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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Fatigue And Lack Of Appetite While Suffering From Fibromyalgia?

I have all over pain, chronic fatigue, metabolic abnormality, inability to eat foods; can be the same food or different foods, I have a reaction when I eat or I may not. Reaction is usually mild to moderate pain, fatigue, collapse or confusion. Inability to think or remember, moderate to severe. Talking is difficult, not being able to come up with a complete sentence or words. Typing was extremely bad, has improved, writing the same, reading is the same. I have lost my job and most days are in bed, or if I feel better, I m working around the house and yard. This doesn t last long as physical activity leads to a fatigue/pain/confusion collapse. I have been diagnosed with Fibromyalgia, possible stroke or a metabolic disorder depending on the Doctor. Depression has become severe due to this. My life is gone.
Wed, 8 Apr 2020
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General Surgeon 's  Response
Hello,

As per my surgical experience, the lack of appetite, long term fatigue, loss of appetite, feeling of hopelessness and interference with daily activities indicate underlying major depressive disorder with fibromyalgia condition. In my clinic, after thorough history, physical examination, I do recommend a consultation with expert psychiatrist for better work up and best management guidelines. Usual cases do require:
- Selective serotonin reuptake inhibitors as sertaline or others
- Tricyclic anti depressant as amitryptiline or
- Others as per the clinician choice and recommendation for particular case need
Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Causes Chronic Fatigue And Lack Of Appetite While Suffering From Fibromyalgia?

Hello, As per my surgical experience, the lack of appetite, long term fatigue, loss of appetite, feeling of hopelessness and interference with daily activities indicate underlying major depressive disorder with fibromyalgia condition. In my clinic, after thorough history, physical examination, I do recommend a consultation with expert psychiatrist for better work up and best management guidelines. Usual cases do require: - Selective serotonin reuptake inhibitors as sertaline or others - Tricyclic anti depressant as amitryptiline or - Others as per the clinician choice and recommendation for particular case need Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon