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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hypersomnia, Extreme Fatigue, Rashes On The Neck And Muscle Aches?

Extreme fatigue. Sleep 12 to 16 hours and am so tired when I wake up I fall back asleep again. When I manage to stay awake I have no energy at all. I can actually fall asleep standing up if I don t lay down. Dizzy spells - don t have anything to do with any medications. I have a weird kind of little rash on the back of my neck. Medication has reduced it but it won t go away. All my muscles ache all the time and some muscle areas get sharp pains and I am losing tone and strength.
Sat, 7 Jul 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Extreme fatigue and sleepiness can be caused by several causes and need to be evaluated properly.
You will need to do a CBC with ERS to rule out anemia and other conditions related to them, TSH to check the thyroid level and BMP (basic metabolic profile) to check how is your sugar, lipids, electrolytes, liver and kidney.
Sometimes tests for autoimmune disease might be considered.

According to the results of these tests the doctor might determine the cause of the symptoms you are having and recommend the proper treatment. If all the above tests come out normal than depression can be considered and you will need to talk with your doctor on medications to use and also counselling.


Hope I have answered your query.
Let me know if I can assist you further.


Kind regards,
Antoneta Zotaj, MD
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What Causes Hypersomnia, Extreme Fatigue, Rashes On The Neck And Muscle Aches?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Extreme fatigue and sleepiness can be caused by several causes and need to be evaluated properly. You will need to do a CBC with ERS to rule out anemia and other conditions related to them, TSH to check the thyroid level and BMP (basic metabolic profile) to check how is your sugar, lipids, electrolytes, liver and kidney. Sometimes tests for autoimmune disease might be considered. According to the results of these tests the doctor might determine the cause of the symptoms you are having and recommend the proper treatment. If all the above tests come out normal than depression can be considered and you will need to talk with your doctor on medications to use and also counselling. Hope I have answered your query. Let me know if I can assist you further. Kind regards, Antoneta Zotaj, MD