Brief Answer:
Needs a good examination and some lab testing

Detailed Answer:
Good afternoon.

Your wife's symptoms are consistent with potential neurological difficulties having to do compression of nerve roots which exit the spinal cord from the cervical portion of the spinal column. This could be due to arthritic processes which can evaluated both on examination by a neurologist and confirmed by a CT or MRI of the neck.

There are other more invasive tests that could be done but on the basis of what you're writing on her symptoms I don't see the need to perform those tests unless the examining physician finds something unexpected on his exam that might prompt a more detailed analysis.

I would also consider the use of some basic laboratory tests that we always check when patients complain of symptoms having to do with tingling sensations or other problems as you're referring "heat feelings on the right side of the body, etc." In addition, fatigue could be due to metabolic issues such as a low functioning thyroid gland or anemia due to either low intake of necessary nutrients from the diet or bone marrow dysfunction which occurs more and more frequently as we age.

Other lab tests that could be helpful in making a diagnosis in your wife would be levels of Vitamin B12, Vitamin D, folate, cortisol, CBC with a differential, liver and kidney enzymes, as well as electrolytes especially Calcium and parathormone which tests the parathyroid glands that can be hyperactive in cases of extreme fatigue. I would also include a urinalysis as part of the workup since a chronic subclinical infection of the urinary tract is not uncommon and can cause symptoms of fatigue.

If I've adequately answered your questions could you do me a huge favor by CLOSING THE QUERY and being sure to include some fine words of feedback along with a 5 STAR rating if you feel my suggestions have helped? Again, many thanks for posing your questions and please let me know how things turn out.

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This query has utilized a total of 24 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.

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