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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Fatigue?

I am totally tired, + exhausted all the time, can not do anything. I had pancreatic cancer 3 years ago,but all tests show no cancer now so I am a survivor. All my blood work is fine. Something is wrong somewhere in my body but I seem to be a big mystery. It is not normal to be this exhausted all the time. I am pretty miserable. Any thoughts? Martha Steele
Tue, 4 Oct 2016
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General & Family Physician 's  Response
Hello.

I am sorry to hear about your symptoms. Being exhausted and tiring is difficult.

Since you are now free of cancer and your blood work is fine, we can rule out certain common conditions.

1. Anemia - but I assume your hemoglobin is good as its commonly included in the blood work.

2. Hypothyroidism - A thyroid profile with TSH and free T4 will confirm it.

3. Heart condition - certain cancer medications cause sligjt weakening of the heart muscles - called cardiomyopathies. This holds true if you get breathless on walking certain distances or climbing up the stairs or have swelling of the feet. Do get an Echocardiogram if not already done.

4. Chronic fatigue syndrome - it is quite common. It is not a psychiatric condition, but a physical one. The exact cause and how it works are not known but cognitive behavioural therapy has shown promising results. Also, alternative medicine and acupuncture claim to have treatment.

Hope this helps.

Regards,
Dr Geeta
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What Causes Severe Fatigue?

Hello. I am sorry to hear about your symptoms. Being exhausted and tiring is difficult. Since you are now free of cancer and your blood work is fine, we can rule out certain common conditions. 1. Anemia - but I assume your hemoglobin is good as its commonly included in the blood work. 2. Hypothyroidism - A thyroid profile with TSH and free T4 will confirm it. 3. Heart condition - certain cancer medications cause sligjt weakening of the heart muscles - called cardiomyopathies. This holds true if you get breathless on walking certain distances or climbing up the stairs or have swelling of the feet. Do get an Echocardiogram if not already done. 4. Chronic fatigue syndrome - it is quite common. It is not a psychiatric condition, but a physical one. The exact cause and how it works are not known but cognitive behavioural therapy has shown promising results. Also, alternative medicine and acupuncture claim to have treatment. Hope this helps. Regards, Dr Geeta