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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Anxiety And Fatigue

Okay, I just turned 21 and I have been sick for the last 8 years with general fatigue, and anxiety. When I was 13 my gynocologist had taken a test that showed an elevated level of androgen. I have seen a nuerologist 12 times, rheumatologist 1 time, endocrinologist 2 times, and a sleep physician 2 times not including my family doctor 6 times in the last two months. My nuerologist took a blood test of my Cortisol and my ACTH and other tests.My cortisol was 3.9 at 3pm and the ACTH was normal along with my B12, T4, T3, and iron. three weeks later my endocrinologist took the same test Cortisol was 3.3 and ACTH normal. All the doctors have told me that I have fibromyalgia... I have migraines daily, extremely irritable, nausea, thirsty! and have these stretch marks that developed on my stomach and I am 100% not pregnant. The other day I was laying on my bed and right below my sternum something started spasms so strong that I could not only feel it... but I could see it.I need help!
Tue, 11 Nov 2014
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General & Family Physician,  's  Response
Hello
Brief... You did not mentioned about your blood sugar level ,do you get recurrent hypoglycemia (low blood sugar level).if your blood sugar level does not drop then most probably diagnosis can be chronic fatigue syndrome .

Detail...Suggested causes of Chronic fatigue syndrome viral infection,problems with immune system,hormone imbalance,psychiatric problems,some have inherited tendency to develop CFS,and traumetic events.

CFS treatment include aiming 1. cognitive behavioural therapy 2.graded exercise theraoy,3.Activity management,4.pain killer medications,and 5.antidepprassants)
You can also try some below mentioned recommendations and feed back..
1.Eat small ,regular meals to help reduce any nausea and anxiety
2.spend time relaxing
3.Try not to sleep or nap excessively.
4.avoid any food and drink that you are sensitive to.
5.Avoid stressfull situations
6.Avoid alcohol,caffeine,sugar and sweeteners.
Regards,
Dr.Maheshwari
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Suggest Treatment For Anxiety And Fatigue

Hello Brief... You did not mentioned about your blood sugar level ,do you get recurrent hypoglycemia (low blood sugar level).if your blood sugar level does not drop then most probably diagnosis can be chronic fatigue syndrome . Detail...Suggested causes of Chronic fatigue syndrome viral infection,problems with immune system,hormone imbalance,psychiatric problems,some have inherited tendency to develop CFS,and traumetic events. CFS treatment include aiming 1. cognitive behavioural therapy 2.graded exercise theraoy,3.Activity management,4.pain killer medications,and 5.antidepprassants) You can also try some below mentioned recommendations and feed back.. 1.Eat small ,regular meals to help reduce any nausea and anxiety 2.spend time relaxing 3.Try not to sleep or nap excessively. 4.avoid any food and drink that you are sensitive to. 5.Avoid stressfull situations 6.Avoid alcohol,caffeine,sugar and sweeteners. Regards, Dr.Maheshwari