribute to significant fatigue.
There was a bit of blood noted in the urinalysis - sometimes this might not be significant but your doctor might consider checking another urine test in a few months.
Anxiety and depression could contribute to fatigue and shaky feelings - if you think this is a possibility it would be reasonable to review that with your doctor.
Otherwise I would recommend a good healthy balanced diet and exercise of 45 minutes or more 4-5 days per week. This may help improve energy as well.
Thanks again for the query.
Dr. Galamaga
Considerations
Detailed Answer:
Hello and thanks for the query.
In general, your test results are basically normal. There is nothing there which would likely contribute to shaky feeling or fatigue.
It might be reasonable to check thyroid function as this can sometimes contribute to significant fatigue.
There was a bit of blood noted in the urinalysis - sometimes this might not be significant but your doctor might consider checking another urine test in a few months.
Anxiety and depression could contribute to fatigue and shaky feelings - if you think this is a possibility it would be reasonable to review that with your doctor.
Otherwise I would recommend a good healthy balanced diet and exercise of 45 minutes or more 4-5 days per week. This may help improve energy as well.
Thanks again for the query.
Dr. Galamaga
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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